TY - JOUR T1 - Developing an electronic health record (EHR) for methadone treatment recording and decision support JF - BMC Med Inform Decis Mak Y1 - 2011 A1 - Xiao, Liang A1 - Cousins, G A1 - Courtney, Brenda A1 - Hederman, Lucy A1 - Fahey, T A1 - Dimitrov, B KW - Decision Support Techniques KW - Drug Therapy, Computer-Assisted KW - Electronic Health Records KW - Episode of Care KW - Humans KW - Medical Record Linkage KW - Methadone KW - Practice Guidelines as Topic KW - Semantics KW - Systematized Nomenclature of Medicine KW - User-Computer Interface AB - BACKGROUND: In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality. Incorporating several international standards, a conceptual model applying a problem orientated approach in a hierarchical structure has been proposed for building the EHR. METHODS: A set of archetypes has been designed in line with the current best practice and clinical guidelines which guide the information-gathering process. A web-based data entry system has been implemented, incorporating elements of the paper-based prescription form, while at the same time facilitating the decision support function. RESULTS: The use of archetypes was found to capture the ever changing requirements in the healthcare domain and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine management in general as per the programme of the HRB Centre for Primary Care Research. CONCLUSIONS: The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland. VL - 11 UR - http://www.biomedcentral.com/1472-6947/11/5 ER - TY - CONF T1 - Towards knowledge sharing and patient privacy in a clinical decision support system T2 - ITI 2009 31st International Conference on Information Technology Interfaces (ITI Book Series) Y1 - 2009 A1 - Xiao, Liang A1 - Hu, B A1 - Hederman, Lucy A1 - Lewis P A1 - Dimitrov, B A1 - Fahey, T JF - ITI 2009 31st International Conference on Information Technology Interfaces (ITI Book Series) ER - TY - CONF T1 - Developing a rule-driven clinical decision support system with an extensive and adaptative architecture T2 - IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom) Y1 - 2012 A1 - Xiao, Liang A1 - Cousins, G A1 - Fahey, T A1 - Dimitrov, B A1 - Hederman, Lucy JF - IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom) PB - IEEE CY - Beijing, China SN - 978-1-4577-2039-0 UR - http://ieeexplore.ieee.org/xpl/login.jsp?tp=&arnumber=6379416&url=http%3A%2F%2Fieeexplore.ieee.org%2Fstamp%2Fstamp.jsp%3Ftp%3D%26arnumber%3D6379416 ER -