Archetype-Based Electronic Health Records: A Literature Review and Evaluation of Their Applicability to Health Data Interoperability and Access (Report) - Health Information Management Journal

Archetype-Based Electronic Health Records: A Literature Review and Evaluation of Their Applicability to Health Data Interoperability and Access (Report)

By Health Information Management Journal

  • Release Date - Published: 2009-06-01
  • Book Genre: Health & Fitness
  • Author: Health Information Management Journal
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Archetype-Based Electronic Health Records: A Literature Review and Evaluation of Their Applicability to Health Data Interoperability and Access (Report) Health Information Management Journal read online review & book description:

As we develop as an information society, many occupations which formerly dealt with physical things now deal increasingly with information. This change was originally experienced by deskbound office workers, but it is now spreading out, affecting the work of teachers to police, farmers to fishermen. While HIMs have always been information workers, the information revolution does not bypass the other clinical disciplines. As such, in the health arena, both information production and information demand are growing at a great rate. This trend is evidenced by overflowing medical record filing rooms, and multiple medical files specific to various purposes (e.g. the situation where there are multiple files held for a single patient, such as where a patient has a file with each of the Royal District Nursing Service [RDNS], community health services, and acute/ inpatient care facilities). Electronic health records (EHRs) solve this problem, but the solution itself has potential to incur trauma. The pain of implementing an EHR, including the systemic change necessary to accommodate it, will be followed by further challenges in future years, when the system needs to be reconfigured to accommodate the changing health landscape. It appears that health information managers face the task of accommodating a continually changing set of systems that will fulfil health information needs. This bleak outlook is coincident with current EHR implementations. The paper medical record did not have this problem; in the past, although innovations were comparatively few, accommodation of change was dealt with simply through the addition of a new paper form, pinned neatly into the record. Change in the paper record is much easier than that in the current EHR contenders, where changes are often expensive, slow to implement, and unsatisfying, at least until they are accepted by the users through a combination of continued use and gradual system modification.

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