Modeling shared care plans using CONTsys andopenEHR to support shared homecare of the elderly

Abstract

This case report describes how two complementary standards, CONTsys (European Standard EN 13940-1 for continuity of care) and the reference model of openEHR, were applied in modeling a shared care plan for shared homecare based on requirements from the OLD@HOME project. Our study shows that these requirements are matched by CONTsys on a general level. However, certain attributes are not explicit in CONTsys, for example agents responsible for performing planned interventions, and support for monitoring outcome of interventions. We further studied how the care plan conceptual model can be implemented using the openEHR reference model. The study demonstrates the feasibility of developing shared care plans combining a standard concept model, for example CONTsys with an electronic health records (EHR) interoperability specification, that is the openEHR, while highlighting areas that need further exploration. It also explores the reusability of existing clinical archetypes as building blocks of care plans and the modeling of new shared care plan archetypes.

Integrating social context into comprehensive shared care plans: A scoping review

“…Rapid technological innovation that includes increasing storage capacity, portable devices, and processing speeds make it possible for modern health records to be intelligent, dynamic, and shared seamlessly between providers and settings, in real time. However, workflows and interprofessional communication practices may serve as barriers to implementation that may be compounded by the challenges of integrating care between disparate and geographically distant health and social service sectors ( Hagglund, Chen, & Koch, 2011 ; MacNaughton-Doucet, 2013 ; Poulymenopoulou et al, 2012 ; Ramgard et al, 2015 ).…”

Understanding requirements of clinical data standards for developing interoperable knowledge-based DSS: A case study

“…Archetypes are sets of data items that can be grouped to represent a specific clinical concept (e.g., blood pressure consisting of systolic and diastolic blood pressures) that can be partially re-used in different contexts, and that are defined at a higher level than the underlying reference model, using the Archetype Definition Language (ADL). The openEHR specification includes its own reference model [56] which supersedes and augments that of the original ISO/CEN 13606 norm, as stated in [45,46]. We used openEHR 1.0.2 release for our evaluation.…”

An Integrated Model to Capture the Provision of Health and Social Care Services Based on the ContSys and FHIR Standards

“…In this fi rst step of the proposed methodology the main concepts that fi t the purposes of the health part of the H@H project are identifi ed. Th is selection is based from the concepts presented in the ISO 13940 (also known as ContSys) [13] that is an important and widely used standard in the provision of a common conceptual model for continuity of care [19] as well as to facilitate the communication between diff erent information systems at the semantic level. Th is model meets the identifi ed requirements of the H@H project where the continuity of care is one of the main tasks to be accomplished.…”