Table 1. Comparison of EHR paradigms: document-based versus FAIR-based.
Document-based paradigm | FAIR Principles-based paradigm |
---|---|
D1. Data entry is modeled around the clinical document, which is the output obtained from them. | F1. Data entry is modeled to respond to the needs of health professionals, allowing its use for health care and secondary purposes. |
D2. Free-text or semi-structured data entry predominates. | F2. Structured and coded data entry predominates. |
D3. Data do not follow common convergence models, so they are only understandable in the environment where they have been generated. | F3. Data are recorded and persisted based on health information standards, allowing them to be exchanged and transformed into other formats, without loss of meaning. |
D4. The clinical domain concepts are implicit in the data tables, so that, the incorporation of new concepts implies an alteration of the data model. | F4. The clinical domain concepts are stored in tables independent of the data tables, making them flexible to incorporate new concepts without altering the data model. |
Abbreviation: EHR, electronic health record.