Article | Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018 | A Method for Reporting of Variance in Informal Care Pathways Link�ping University Electronic Press Conference Proceedings
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Title:
A Method for Reporting of Variance in Informal Care Pathways
Author:
John Chelsom: Seven Informatics Ltd, Banbury, United Kingdom / Health Information Science, University of Victoria, Victoria, Canada Conceição Granja: Norwegian Centre for E-health Research, Tromsø, Norway
Download:
Full text (pdf)
Year:
2018
Conference:
Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018
Issue:
151
Article no.:
016
Pages:
91-95
No. of pages:
5
Publication type:
Abstract and Fulltext
Published:
2018-08-24
ISBN:
978-91-7685-213-2
Series:
Linköping Electronic Conference Proceedings
ISSN (print):
1650-3686
ISSN (online):
1650-3740
Publisher:
Linköping University Electronic Press, Linköpings universitet


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Care pathways are commonly used as a means to ensure the implementation of proven best practice in clinical care. They can be defined in an Electronic Health Record system using formal representations of template pathways which are then instantiated for specific patients, to guide clinical users through a sequence of tasks and actions. The open source cityEHR system uses HL7 CDA documents for the formal pathway definitions, but in practice we have found that some care pathways, and clinical protocols, can be implemented effectively using less formal mechanisms. In addition to the shared patient record itself, we find that the most important of these mechanisms are notification on recording of patient events, support for care teams, annotation of the record, and the clinician-centred ’In-Tray’. One important feature lost in this approach is the ability to report on the variance of the care provided to the patient from the best practice encapsulated in a more formally defined pathway. To address this, we describe a method for transforming a formally defined care pathway to a finite state machine representation and querying the patient record to generate a retrospective report on the variance of states recorded in the patient record.

Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Author:
John Chelsom, Conceição Granja
Title:
A Method for Reporting of Variance in Informal Care Pathways
References:

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Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018

Author:
John Chelsom, Conceição Granja
Title:
A Method for Reporting of Variance in Informal Care Pathways
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Last updated: 2018-9-11