EP03.06 - The Conceptual Information Model: A Vital Part of the EHR
e-Health ePoster Library. Bascom P. Jun 7, 2016; 131564; EP03.06
Peter Bascom
Peter Bascom
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Abstract
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Purpose/Objectives: Technology is an enabler for transforming health care delivery. The information defined in the electronic health record is a critical component in the quality and continuity of care Ontarians receive from the health care system. The Conceptual Information Model (CIM) - a key component of Ontario's Ehealth Blueprint - defines the EHR. It is a common record every clinical information system can use to communicate patient information consistently, whether the system is in a doctor's office, a clinic or a pharmacy or laboratory. Discover how the CIM works and learn why it is critical to define and evolve Ontario's EHR. Methodology/Approach: One of three basic architectural views of Ontario's Ehealth Blueprint, the CIM is a complete, conceptual model of the information required to create Ontario's electronic health record. Ensuring that the correct and accurate information is available to end users is vital for gaining adoption and use. The CIM is used during project definition to uncover solution opportunities, issues and risks associated with information. The content of a CIM provides insights when considering: • Common vocabulary for business and IT related to information • Identifying required data sources and their relationships • Privacy and security needs. The CIM is used in development projects to establish the scope of information and to design databases: 1. It quickly identifies parts of the EHR in play in any given solution 2. It is rapidly reusable, defining information requirements from project to project in consistent terms 3. It defines governance and support models to allow for discovery of new health information concepts 4. The CIM is grounded through verification of real-world information sources gleaned from clinical documentation used in existing business processes. Finding/Results: The CIM is essential to delivering robust solution architectures and designs that meet the needs of the business users. For the last two years, Ontario health IT assets - such as diagnostic imaging, the patient and health provider registries and a proposed recommendation for the electronic referral solutions - have all included conceptual information modelling to ensure the solutions meet clinician's business information needs and minimize risks. Reuse of this information model supports interoperability by encouraging common semantics in all solutions. Conclusion/Implication/Recommendations: The CIM provides a valuable vantage point to learn about and assess solutions. An understanding of the information resources clinicians create and use is vital in managing project scope, deliverables, risks and ensuring successful adoption. Reuse of an enterprise CIM is an effective way to save project time and manage EHR growth. Focus on clinical information resources bridges gaps between clinicians, their business processes and the IT solution across architectural domains. Consistent use of definitions, entities, and relationships in the CIM to define content, puts them on a solid IT footing. 140 Character Summary: The CIM is essential to delivering robust solution architectures and designs that meet the needs of the business users.
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