Developing an electronic health record (EHR) for methadone treatment recording and decision support

Hdl Handle:
http://hdl.handle.net/10147/122065
Title:
Developing an electronic health record (EHR) for methadone treatment recording and decision support
Authors:
Xiao, Liang; Cousins, Grainne; Courtney, Brenda; Hederman, Lucy; Fahey, Tom; Dimitrov, Borislav D
Citation:
BMC Medical Informatics and Decision Making. 2011 Feb 01;11(1):5
Issue Date:
1-Feb-2011
URI:
http://hdl.handle.net/10147/122065
Abstract:
Abstract Background In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR. Methods A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function. Results The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research. Conclusions The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorXiao, Liang-
dc.contributor.authorCousins, Grainne-
dc.contributor.authorCourtney, Brenda-
dc.contributor.authorHederman, Lucy-
dc.contributor.authorFahey, Tom-
dc.contributor.authorDimitrov, Borislav D-
dc.date.accessioned2011-02-16T09:51:17Z-
dc.date.available2011-02-16T09:51:17Z-
dc.date.issued2011-02-01-
dc.identifierhttp://dx.doi.org/10.1186/1472-6947-11-5-
dc.identifier.citationBMC Medical Informatics and Decision Making. 2011 Feb 01;11(1):5-
dc.identifier.urihttp://hdl.handle.net/10147/122065-
dc.description.abstractAbstract Background In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR. Methods A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function. Results The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research. Conclusions The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland.-
dc.titleDeveloping an electronic health record (EHR) for methadone treatment recording and decision support-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderXiao et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2011-02-15T16:08:24Z-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.