universidade do porto faculdade de medicina serviÇo de bioestatÍstica e informÁtica mÉdica...

Universidade do PortoFaculdade de Medicina

SERVIÇO DE BIOESTATÍSTICA E INFORMÁTICA MÉDICA

AGUIAR, Filipa,; CORDEIRO, Amilcar; DIAS, André; DUARTE, Mariana; FONSECA, Raquel; FRANÇA, Cíntia; MACEDO, Luís; MELO, Luís; PINTO, Joana; PIRES, Sara; RODRIGUES, Pedro; SANTOS, Paulo; SOUSA, Manuel; TELES, Ana; VIANA, João

Mestrado Integrado em Medicina1º ano - Turma 14

Introdução à Medicina ISBIM – FMUP

Dezembro 2008

Systematic review on the use of openEHR in healthcareSystematic review on the use of openEHR in healthcare

Final version of written protocol proposal

I. Background: EHR

The evolution of data management systems for health should focus on the user, improving the quality of delivery of health services in an integrated management of

the disease.

Management, storage and exchange standard of information in healthcare.

Increasing number of available clinical data

Thus…

No communication between systems

openEHR norms creation

I. Background: EHR

I. Background: openEHR

A evolução dos sistemas de gestão de dados no domínio da saúde deve centrar-se no utente, melhorando a qualidade da prestação de serviços de saúde, numa gestão integrada da doença.

Revolutionary systemMedical community involved in platform construction

II. Justification


III. Research question and aims

A evolução dos sistemas de gestão de dados no domínio da saúde deve centrar-se no utente, melhorando a qualidade da prestação de serviços de saúde, numa gestão integrada da doença.Panorama actual de aplicação do sistema openEHR em áreas clínicas: quais as vantagens e limitações?Panorama actual de aplicação do sistema openEHR em áreas clínicas: quais as vantagens e limitações?

The current picture of implementation of the standard openEHR:what about it’s evolution, barriers and application fields in healthcare?

IV. Participants and methods: study participants


1. Target population

Given the nature of the proposed work - the systematic review article - the study will be developed not around a direct target population, but around previously published articles.

• Obtain all studies that refer to EHR or openEHR, in different data bases;• New querie included – gEHR

2. Sampling methods

As we are working in a sistematic review, it will not be needed to define sampling methods. Actually, all the population will be submited to inclusion/exclusion criteria.



3. Inclusion/exclusion criteria, characteristics of participants/units of analysis

Start

Enter query in PubMed, ISI web of knowlege, SCOPUS, IEEExplore and search for

article

List all articles foundn=136

Eliminate repeated articles

n=75

Distribute articles through all

elements of class

Reading of title and abstract by

each personn=70

Abstract foundyes

no

About OpenEHR

no

yes

Usefull data

Too much tecnical details

yes

no

yesno

Includedn=29

End

Excludedn=107

1

2

3

Inclusion Criteria

-Inovations in openEHR

-Implementation of openEHR

-clinical aspects

- Technical aspects

-Effectiveness and efficiency of openEHR

Inclusion Criteria



-clinical aspects

- Technical aspects


Inclusion Criteria

Do not talk directly to the open EHR, but pointed out other similar systems:

Implementation in the area of health:

-advantages/disadvantages

-exemplification with systems already implemented (products) in other countries

-semantic interoperability of OpenEHR in comparison to other systems

Inclusion Criteria






21

Exclusion Criteria

-About technical details

-Irrelevant issue

Exclusion Criteria


-Irrelevant issue

3



3. Inclusion/exclusion criteria, characteristics of participants/units of analysis

Inclusion Criteria






Inclusion Criteria



-clinical aspects

- Technical aspects


Exclusion Criteria


-Irrelevant issue

1 2 3

VII. Participants and methods: medical search engines


Primary research (openEHR) - 22.10.2008 (query: openEHR, without using any MeSH term due to being not available in the subject)

