M. R. Santos (1), M. P. Bax (1), D. Kalra (2)
(1) Universidade Federal de Minas Gerais, Brazil; (2) University College London, United Kindow.
Objective: This paper aims to present the archetype modelling process used for the Health Department of Minas Gerais State, Brazil (SES/MG), to support building its regional EHR system, and the lessons learned during this process. Methods: This study was undertaken within the Minas Gerais project. The EHR system architecture was built assuming the reference model from the ISO 13606 norm. The whole archetype development process took about ten months, coordinated by a clinical team co-ordinated by three health professionals and one systems analyst from the SES/MG. They were supported by around 30 health professionals from the internal SES/MG areas, and 5 systems analysts from the PRODEMGE. Based on a bottom-up approach, the project team used technical interviews and brainstorming sessions to conduct the modelling process. Results: The main steps of the archetype modelling process were identified and described, and 20 archetypes were created. Lessons learned:
Conclusion: The archetypes (referencing terminology, domain tables and term lists) provided a favorable condition for the use of a controlled vocabulary between the central repository and the EMR systems and, probably, will increase the chances of preserving the semantics from the knowledge domain. Finally, the reference model from the ISO 13606 norm, along with the archetypes, proved sufficient to meet the specificities for the creation of an EHR system for basic healthcare in a Brazilian state.
Health Information Systems, Electronic health record, archetypes, archetype modelling, two-level modelling, ISO 13606, openEHR
M. Altwaijiri1, B. Aldosari2
IMIA Yearbook 2008 2008 3 1: 145-149
S. M. Meystre1,G. K. Savova2, K. C. Kipper-Schuler2, J. F. Hurdle1
IMIA Yearbook 2008 2008 3 1: 128-144
C. Bréant, Managing Editor for the IMIA Yearbook Section on Health Information Systemsar1
IMIA Yearbook 2008 2008 3 1: 52-54