Felicitaciones Diego!
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------ Original message------From: Diego BoscáDate: Wed, Jan 27, 2016 17:42To:
For openEHR clinical discussions;For openEHR technical discussions;For openEHR
implementation discussions;Subject:PhD Thesis online: Detailed clinical models
and their relation with Electronic Health RecordsHello all,My thesis "Detailed
clinical models and their relation with ElectronicHealth Records" is now
available online. Until the universitypublishes it on the public repository,
here is a link to
it.https://www.dropbox.com/s/rqmmh9b541u7wpr/TesisDiego_v2.pdf?dl=0The slides
are also available just in case anyone wants a quick
summaryhttp://www.slideshare.net/yampeku/detailed-clinical-models-and-their-relation-with-electronic-health-recordsI
also attach the abstract belowBest RegardsDiego BoscáAbstractHealthcare domain
produces and consumes big quantities of people’shealth data. Althoughdata
exchange is the norm rather than the exception, being able toaccess to all
patient data isstill far from achieved. Current developments such as personal
healthrecords will introduceeven more data and complexity to the Electronic
Health Records (EHR).Achieving semanticinteroperability is one of the biggest
challenges to overcome in orderto benefit from all theinformation contained in
the distributed EHR. This requires that thesemantics of theinformation can be
understood by all involved parties. It has beenestablished that three layersare
needed to achieve semantic interoperability: Reference models,clinical
models(archetypes), and clinical terminologies.As seen in the literature,
information models (reference models andclinical models) arelacking
methodologies and tools to improve EHR systems and to developnew systems that
canbe semantically interoperable. The purpose of this thesis is toprovide
methodologies andtools for advancing the use of archetypes in three different
scenarios:- Archetype definition over specifications with no dual
modelarchitecture nativesupport. Any EHR architecture that directly or
indirectly has thenotion of detailedclinical models (such as HL7 CDA templates)
can be potentially used asa referencemodel for archetype definition. This
allows transforming single-modelarchitectures(which contain only a reference
model) into dual-model architectures (referencemodel with archetypes). A set of
methodologies and tools has been developed tosupport the definition of
archetypes from multiple reference models.- Data transformation. A complete
methodology and tools are proposedto deal with thetransformation of legacy data
into XML documents compliant with thearchetype andthe underlying reference
model. If the reference model is a standard then thetransformation is a
standardization process. The methodologies andtools allow boththe
transformation of legacy data and the transformation of databetween
differentEHR standards.- Automatic generation of implementation guides and
reference materials fromarchetypes. A methodology for the automatic generation
of a set of referencematerials is provided. These materials are useful for the
developmentand use of EHRsystems. These reference materials include data
validators, example instances,implementation guides, human-readable formal
rules, sample forms, mindmaps, etc.These reference materials can be combined
and organized in differentways to adaptto different types of users (clinical or
information technologystaff). This way, users caninclude the detailed clinical
model in their organization workflow andcooperate in themodel definition.These
methodologies and tools put clinical models as a key part of thesystem. The set
of presented methodologies and tools ease theachievement of semantic
interoperability by providing means for thesemantic description, normalization,
and validation of existing andnew
systems._______________________________________________openEHR-implementers
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