Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model. - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Studies in Health Technology and Informatics Année : 2005

Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model.

Vahid Ebrahiminia
  • Fonction : Auteur
Massoud Toussi
  • Fonction : Auteur
Christine Riou
  • Fonction : Auteur
Regis Cohen
  • Fonction : Auteur
Alain Venot
  • Fonction : Auteur
  • PersonId : 1226892
  • IdHAL : alain-venot

Résumé

Computer-interpretable guidelines (CIGs) are more likely to affect the clinician's behavior when they deliver patient-specific and just-in-time clinical advice. CIGs must take into account the data stored in the patient's electronic medical records (EMR). For chronic diseases, the outcome of past and ongoing treatments (therapeutic history) is used in the clinical guidelines. We propose a model for the conceptualization of therapeutic history, facilitating data sharing between EMRs and CIGs and the representation of therapeutic history and recommended treatments in clinical guidelines.Based on medical literature review and an existing treatment model, a core structure is first defined taking into account drug and non-drug treatment components and treatment type (e.g. bitherapy). These elements together with additional concepts obtained by analyzing a sample guideline relating to diabetes, are then organized into an object-oriented model, using UML formalism.We show how this model can be used to store the patient's therapeutic history in the EMR, together with other attributes such as treatment efficacy and tolerance. We also explain how this model can efficiently code guidelines therapeutic rules.We evaluated this model, using additional guidelines hypercholesterolemia and asthma. We found it capable for representing guideline recommendations in several domains of chronic diseases.
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Dates et versions

hal-03810563 , version 1 (11-10-2022)

Identifiants

  • HAL Id : hal-03810563 , version 1
  • PUBMED : 16160243

Citer

Vahid Ebrahiminia, Catherine Duclos, Massoud Toussi, Christine Riou, Regis Cohen, et al.. Representing the Patient's Therapeutic History in Medical Records and in Guideline Recommendations for Chronic Diseases Using a Unique Model.. Studies in Health Technology and Informatics, 2005, 116, pp.101-6. ⟨hal-03810563⟩
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