Abstract
Modeling information for the electronic medical record (EMR) builds on a century of study on information and its relationship to cost and quality improvement. An initiative to examine the focus of cost and quality improvement and its relationship to information modeling resulted in the development of the Unified Service Action Model of healthcare processes, which focuses on the action as the center of cost accounting, quality accounting and privacy management. The application of this model to the HL7 Reference Information Model produced a simplification of the HL7 model at the cost of increased reliance on vocabulary terms for actions.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beeler G. W., Jr, Gibbons P. S., Chute C. G. Development of a clinical data architecture. Proc Annu Symp Comput Appl Med Care. 1992:244–248. [PMC free article] [PubMed] [Google Scholar]
- Gouveia-Oliveira A., Lopes L. Formal representation of a conceptual data model for the patient-based medical record. Proc Annu Symp Comput Appl Med Care. 1993:466–470. [PMC free article] [PubMed] [Google Scholar]
- Huff S. M., Rocha R. A., Solbrig H. R., Barnes M. W., Schrank S. P., Smith M. Linking a medical vocabulary to a clinical data model using Abstract Syntax Notation 1. Methods Inf Med. 1998 Nov;37(4-5):440–452. [PubMed] [Google Scholar]
- Rector A. L., Nowlan W. A., Kay S. Foundations for an electronic medical record. Methods Inf Med. 1991 Aug;30(3):179–186. [PubMed] [Google Scholar]
- Roberts R. R., Frutos P. W., Ciavarella G. G., Gussow L. M., Mensah E. K., Kampe L. M., Straus H. E., Joseph G., Rydman R. J. Distribution of variable vs fixed costs of hospital care. JAMA. 1999 Feb 17;281(7):644–649. doi: 10.1001/jama.281.7.644. [DOI] [PubMed] [Google Scholar]
- Weed L. L. The problem oriented record as a basic tool in medical education, patient care and clinical research. Ann Clin Res. 1971 Jun;3(3):131–134. [PubMed] [Google Scholar]