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Updated: Jan 18, 2026
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
New openEHR technology and clinical collaboration in vital steps toward improved patient care and true
Susannah Mclean1, Paul Miller2, Alistair Ewing2
1Usher Institute, The University of Edinburgh College of Medicine and Veterinary Medicine, Edinburgh, UK susannah.mclean@ed.ac.uk.
Objective:
To deploy a digital application of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) across health boards (HBs).
Methods:
Clinicians, patients and other regional stakeholders collaborated with the Scottish National Technology Service (NTS) defining requirements. Development was agile with user feedback.
Results:
The ReSPECT web application developed on Scotland's National Digital Platform used an openEHR Clinical Data Repository. Plans can be viewed and edited across settings. Deployed in 2020, by July 2025, 8 of 14 HBs were onboarded and >5500 patients had digital ReSPECT plans.
Discussion:
openEHR structures clinical data in a modular way, enabling other applications to use the same data layer. Close collaboration between technicians and users fulfilled the application's requirements and solved problems together.
Conclusions:
Collaboration on the digital ReSPECT accelerated deployment, enabling more people's wishes and clinical recommendations to be captured and shared across care settings and transitions. openEHR technology enables new data uses.
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