Archetype relational mapping - a practical openEHR persistence solution

BMC Medical Informatics and Decision Making
Li WangHuilong Duan

Abstract

One of the primary obstacles to the widespread adoption of openEHR methodology is the lack of practical persistence solutions for future-proof electronic health record (EHR) systems as described by the openEHR specifications. This paper presents an archetype relational mapping (ARM) persistence solution for the archetype-based EHR systems to support healthcare delivery in the clinical environment. First, the data requirements of the EHR systems are analysed and organized into archetype-friendly concepts. The Clinical Knowledge Manager (CKM) is queried for matching archetypes; when necessary, new archetypes are developed to reflect concepts that are not encompassed by existing archetypes. Next, a template is designed for each archetype to apply constraints related to the local EHR context. Finally, a set of rules is designed to map the archetypes to data tables and provide data persistence based on the relational database. A comparison study was conducted to investigate the differences among the conventional database of an EHR system from a tertiary Class A hospital in China, the generated ARM database, and the Node + Path database. Five data-retrieving tests were designed based on clinical workflow to retrieve exams and laborat...Continue Reading

References

Feb 26, 2016·Journal of Biomedical Informatics·Raimundo Lozano-RubíXavier Pastor
Mar 29, 2018·BMC Medical Informatics and Decision Making·Lingtong MinHuilong Duan
Feb 14, 2016·BMC Medical Informatics and Decision Making·Li WangHuilong Duan
Aug 20, 2017·BMC Medical Informatics and Decision Making·Ricardo Sánchez-de-MadariagaMario Pascual
Aug 31, 2018·BMC Medical Informatics and Decision Making·Lingtong MinHuilong Duan
Jan 30, 2019·BMC Medical Informatics and Decision Making·Spyridon KalogiannisVasileios Megalooikonomou
Jun 5, 2020·Journal of Medical Internet Research·Mengyang LiHuilong Duan

Citations

May 26, 1998·International Journal of Medical Informatics·G W Beeler
Sep 14, 2000·Journal of the American Medical Informatics Association : JAMIA·R S ChenP L Miller
Feb 8, 2005·International Journal of Medical Informatics·Knut BernsteinChristian Nøhr
Oct 28, 2006·Journal of the American Medical Informatics Association : JAMIA·Adolfo MuñozCarlos H Salvador
Mar 30, 2007·International Journal of Medical Informatics·Sebastian GardePetra Knaup
May 4, 2007·BMC Medical Informatics and Decision Making·Rong ChenGunnar O Klein
May 12, 2007·Methods of Information in Medicine·Sebastian GardeSam Heard
Jul 2, 2008·Journal of Biomedical Informatics·Catalina Martínez-CostaJosé Alberto Maldonado
Apr 17, 2009·Computer Methods and Programs in Biomedicine·Helma van der LindenJan Talmon
Dec 7, 2010·International Journal of Medical Informatics·Melanie Bettina Späth, Jane Grimson
Jun 15, 2012·The New England Journal of Medicine·Kenneth D Mandl, Isaac S Kohane
Jan 24, 2013·BMC Medical Informatics and Decision Making·Georg DuftschmidChristoph Rinner

Related Concepts

Study
Electronic Health Records
Laboratory Procedures
Pathology Procedure
Environment
CKM 1634
Executive Function
Health Information Technology
Health Care Systems
Protocol Treatment Arm

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