[Scopus]: 43 published articles [ISI Web of Knowledge]: 37 published articles [Pubmed]: 31 published articles [ACM]: 24 published articles [IEEE Xplore]: 1 published article

Primary research (gEHR) - 22.10.2008 (query: gEHR, without using any MeSH term due to being not available in the subject)

[Scopus]: 54 published articles [ISI Web of Knowledge]: 56 published articles [Pubmed]: 22 published articles [ACM]: 27 published articles [IEEE Xplore]: 0 published articles

VII. Participants and methods: study participants


The results obtained in [Scopus] were statistically analyzed and treated as observable in the following charts.

http://www.info.scopus.com/



Articles obtained for gEHR query were not analised because they weren’t relevant for our aim.



First selection - 05.12.2008 (repeated articles from primary research for the query openEHR were eliminated)There were only selected 75 articles. Second selection – 06.12.2008 (articles that couldn’t be accessed were eliminated)There were only selected 70.

Third selection – 08.12.2008 (using including and excluding criteria)There were only selected 29.

V. Participants and methods: study design


1. Study design

Systematic review articleLongitudinal Retrospective

Secondary data research

Start

Research

Eliminate repeated articles

Read abstracts

Read articles

Record data in the questionnaire

Statistical analysis

End

VI. Participants and methods: data collection methods


1. Software

Microsoft WordMicrosoft ExcelMicrosoft Office VisioMicrosoft PowerPointMicrosoft Project

2. Search engines

Google ScholarScopus ISI Web of KnowledgePubmed ACMIEEE Xplore

VII. Participants and methods: variables description


General Study Identification

• Author• Publication year• Nationality • Journal

• Type of Article• Comparative Study• Clinical Trial• Meta-Analysis• Review• …

• Type of study• Retrospective• Prospective

Specific variables

• Subset• Clinical

• Type of institution• Medical area• Kind of data

• Technological • Development level [Study, Beta Application or Product]

• Evaluation

• Benefits• Limitations• Implications

VIII. Participants and methods: planned statistical analysis


IX. Expected results


X. References


1. BEALE, T.; HEARD, S. - OpenEHR Architecture Overview, Abril 2007 (Consultar: http://svn.openehr.org/specification/BRANCHES/Release-1.0.1-andidate/publishing/architecture/overview.pdf)

2. BEALE, T.; HEARD, S. – Archetype Definitions and Principles, Março 2007 (Consultar: http://svn.openehr.org/specification/TRUNK/publishing/architecture/am/archetype_principles.pdf)

3. INGRAM, David – Introducing openEHR, 2003 – 2007 (Consultar: http://www.openehr.org/releases/1.0.1/openEHR/introducing_openEHR.pdf)

4. PETRY, Karine; LOPES, Paula; WANGENHEIM, Aldo – Padrões para a Interoperabilidade na Saúde, Cyclops, UFSC, Brasil (Consultar: http://www.sbis.org.br/cbis/arquivos/961.pdf)

5. As normas europeias relativas à informática na saúde, SBIM – FMUP (Consultar: http://mimwiki.med.up.pt/index.php/As_normas_europeias_relativas_%C3%A0_inform%C3%A1tica_na_sa%C3%BAde#OpenEHR_e_padr.C3.B5es)

6. LESLIE, H. - International developments in openEHR archetypes and templates - PMID: 182458637. HOY, D.; HARDHIKER, NR. et al. - A feasibility study on clinical templates for the National Health Service in

Scotland - PMID: 179118218. SCHULER, T. et al. – Towards automatically generating graphical user interfaces from openEHR archetypes-

PMID: 171085299. GARDE S. et al. – Can openEHR archetypes empower multi-centre clinical research? - PMID: 1616038410. HOY, D. et al. – Collaborative development of clinical templates as a national resource – PMID: 1863948611. GARDE, S. et al. – Ubiquitous information for ubiquitous computing: expressing clinical data sets with openEHR

archetypes – PMID: 17108528

Thank you. Questions?


universidade do porto faculdade de medicina serviÇo de bioestatÍstica e informÁtica mÉdica...

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