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Document-Driven Care Pathways Using HL7 CDA

Authors:
John Chelsom
Ian Gaywood
Ira Pande
Conceição Granja
Stein Roald Bolle

Keywords: HL7 CDA; care pathway; ontology; clinical document; pre-surgical planning

Abstract:
We describe the use of HL7 CDA documents for representing and driving the execution of care pathways in the open source cityEHR health records system. The method is illustrated using example pathways for electronic pre-operative planning, at the University Hospital of North Norway, and for an osteoporosis treatment, at the Nottingham University Hospitals in the UK. Both have a requirement to involve patients in telehealth consultations prior to attendance at the hospital. Template HL7 CDA documents are created using simple tooling (spreadsheets) to model the care pathway. The template document is then instantiated with data from a specific patient encounter to start the pathway. As the pathway progresses, the document is updated to reflect the current status of tasks and actions; once the pathway is completed the CDA document is stored permanently in the patient record, as the history of the pathway and its execution.

Pages: 118 to 123

Copyright: Copyright (c) IARIA, 2015

Publication date: February 22, 2015

Published in: conference

ISSN: 2308-4359

ISBN: 978-1-61208-384-1

Location: Lisbon, Portugal

Dates: from February 22, 2015 to February 27, 2015