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PubMed2003

A macro-directive mechanism that facilitates automatic updating and processing of the contents of Electronic Healthcare Records: an extension to the CEN architecture.

Facilitating data entry, eliminating redundant effort and providing decision support are some of the factors upon which the successful uptake of Electronic Healthcare Record (EHCR) technology is dependent. The European Standardization Committee (CEN), on the other hand, has proposed a standard EHCR architecture, which allows patient record contents to be highly diverse, customized to individual user needs; this makes their processing a challenging task and poses a demand for specially designed mechanisms. We describe the requirements for a macro-directive mechanism, pertaining to CEN-compatible EHCR software that can automate updating and processing of patient records, thus enhancing the functionality of the software. We have implemented the above-mentioned mechanism in an EHCR application that has been customized for use in the care process of patients suffering from beta-Thalassemia. The application is being used during the last two years in the Thalassemia units of four Greek hospitals, as part of their every day practice. We report on the experience we have acquired so far.

Decision Support Systems, Clinical↗
PubMed2002

Coding of drugs used by respondents of the Canadian Study of Health and Aging.

BACKGROUND: The Canadian Study of Health and Aging collected verbatim data on the use of medications (drugs) and health products. OBJECTIVE: To describe how the names of drugs and health products are coded and how they can be summarized. METHODS: The data were entered manually into a database. After comparing three coding systems, the drugs and health products were coded using a modification of the American Hospital Formulary Code as temporary codes and the Anatomical, Therapeutic, Chemical Classification as the final codes. CONCLUSION: Coding and input of verbatim drug data are time-consuming, particularly when done manually. Once the coding scheme is in place, the advances in technological aspects of data management greatly improve the process.

Canada↗