Information Technology Reference
In-Depth Information
As indicated in [43] and [45], each document is characterized by a set of properties
like:
•
the type (exploration, anamnesis, epicrisis, checkup, nursing control, interven-
tion, external,...).
•
the specialty (medical specialty as surgery, cardiology and so on, nursing,
administrative, etc.).
•
the pathological or clinical process (documents about pregnancy, cataract,
diabetes,...).
•
...
Fig. 23.1
Logical Organization of the EHRs
In our system, documents are organized according to
assistance episodes
(admis-
sions, outpatient consultation, emergency assistance, day hospital,...) in a chrono-
logical or medical ordering, depending on the assistance processes. The documents
are classified according to the types, considering 1500 different documents classes
in the system: intervention sheet, progress sheet, nursing sheet, pregnancy process,
diabetes protocol, radiological report, and so on. An example of it can be seen on
Figure 23.2, where the interface that the medical personnel use to access the EHR
is shown.
