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DOI: 10.1055/s-0038-1634388
The Index as a New Concept towards an Integrated Framework for the Electronic Patient Record
Publikationsverlauf
Received
07. Juli 2001
Accepted
05. April 2002
Publikationsdatum:
07. Februar 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035037/200204/lookinside/thumbnails/10-1055-s-0038-1634388-1.jpg)
Summary
Objective: To overcome some classical limitations of the POMR (Problem-Oriented Medical Record), including the management of divergent opinions between health professionals, in order to construct a common patient record across multiple disciplines in hospital settings and professional networks.
Methods: Using a complex clinical case, we improved a POMR model previously used by GPs in order to translate it into a hospital setting. The enhanced model has been assessed through use in various ongoing clinical cases and through extended discussion with professional end-users (physicians, nurses, general practitioners, and social workers).
Results: The Index concept (flexible structural link) is proposed as a major improvement in the construction of a POMR in a shared care environment.
Conclusions: The Index introduces interesting new perspectives. Following its implementation in the Belgian pilot site in the CORINES project, further studies remain to be carried out in order to develop a cost/benefit assessment.
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