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1 Clinical-driven EHRs the openehr approach

2 Legacy systems and what is special about them

3 Problems with what data really means Creating application interfaces for legacy systems

4 Compreension of collected data

5 Portuguese reality

6 Portuguese reality

7 openehr and Legacy Systems Creating application interfaces for legacy systems

8 Why openehr

9 Project aim

10 Methods

11 Methods

12 Methods

13 Methods

14 Methods

15 Patient summary concept (Articles +Questionaire) Creating application interfaces for legacy systems Concept in Concept in openehr OpenEHR Archetype name SONHO Diagnosis Diagnosis Diagnosis EVALUATION.problem- diagnosis.v1 Medication Medication prescription Medication order INSTRUCTION.medication.v1 Medication description involving a formulation ITEM_TREE.medication- formulation.v1 Problems Problems Problems EVALUATION.problem.v1 Treatment Therapeutic Procedure undertaken ACTION.procedure.v1 Procedure ITEM_TREE.procedure.v1 Patient name Patient Personal name CLUSTER.person_name.v1 Alerts / Reminders Medical Alert Alert EVALUATION.alert.v1 IdentiFication Hospital patient identification Individual's personal demographics CLUSTER.individual_personal.v1 Patient Number number Date-of-birth Date of birth Individual's personal demographics CLUSTER.individual_personal.v1 Complications - Problems EVALUATION.problem.v1 Gender Gender Individual's personal demographics CLUSTER.individual_personal.v1 Allergies Medical Alerts Adverse reaction EVALUATION.adverse.v1 Vital Signs Vital signs Monitoring Vital Signs SECTION.vital_signs.v1 Pulse OBSERVATION.heart_rate- pulse.v1 Respirations OBSERVATION.respiration.v1 Blood Pressure OBSERVATION.blood_pressure.v1 Indirect oximetry OBSERVATION.indirect_oximetry.v1 Heart rate and rhythm OBSERVATION.heart_rate.v1 Body temperature OBSERVATION.body_weight.v1 Exams Lab./Exams Imaging investigation ACTION.imaging.v1 ITEM_TREE.imaging.v1 Current Medication - Medication order INSTRUCTION.medication.v1 Medication description involving a formulation ITEM_TREE.medication- formulation.v1 Address Address Address CLUSTER.address.v1 Weight Weight Body weight OBSERVATION.body_weight.v1 Tests Lab./Exams Laboratory test OBSERVATION.lab_test.v1 Immunization - Non- drug therapy INSTRUCTION.non_drug_therapy.v1 Family history Family Background Risk of condition based on family history EVALUATION.risk- family_history.v1 Complaints - Symptom CLUSTER.symptom.v1 Pain symptom CLUSTER.symptom- pain.v1 Story OBSERVATION.story.v1 Healthcare History Clinical History Story OBSERVATION.story.v1 Surgical Operation Room Operation Record OBSERVATION.operation_record.v1

16 Patient Data in SONHO Creating application interfaces for legacy systems

17 Patient Data in SONHO Creating application interfaces for legacy systems Patient Respo. Nurse New drug Prescribed

18 Main diagnosis

19 Templates Available in SONHO

20 Difficulties of mapping legacy information models to archetypes

21 My questions

22 Final message

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