论文信息 - Towards a Repository for Managing Archetypes for Electronic Health Records

Towards a Repository for Managing Archetypes for Electronic Health Records

With the advent of openEHR Version 1.0 a common Electronic Health Records (EHR) architecture has been defined to pursue the aim of having ubiquitous information available when and where it is needed. Objectives: To analyse the functional requirements for supporting Domain Knowledge Governance with Information Technology (like authoring or updating archetypes) and present a prototype implementation. Methods: Requirements analysis using the Unified Modelling Language (UML) and incremental prototyping; also a series of archetype workshops were conducted. Results: For a web-based archetype repository, a total of four top-level use cases, 23 refining use cases for 5 different actors, are found to be essential. A prototype implementing some of these use cases has been developed. Discussion and conclusions: We believe that Domain Knowledge Governance is necessary independent of the actual approach and methodology chosen for EHR systems. Appropriate information technological support is required to support a clear process for authoring, updating, managing, disseminating knowledge in archetypes as well as archetype version control.

[1] Evelyn J. S. Hovenga,et al. Ubiquitous Information for Ubiquitous Computing: Expressing Clinical Data Sets with openEHR Archetypes , 2006, MIE.

[2] J R Campbell,et al. A framework for comprehensive health terminology systems in the United States: development guidelines, criteria for selection, and public policy implications. ANSI Healthcare Informatics Standards Board Vocabulary Working Group and the Computer-Based Patient Records Institute Working Group on Codes , 1998, Journal of the American Medical Informatics Association : JAMIA.

[3] Sebastian Garde,et al. Archetypes in Electronic Health Records: Making the Case and Showing the Path for Domain Knowledge Governance , 2005 .

[4] Sebastian Garde,et al. TERMTrial - terminology-based documentation systems for cooperative clinical trials , 2005, Comput. Methods Programs Biomed..

[5] Holger Knublauch,et al. The Protégé OWL Plugin: An Open Development Environment for Semantic Web Applications , 2004, SEMWEB.

[6] Deborah L. McGuinness,et al. OWL Web ontology language overview , 2004 .

[7] Christopher G. Chute,et al. Position Paper: A Framework for Comprehensive Health Terminology Systems in the United States: Development Guidelines, Criteria for Selection, and Public Policy Implications , 1998, J. Am. Medical Informatics Assoc..