Influences of the Unified Service Action Model on the HL7 Reference Information Model

Modeling information for the electronic medical record (EMR) builds on a century of study on information and its relationship to cost and quality improvement. An initiative to examine the focus of cost and quality improvement and its relationship to information modeling resulted in the development of the Unified Service Action Model of healthcare processes, which focuses on the action as the center of cost accounting, quality accounting and privacy management. The application of this model to the HL7 Reference Information Model produced a simplification of the HL7 model at the cost of increased reliance on vocabulary terms for actions.

[1]  W. Mays,et al.  MEANING AND ACTION: A CRITICAL HISTORY OF PRAGMATISM , 1969 .

[2]  D. Spalding.  The Principles of Psychology , 1873, Nature.

[3]  William James,et al.  The Thing and Its Relations , 1905 .

[4]  G. L..  Collected Papers , 1912, Nature.

[5]  A. Rector,et al.  Foundations for an Electronic Medical Record , 1991, Methods of Information in Medicine.

[6]  Yair Wand,et al.  A Proposal for a Formal Model of Objects , 1989, Object-Oriented Concepts, Databases, and Applications.

[7]  E K Mensah,et al.  Distribution of variable vs fixed costs of hospital care. , 1999, JAMA.

[8]  R A Rocha,et al.  Coupling vocabularies and data structures: lessons from LOINC. , 1996, Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium.

[9]  L. Weed,et al.  The problem oriented record as a basic tool in medical education, patient care and clinical research. , 1971, Annals of clinical research.

[10]  S M Huff,et al.  Linking a Medical Vocabulary to a Clinical Data Model using Abstract Syntax Notation 1 , 1998, Methods of Information in Medicine.

[11]  C G Chute,et al.  Development of a clinical data architecture. , 1992, Proceedings. Symposium on Computer Applications in Medical Care.

[12]  W. Edwards Deming,et al.  Out of the Crisis , 1982 .

[13]  A Gouveia-Oliveira,et al.  Formal representation of a conceptual data model for the patient-based medical record. , 1993, Proceedings. Symposium on Computer Applications in Medical Care.