MARCIA: Applied Clinical Record Management

摘要

The quality of services provided to patients in the health area is directly related to the quality of clinical information. In addition, this information must be consistent, secure and available to health professionals, even though health data is usually distributed across heterogeneous systems. The Electronic Patient Record (EPR) was proposed and applied to minimize integration problems through the construction of health information systems. This work proposes a methodology for the development of interoperable and flexible systems, using the EHRServer framework of the OpenEHR standard. As a case study, this methodology has been applied in Aracati/CE since March/2017, in the context of the Chikungunya disease. The methodology is supported by a system that implements a set of OpenEHR archetypes representing the clinical treatment of Chikungunya. The system was tested in a Basic Health Unit. The archetypes and the MARCIA Templates were made available to the Clinical Knowledge Manager (CKM), the largest online repository of archetypes on the Web.