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Contributions to e-health developments and electronic health records. Advances in certification methodology, electronic registries and structured EHRs in physiotherapy

dinsdag, 23 juni, 2009 - 18:00
Campus: Brussels Health Campus
Faculteit: Medicine and Pharmacy
auditorium P. Brouwer
Ronald Buyl
doctoraatsverdediging

The e-health field, comprising electronic health
records (EHRs) plays an important role in health
care. Health care providers are becoming aware
that well structured EHRs are essential
preconditions for progress. This Ph. D. thesis
describes the results of several studies and
developments that we performed in this area
over the past six years (from 2003-2008). The
first part describes the certification procedures in
different health care domains that have taught us
that software labeling can significantly contribute
to the improvement of the EHR systems. The
proposed methodology of scenario testing proved
to be a very efficient practice which allows testing
EHR systems in a manner that conforms perfectly
to the common working circumstances of the
health care provider. The electronic
physiotherapy registry, as described in a second
part was the first step towards a structured
electronic recording of patient data in
physiotherapy in Belgium. We contributed to the
effective transition from the paper-based registry
to the electronic registry while solving the
problems of inalterability and traceability of the
data, taking into account the user-friendliness for
the end-user. A last part of this thesis is devoted
to the problem concerning the structure of the
EHR for physiotherapists and its interoperability.
The conceptual model we developed defines an
interoperability framework between the threelevel
problem oriented medical registration
(POMR) EHR structure of the general practitioner
and the ERH for physiotherapists, that has a
cyclic eight level structure, by means of two
newly created Kmehr-bis (XML) messages.