Formalize clinical processes into electronic health information systems: modelling a screening service for diabetic retinopathy
| dc.contributor.author | Eguzkitza Diego, Aitor | |
| dc.contributor.author | Trigo Vilaseca, Jesús Daniel | |
| dc.contributor.author | Martínez de Espronceda Cámara, Miguel | |
| dc.contributor.author | Serrano Arriezu, Luis Javier | |
| dc.contributor.author | Andonegui Navarro, José | |
| dc.contributor.department | Ciencias de la Salud | es_ES |
| dc.contributor.department | Osasun Zientziak | eu |
| dc.contributor.department | Ingeniería Eléctrica, Electrónica y de Comunicación | es_ES |
| dc.contributor.department | Ingeniaritza Elektrikoa, Elektronikoa eta Telekomunikazio Ingeniaritza | eu |
| dc.contributor.department | Institute of Smart Cities - ISC | en |
| dc.contributor.funder | Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa | |
| dc.date.accessioned | 2025-05-22T10:37:15Z | |
| dc.date.available | 2025-05-22T10:37:15Z | |
| dc.date.issued | 2015-06-14 | |
| dc.date.updated | 2025-05-22T10:24:11Z | |
| dc.description.abstract | Most healthcare services use information and communication technologies to reduce and redistribute the workload associated with follow-up of chronic conditions. However, the lack of normalization of the information handled in and exchanged between such services hinders the scalability and extendibility. The use of medical standards for modelling and exchanging information, especially dual-model based approaches, can enhance the features of screening services. Hence, the approach of this paper is twofold. First, this article presents a generic methodology to model patient-centered clinical processes. Second, a proof of concept of the proposed methodology was conducted within the diabetic retinopathy (DR) screening service of the Health Service of Navarre (Spain) in compliance with a specific dual-model norm (openEHR). As a result, a set of elements required for deploying a model-driven DR screening service has been established, namely: clinical concepts, archetypes, termsets, templates, guideline definition rules, and user interface definitions. This model fosters reusability, because those elements are available to be downloaded and integrated in any healthcare service, and interoperability, since from then on such services can share information seamlessly. | en |
| dc.description.sponsorship | This work was supported by funding of the project "Evaluación de un modelo de E-Oftalmología", code PI-11/02797, funded within the "Fondo de Investigación Sanitaria" (FIS) by the Spanish Ministry of Economy and Competitiveness. The Public University of Navarre under project Res. 637/2014 supported the work of J.D. Trigo. | |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.citation | Eguzkiza, A., Trigo, J. D., Martínez-Espronceda, M., Serrano, L., Andonegui, J. (2015). Formalize clinical processes into electronic health information systems: modelling a screening service for diabetic retinopathy. Journal of Biomedical Informatics, 56, 112-126. https://doi.org/10.1016/J.JBI.2015.05.017. | |
| dc.identifier.doi | 10.1016/J.JBI.2015.05.017 | |
| dc.identifier.issn | 1532-0464 | |
| dc.identifier.uri | https://academica-e.unavarra.es/handle/2454/54139 | |
| dc.language.iso | eng | |
| dc.publisher | Elsevier | |
| dc.relation.ispartof | Journal of Biomedical Informatics (2015), vol. 56 | |
| dc.relation.projectID | info:eu-repo/grantAgreement/MICINN//PI-11%2F02797/ | |
| dc.relation.publisherversion | https://doi.org/10.1016/J.JBI.2015.05.017 | |
| dc.rights | © 2015 Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0. | |
| dc.rights.accessRights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Clinical knowledge modelling | en |
| dc.subject | Diabetic retinopathy | en |
| dc.subject | Dual-model layered architecture | en |
| dc.subject | Electronic health record | en |
| dc.subject | Semantic interoperability | en |
| dc.subject | Ophthalmology | en |
| dc.title | Formalize clinical processes into electronic health information systems: modelling a screening service for diabetic retinopathy | en |
| dc.type | info:eu-repo/semantics/article | |
| dc.type.version | info:eu-repo/semantics/acceptedVersion | |
| dspace.entity.type | Publication | |
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