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Assessing the Compliance of Nursing Data in a Rehabilitation Portal with the German ePatient Record (ePA) Standard
Jana Strate1, Annika Hering1, Rhea Brintrup1
1Health Informatics Research Group, Osnabrück University of AS., Osnabrück Germany.
Objective:
This study evaluated the compatibility of a Medical Informatics Initiative (MII) rehabilitation portal with the German HL7 FHIR nursing discharge standard (PIO) for interoperability between acute care and rehabilitation.
Methods:
Using ISO/TR 12300-based semantic mapping, 995 PIO items were analysed through seven equivalence categories: (0) not represented, (1) identical structured, (2) free-text only, (3) more detailed in PIO, (4a) informal convention-based, (4b) clearly unstructured, and (5) indeterminate.
Results:
Only 21.61% of the items were represented in a structured way in PIO and the rehabilitation portal, while the majority remained unstructured or less detailed (69.95%). A small number of items (6.83%) could not be represented in the portal at all (category 0).
Conclusion:
The findings show that most nursing-relevant information in the rehabilitation portal was either unstructured or less detailed compared to the HL7 FHIR PIO standard. Only about one fifth of items were available in a fully structured and standardised format. To improve digital interoperability and support high-quality care discharges and transfers, further development of structured fields is recommended.
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