Design, Implementation and Evaluation of an Architecture based on the CDA R2 Document Repository to Provide Support to the Contingency Plan.
The pervasive use of electronic records in healthcare increases the dependency on technology due to the lack of physical backup for the records. Downtime in the Electronic Health Record system is unavoidable, due to software, infrastructure and power failures as well as natural disasters, so there is a need to develop a contingency plan ensuring patient care continuity and minimizing risks for health care delivery. To mitigate these risks, two applications were developed allowing healthcare delivery providers to retrieve clinical information using the Clinical Document Architecture Release 2 (CDA R2) document repository as the information source. In this paper we describe the strategy, implementation and results; and provide an evaluation of effectiveness.
Health Information Department, Hospital Italiano de Buenos Aires, Argentina.
Fernando
F
Campos
Health Information Department, Hospital Italiano de Buenos Aires, Argentina.
Daniel
D
Luna
School of Biomedical Informatics, University of Texas Health Sciences Center at Houston, Houston, TX, USA.
Dean F
DF
Sittig
Health Information Department, Hospital Italiano de Buenos Aires, Argentina.
Fernán González
FG
Bernaldo de Quirós
D001118:Argentina; D016494:Computer Security / Q000592:standards*; D003266:Continuity of Patient Care / Q000592:standards; D004189:Disaster Planning / Q000379:methods / Q000592:standards*; D057286:Electronic Health Records; D016247:Information Storage and Retrieval / Q000379:methods / Q000592:standards*; D008498:Medical Record Linkage / Q000379:methods / Q000592:standards*; D017410:Practice Guidelines as Topic; D012985:Software Design; D018511:Systems Integration