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语义可互操作的电子病历:基于共识的原型的演进

Semantic Interoperable Electronic Patient Records: The Unfolding of Consensus based Archetypes.

作者信息

Pedersen Rune, Wynn Rolf, Ellingsen Gunnar

机构信息

University Hospital of North Norway, Tromsø, Norway.

出版信息

Stud Health Technol Inform. 2015;210:170-4.

PMID:25991124
Abstract

This paper is a status report from a large-scale openEHR-based EPR project from the North Norway Regional Health Authority encouraged by the unfolding of a national repository for openEHR archetypes. Clinicians need to engage in, and be responsible for the production of archetypes. The consensus processes have so far been challenged by a low number of active clinicians, a lack of critical specialties to reach consensus, and a cumbersome review process (3 or 4 review rounds) for each archetype. The goal is to have several clinicians from each specialty as a backup if one is hampered to participate. Archetypes and their importance for structured data and sharing of information has to become more visible for the clinicians through more sharpened information practice.

摘要

本文是一份来自挪威北部地区卫生局基于openEHR的大型电子病历项目的进展报告,该项目受到全国openEHR原型库建设的推动。临床医生需要参与并负责原型的制作。到目前为止,共识达成过程面临着诸多挑战,包括活跃临床医生数量较少、缺乏达成共识所需的关键专业领域,以及每个原型的审核过程繁琐(3到4轮审核)。目标是每个专业领域都有多名临床医生作为候补,以防有人无法参与。通过更有效的信息实践,原型及其对结构化数据和信息共享的重要性必须让临床医生更加清楚地了解。

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