Representation of inter-patient relations within electronic healthcare record architectures

Inter-patient relations are relevant in numerous areas of medicine, such as in the examination of genetic disorders, environmental causes of diseases, and in epidemiology. Therefore, it is essential that inter-patient relations be well integrated into the electronic health care record (EHCR). In the present paper we will show how inter-patient relations can be modelled within the three important EHCR architectures CEN ENV 13606, HL7 Clinical Document Architecture, and GEHR. We will use a general model for the specification of inter-patient relations as our reference model, which covers genetic and non-genetic kinship relations as well as temporary communities of persons.

[1]  Harrison C. White,et al.  An Anatomy Of Kinship , 1963 .

[2]  Farhad Mavaddat,et al.  A Data Structure for Family Relations , 1979, Comput. J..

[3]  J. Ott.  Analysis of Human Genetic Linkage , 1985 .

[4]  L. Fisher,et al.  Advancing a family perspective in health research: models and methods. , 1990, Family process.

[5]  C. Safran,et al.  ClinQuery: searching a large clinical database. , 1990, M.D. computing : computers in medical practice.

[6]  W. Hogg.  The family-oriented computerized medical record. , 1992, M.D. computing : computers in medical practice.

[7]  Hogg We,et al.  The family-oriented computerized medical record. , 1992 .

[8]  W E Hogg,et al.  Incorporating the family into a computerized office registration system. , 1993, Family medicine.

[9]  H. Newcombe.  Distinguishing individual linkages of personal records from family linkages. , 1993, Methods of information in medicine.

[10]  D Kalra,et al.  The Good European Health Record. , 1994, Computer methods and programs in biomedicine.

[11]  D. Kalra,et al.  A portable communicative architecture for electronic healthcare records: the Good European Healthcare Record project (Aim project A2014). , 1995, Medinfo. MEDINFO.

[12]  Dipak Kalra,et al.  A Portable Communicative Architecture for Electronic Healthcare Records: the Good European Health Record Project , 1995 .

[13]  H. Blom,et al.  Genetic risk factor for unexplained recurrent early pregnancy loss , 1997, The Lancet.

[14]  Tzeng-Ji Chen.  Incorporating the Family into the Electronic Medical Record System with a Relational Database Design , 1997, AMIA.

[15]  G W Beeler,et al.  HL7 version 3--an object-oriented methodology for collaborative standards development. , 1998, International journal of medical informatics.

[16]  K. Deater-Deckard,et al.  Parent-child mutuality in early childhood: two behavioral genetic studies. , 2000, Developmental psychology.

[17]  P. V. Biron,et al.  The HL7 Clinical Document Architecture. , 2001, Journal of the American Medical Informatics Association : JAMIA.

[18]  W Gall,et al.  Incorporating family and social structures into clinical documentation and retrieval. , 2001, Medical informatics and the Internet in medicine.

[19]  T. D. de Bruin,et al.  Excess coronary heart disease in Familial Combined Hyperlipidemia, in relation to genetic factors and central obesity. , 2001, Atherosclerosis.

[20]  G. E. Finley,et al.  The Effects of Children on Parents: Adoptee Genetic Dispositions and Adoptive Parent Psychopathology , 2002, The Journal of genetic psychology.

[21]  Bernd Blobel.  Comparing Concepts for Electronic Healthcare Record Architectures , 2002 .

[22]  M. A. Lewis,et al.  Household smoking behavior and ETS exposure among children with asthma in low-income, minority households. , 2003, Addictive behaviors.

[23]  J. Maher,et al.  Changes in Partnerships and HIV Risk Behaviors After Partner Notification , 2003, Sexually transmitted diseases.

[24]  G. Mendel.  Versuche über Pflanzen-Hybriden , 1941, Der Zauchter Zeitschrift fur Theoretische und Angewandte Genetik.