Medical informatics: computer applications in health care
Design patterns: elements of reusable object-oriented software
Design patterns: elements of reusable object-oriented software
Applying UML and Patterns: An Introduction to Object-Oriented Analysis and Design and the Unified Process
Temporal Data and the Relational Model
Temporal Data and the Relational Model
A survey and analysis of Electronic Healthcare Record standards
ACM Computing Surveys (CSUR)
Scientific production of electronic health record research, 1991-2005
Computer Methods and Programs in Biomedicine
An approach for the semantic interoperability of ISO EN 13606 and OpenEHR archetypes
Journal of Biomedical Informatics
Personal health information management system and its application in referral management
IEEE Transactions on Information Technology in Biomedicine
IEEE Transactions on Information Technology in Biomedicine
Potential drug-drug interactions in pediatric outpatient prescriptions for newborns and infants
Computer Methods and Programs in Biomedicine
Computer Methods and Programs in Biomedicine
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Patient records have been developed to support the physician-oriented medical activity scheme. One recommended yet rarely studied alternative, expected to improve healthcare, is the patient-centered record. We propose a development framework for such record, which includes domain-specific database models at the conceptual level, analyzing the fundamental role of complementary information destined to ensure proper patient understanding of related clinical situations. A patient-centered awareness field study of user requirements and medical workflow was carried out in three medical services and two technical units to identify the most relevant elements of the framework, and compared to the definitions of a theoretical approach. Three core data models - centered on the patient, medical personnel, and complementary patient information, corresponding to the determined set of entities, information exchanges and actors roles, constitute the technical recommendations of the development framework. An open source proof of concept prototype was developed to show the model feasibility. The resulting patient-centered record development framework implies particular medical personnel contributions to supply complementary information.