Conceptual alignment of electronic health record data with guideline and workflow knowledge.
Conceptual alignment of electronic health record data with guideline and workflow knowledge.
复制标题
电子健康记录数据与指南和工作流程知识的概念一致性。
DOI：
10.1016/s1386-5056(01)00196-4
复制
发表时间：
2001
影响因子：
4.9
通讯作者：
McDonald,CJ
中科院分区：
文献类型：
--
作者：
Schadow,G;Russler,DC;McDonald,CJ
尽管计算机化的实践指南和工作流程管理（WfM）被证明是提高护理质量和降低成本的有效技术，但它们今天并没有被广泛部署。其中一个原因是指南系统和电子健康记录（EHR）系统之间的阻抗不匹配。本文介绍了统一的服务动作模型（USAM），已开发的HL7参考信息模型（RIM），并在概念上集成的EHR的指南和工作流管理。我们认为，记录在EHR的信息项在逻辑上类似的指南和WfM定义的元素。因此，USAM建议指南和EHR重用相同的信息结构。这种重用是可能的，通过从自然语言语法和模态逻辑借用的技术。指南、WfM和EHR的概念一致性可以促进常规卫生保健中指南的共享和部署。
Even though computerized practice guidelines and workflow management (WfM) are proven effective techniques to improving quality of care and reducing costs, they are not widely deployed today. One reason for this is the impedance mismatch between guideline systems and electronic health record (EHR) systems. This paper presents the Unified Service Action Model (USAM) that has been developed for the HL7 Reference Information Model (RIM) and that conceptually integrates guidelines and WfM in the EHR. We argue that the information items recorded in the EHR are logically similar to elements of guideline and WfM definitions. Therefore, the USAM suggests that guidelines and EHR reuse the same information structures. This reuse is possible through a technique borrowed from natural language grammar and modal logic. The conceptual alignment of guidelines, WfM and the EHR could facilitate the sharing and deployment of guidelines in routine health care.