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ISSN 1684-1859 (Print)

2021, Number 1

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Revista Cubana de Informática Médica 2021; 13 (1)

New features proposal to the Electronic Health Record management in the XAVIA HIS system

Socarrás BD, Vega IL, Afonso AY

Language: Spanish
References: 24
Page:
PDF size: 793.10 Kb.


ABSTRACT

One of the e-Health approaches is the digitalization of the medical record, an essential document in health care and with a legal character. The XAVIA HIS system, made up of modules to manage the processes and interconnect the different areas of a hospital institution, has as a fundamental attribute, a unique electronic medical record per patient. It is made up of documents based on the HL7-CDA standard. However, the XAVIA HIS system presents some limitations to interaction with other applications also managing health information.

This paper presents the new features and changes to be made to the Hospital Information System XAVIA HIS to improve the electronic medical records management of the mentioned system.

An analysis of the available literature on EHR management was carried out and the mechanism used by national and international counterpart systems was evaluated. To guide the development of the proposal, the AUP-UCI methodology was used; UML was used for modeling the engineering artifacts and BPMN as a notation language for business processes.

The modifications that are presented will allow the XAVIA HIS system to interact with external systems which also generate HL7-CDA documents. Additionally, functionalities are added to improve the printing of clinical documents that are exported, as well as the generation of summaries of the medical record.


REFERENCES

  1. Executive Board 115. eHealth: report by the Secretariat. World Health Organization [Internet]. 2005 [cited 18 Feb 2020 ]:[22 p.] Available from: Available from: https://apps.who.int/iris/bitstream/handle/10665/20235/B115_39-en.pdf?sequence=1&isAllowed=y .

  2. Reichertz PL. Hospital information systems - Past, present, future. International Journal of Medical Informatics. 2006;75(3-4 SPEC. ISS.):282-99.

  3. Feufel MA, Robinson FE, Shalin VL. The impact of medical record technologies on collaboration in emergency medicine. International Journal of Medical Informatics [Internet]. Aug 2011 [cited 31 Mar 2019 ];80(8):e85-95. Available from: Available from: https://www.sciencedirect.com/science/article/pii/S1386505610001693?via%3Dihub .

  4. Entzeridou E, Markopoulou E, Mollaki V. Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security. International Journal of Medical Informatics [Internet]. 2018 [cited 31 Mar 2019];110:98-107. Available from: Available from: http://www.sciencedirect.com/science/article/pii/S1386505617304471 .

  5. Bello LD, Conde VP, Cortés J, Murcia AE, del Pilar Rincón A, Velandia AA. Consolidacio´n de un conjunto mi´nimo de datos para una historia cli´nica electro´nica en atencio´n primaria integral en salud enfocada en determinantes de la salud. Revista Salud Bosque. 2018;8(2):71-81.

  6. González Rodríguez R, Cardentey García J. La historia clínica médica como documento médico legal. Rev méd electrón [Internet]. 2015 [citado 15 Jul 2020];37(6):648-53. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242015000600011 .

  7. Orellana García A, Vega Izaguirre L, López Cossio F, Salas Oliva PE. Plataforma cubana de Historias Clínicas Digitales eVitae. Concepción y metodología para su desarrollo. En: Convención Internacional de Salud, Cuba Salud 2018 [Internet]. La Habana; 2018 [citado 24 Nov 2019]. Disponible en: Disponible en: http://www.convencionsalud2017.sld.cu/index.php/connvencionsalud/2018/paper/viewPaper/216 .

  8. Peña RT, Cabezas OV, Mora RMT. Estrategia para acelerar el cambio hacia un hospital sin papel. INFODIR. 2017;(26):28-40.

  9. Dolin RH, Alschuler L, Beebe C, Biron PV, Boyer SL, Essin D, et al. The HL7 clinical document architecture. Journal of the American Medical Informatics Association. Nov 2001;8(6):552-69.

  10. Dolin RH, Alschuler L, Boyer S, Beebe C, Behlen FM, Biron P V, et al. HL7 clinical document architecture, release 2. Journal of the American Medical Informatics Association. Jan 2006;13(1):30-9.

  11. Plastiras P, O'Sullivan D. Exchanging personal health data with electronic health records: A standardized information model for patient generated health data and observations of daily living [abstract]. International Journal of Medical Informatics [Internet]. 2018 [cited 31 Mar 2019 ]; 120:116-25. Available from: Available from: http://www.sciencedirect.com/science/article/pii/S1386505618303393 .

  12. Demichelis M, Correa MS, Bertone RA. Interoperabilidad e integración entre sistemas de información en salud. En: XXIV Congreso Argentino de Ciencias de la Computación; La Plata, Argentina; 2018.

  13. Rodríguez Sánchez T. Metodología de desarrollo para la Actividad productiva en la UCI, Programa de mejora. Cuba: Universidad de las Ciencias Informáticas; 2015.

  14. Colomo Palacios R. Agile Estimation Techniques and Innovation Approaches to Software Process Improvement. USA: IGI Global; 2014. 1-399 p.

  15. Alonso Lanza JL. La historia clínica electrónica: ideas, experiencias y reflexiones. ACIMED [Internet]. 2005 [citado 25 Jun 2020];13(5):[aprox. 21 pantallas]. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=s1024-94352005000500002 .

  16. ANSI. ISO/TR 20514 Health informatics - Electronic health record - Definition, scope and context. Technical Committee ISO/TC 215, Health Informatics; 2005.

  17. Häyrinen K, Saranto K, Nykänen P. Definition, structure, content, use and impacts of electronic health records: A review of the research literature. International Journal of Medical Informatics [Internet]. May 2008 [cited 26 Mar 2019 ];77(5):291-304. Available from: Available from: https://www.sciencedirect.com/science/article/pii/S1386505607001682 .

  18. Nguyen L, Bellucci E, Nguyen LT. Electronic health records implementation: An evaluation of information system impact and contingency factors. International Journal of Medical Informatics [Internet]. 2014[cited 26 Mar 2019 ];83(11):779-96. Available from: Available from: http://dx.doi.org/10.1016/j.ijmedinf.2014.06.011 .

  19. HL7. Introduction to HL7 Standards. HL7Org [Internet]. 2014[cited 26 Mar 2019 ]. Available from: Available from: http://www.hl7.org/implement/standards/ .

  20. Li YC (Jack), Yen JC, Chiu WT, Jian WS, Syed-Abdul S, Hsu MH. Building a national electronic medical record exchange system - experiences in Taiwan. Computer Methods and Programs in Biomedicine [Internet]. 2015[cited 26 Mar 2019 ];121(1):14-20. Available from: Available from: http://dx.doi.org/10.1016/j.cmpb.2015.04.013 .

  21. Ranade Kharkar P, Narus SP, Anderson GL, Conway T, Del Fiol G. Data standards for interoperability of care team information to support care coordination of complex pediatric patients. Journal of Biomedical Informatics [Internet]. 2018 [cited 26 Mar 2019 ];85:1-9. Available from: Available from: http://www.sciencedirect.com/science/article/pii/S1532046418301357 .

  22. Taylor L, Shepherd M. Developing a Configuration Management Plan. In: Shepherd M, editor. FISMA Certification and Accreditation Handbook. Burlington: Syngress; 2007. p. 295-310.

  23. Sommerville I. Ingeniería de software. En: Cruz Castillo LM, editor. Software Engineering. 9na ed. Reino Unido: Pearson; 2011. 792 p.

  24. Pressman RS, Maxim BR. Software Engineering?: A Practitioner's Approach. Eighth Edition. USA: McGraw-Hill Education; 2015.




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