Standards for detailed clinical models as the basis for medical data exchange and decision support.

@article{citeulike:1760558, abstract = {INTRODUCTION: Detailed clinical models are necessary to exchange medical data between heterogeneous computer systems and to maintain consistency in a longitudinal electronic medical record system. At Intermountain Health Care (IHC), we have a history of designing detailed clinical models. The purpose of this paper is to share our experience and the lessons we have learned over the last 5 years. DESIGN: IHC's newest model is implemented using eXtensible Markup Language (XML) Schema as the formalism, and conforms to the Health Level Seven (HL7) version 3 data types. The centerpiece of the new strategy is the Clinical Event Model, which is a flexible name-value pair data structure that is tightly linked to a coded terminology. DISCUSSION: We describe IHC's third-generation strategy for representing and implementing detailed clinical models, and discuss the reasons for this design.}, address = {Intermountain Health Care, and Department of Medical Informatics, University of Untah, Salt Lake City, UT, USA.}, author = {Coyle, J. F. and Mori, A. R. and Huff, S. M. }, citeulike-article-id = {1760558}, issn = {1386-5056}, journal = {Int J Med Inform}, keywords = {decision-support, guidelines, hl7, medical-records, standards}, month = {March}, number = {2-3}, pages = {157--174}, posted-at = {2007-10-12 14:51:50}, priority = {3}, title = {Standards for detailed clinical models as the basis for medical data exchange and decision support.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/12810120}, volume = {69}, year = {2003} }

TY - JOUR ID - citeulike:1760558 L3 - citeulike-article-id:1760558 TI - Standards for detailed clinical models as the basis for medical data exchange and decision support. JF - Int J Med Inform VL - 69 IS - 2-3 SP - 157 EP - 174 AD - Intermountain Health Care, and Department of Medical Informatics, University of Untah, Salt Lake City, UT, USA. SN - 1386-5056 N2 - INTRODUCTION: Detailed clinical models are necessary to exchange medical data between heterogeneous computer systems and to maintain consistency in a longitudinal electronic medical record system. At Intermountain Health Care (IHC), we have a history of designing detailed clinical models. The purpose of this paper is to share our experience and the lessons we have learned over the last 5 years. DESIGN: IHC's newest model is implemented using eXtensible Markup Language (XML) Schema as the formalism, and conforms to the Health Level Seven (HL7) version 3 data types. The centerpiece of the new strategy is the Clinical Event Model, which is a flexible name-value pair data structure that is tightly linked to a coded terminology. DISCUSSION: We describe IHC's third-generation strategy for representing and implementing detailed clinical models, and discuss the reasons for this design. KW - decision-support KW - guidelines KW - hl7 KW - medical-records KW - standards AU - Coyle, JF AU - Mori, AR AU - Huff, SM PY - 2003/03// UR - http://view.ncbi.nlm.nih.gov/pubmed/12810120 ER -