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Software Implementation of the EU Patient Summary with Archetype Concepts

Authors:
Evgeniy Krastev
Dimitar Tcharaktchiev
Lyubomir Kirov
Petko Kovatchev
Simeon Abanos
Alexandrina Lambova

Keywords: interoperability; software for health; international patient summary; medication summary; archetype concept.

Abstract:
The design and software implementation of the International Patient Summary (IPS) is recently in the focus of several updates of major eHealth standards and technical specifications in European Union (EU) countries. These updates are built exclusively on Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) and HL7 Clinical Document Architecture (CDA) technologies. The purpose is to develop a single, common specification of the minimal and non- exhaustive set of clinical data that can be used by all clinicians for cross- border, unscheduled care of a patient. It requires reusability and semantic interoperability of such data segments that are delivered essentially in terms of Archetype concepts. At the same time, the relation of the Archetype paradigm to patient summary standards and specifications is not well investigated in the current draft versions of these documents. This research investigates the application of the CEN 13606 and openEHR archetypes in the design and software application of IPS sections. The objective of the numerical experiments is to identify the level of compatibility between technologies, related to Archetype paradigms, and the software technologies employed in the current draft versions of standards and specifications of the IPS. The obtained results are novel because the Archetype paradigm is not considered in these draft versions. They serve to extend the practical experience in cross-border sharing of clinical data represented in terms of semantic interoperability of archetype concepts.

Pages: 8 to 13

Copyright: Copyright (c) IARIA, 2019

Publication date: September 22, 2019

Published in: conference

ISSN: 2308-4553

ISBN: 978-1-61208-742-9

Location: Porto, Portugal

Dates: from September 22, 2019 to September 26, 2019