title: Patient Summary and medicines reconciliation: application of the ISO/CEN EN 13606 standard in clinical practice.
abstract: The comparison of the patient's current medication list with the medication being ordered when admitted to Hospital, identifying omissions, duplications, dosing errors, and potential interactions, constitutes the core process of medicines reconciliation. Access to the medication the patient is taking at home could be unfeasible as this information is frequently stored in various locations and in diverse proprietary formats. The lack of interoperability between those information systems, namely the Primary Care and the Specialized Electronic Health Records (EHRs), facilitates medication errors and endangers patient safety. Thus, the development of a Patient Summary that includes clinical data from different electronic systems will allow doctors access to relevant information enabling a safer and more efficient assistance. Such a collection of data from heterogeneous and distributed systems has been achieved in this Project through the construction of a federated view based on the ISO/CEN EN13606 Standard for architecture and communication of EHRs.
authors.affiliation: Pharmacy Department, Hospital Universitario de Fuenlabrada, Madrid, Spain. ffarfan.hflr@salud.madrid.org
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Farfán Sedano
authors.forename: Marta
authors.initials: M
authors.lastname: Terrón Cuadrado
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Castellanos Clemente
authors.forename: Pablo
authors.initials: P
authors.lastname: Serrano Balazote
authors.forename: David
authors.initials: D
authors.lastname: Moner Cano
authors.forename: Montserrat
authors.initials: M
authors.lastname: Robles Viejo
mesh_terms: D002985:Clinical Protocols; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006739:Hospital Administration; D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D010343:Patient Admission