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Integrating a Categorial Structure for Clinical Practice into EHRs.

Evelyn J S Hovenga1

  • 1CEO & Director eHealth Education Pty Ltd and the Global eHealth Collaborative (GeHCo), Professor Digital Health, Australian Catholic University, Melbourne, Australia.

Studies in Health Technology and Informatics
|January 25, 2024
PubMed
Summary

A standardized clinical data structure supports person-centered, predictive, and precision (5p) health. This approach integrates diverse clinical domains within digital health ecosystems for better information exchange.

Keywords:
controlled terminologiesdata setelectronic health recordsinteroperabilitynursingontology

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Area of Science:

  • Digital Health
  • Health Informatics
  • Clinical Informatics

Background:

  • Global demand for digital health ecosystems to support person-centered, predictive, preventative, participatory, and precision (5p) health.
  • Need for standardized data structures to facilitate data flow and information exchange across clinical disciplines.

Purpose of the Study:

  • To present an updated technical standard for a generic clinical categorial structure.
  • To demonstrate how this structure supports 5p healthcare within digital ecosystems.
  • To outline the linkage of this structure to standard terminologies and EHR/EMR architectures.

Main Methods:

  • Development of a generic clinical categorial structure based on 20+ years of nursing practice categorization.
  • Integration within a cloud-based openEHR platform.
  • Linking the structure to standard terminologies and electronic health record (EHR)/electronic medical record (EMR) system architectures.

Main Results:

  • The updated generic clinical categorial structure effectively represents multiple clinical domains.
  • The structure facilitates data exchange required for 5p healthcare support.
  • Successful linkage to standard terminologies and EHR/EMR architectures was demonstrated.

Conclusions:

  • Adoption of the generic clinical categorial structure in digital health ecosystems, supported by openEHR, enables 5p healthcare.
  • The standardized structure enhances interoperability and data exchange for person-centered care.
  • This approach provides a robust foundation for future digital health advancements.