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Electronic health record with computerized decision support tools for the purposes of a pediatric cardiovascular
Ilias Chatzakis1, Kostas Vassilakis1, Christos Lionis2
1Technological Educational Institute (TEI) of Crete, Greece.
Insights
A new electronic health record (EHR) with a computerized decision support system (CDSS) aids early detection of pediatric cardiovascular disease risk factors in schools. This system supports timely interventions for children
Area of Science:
- Pediatric Cardiology
- Health Informatics
- Preventive Medicine
Background:
- Early detection of cardiovascular (CV) disease and risk factors in childhood is crucial for timely intervention.
- A pilot pediatric CV disease screening program was implemented for primary school students on a Mediterranean island.
Purpose of the Study:
- To describe the development of an electronic health record (EHR) with an integrated computerized decision support system (CDSS).
- To support the specific needs of a pilot pediatric CV disease screening program.
Main Methods:
- The EHR and CDSS were designed using evidence-based knowledge and international guidelines for pediatric CV screening.
- The CDSS incorporates normative data and predefined history responses to generate alerts for further cardiology evaluation.
Main Results:
- A functional EHR with integrated CDSS was developed for pediatric CV screening.
- The system documents patient history, physical evaluation, and electrocardiogram (ECG) data, including multimedia files.
- Integrated clinical calculators and referral alerts identify risks such as adiposity, hypertension, and ECG abnormalities.
Conclusions:
- The developed EHR with CDSS can serve as a model for primary healthcare.
- It facilitates the documentation and early detection of CV disease and risk factors in pediatric populations.
Background And Objective:
Early detection of cardiovascular (CV) disease or associated risk factors during childhood is of paramount importance, allowing for early treatment or lifestyle modifications, respectively. The objective of this study was to describe the development of an electronic health record (EHR), with integrated computerized decision support system (CDSS), specifically designed for supporting the needs of a pilot pediatric CV disease screening program applied on primary school students of a Mediterranean island.
Methods:
Evidence-based knowledge, national and international practice guidelines regarding sport preparticipation CV screening of children and young athletes has been used for the design of the designated EHR. A CDSS, capable for providing alerts for further cardiology evaluation need, has been incorporated into the EHR, based on normative anthropometric and electrocardiographic data as well as predefined positive history responses.
Results:
We developed a designated EHR with integrated CDSS supporting pediatric CV disease screening, capable for documenting CV-related personal and family history responses, physical evaluation data (weight, height, blood pressure), allowing for entering electrocardiogam (ECG) measurements and for uploading of multimedia files (including ECG images and digital phonocardiogram audio files). The EHR incorporates clinical calculators and referral alerts for the presence (and degree) of adiposity, hypertension, ECG abnormalities and positive history responses indicative of high CV disease risk. In a preliminary EHR validation, performed by entering data from 53 previously available paper-based health records, the EHR was proven to be fully functional.
Conclusions:
The pediatric cardiology EHR with CDSS features which we developed might serve as a model for EHR for primary health care purposes, capable to document and early detect CV disease and associated risk factors in pediatric populations.
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