Skip to main content

Advertisement

Log in

Archetype Development Process: A Case Study of Support Interoperability among Electronic Health Record in the State of Minas Gerais, Brazil

  • Transactional Processing Systems
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

The interoperability among electronic medical records requires a standard that guarantees the semantic persistency of information. The study proposes an archetypes development process to support the Electronic Health Record (EHR) in the State of Minas Gerais, Brazil. It was case study with a qualitative analysis of applied nature with methodological exploratory purposes. For this, there was a literature review on archetypes development processes. The selected studies had their processes compared. Then, an own archetypes development process was proposed, also considering the legislation of Unified Health System in Brazil. The process was tested in a proof of concept, a practical test on a theoretical proposal. The proposed governance model was considered adequate for the organization of EHR at such scenario. It is expected that with its effective implementation, the proposed process supports the interoperability among clinical data arising from different levels of health care services.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Brazil: Constitution, Constitution of the Federative Republic of Brazil. Brasilia: Senado, 1988.

    Google Scholar 

  2. Brazil: Law n. 8080, Regulates the conditions for promotion, protection and recovery of health, the organization and functioning of the corresponding services and other measures. Diário Oficial da União, 1990.

  3. Brazil: Law n. 8142, Provides for community participation in the management of the Unified Health System (SUS) and on intergovernmental transfers of financial resources in health and other matters. Diário Oficial da União, 1990.

  4. Paim, J. et al., The brazilian health system: history, advances, and challenges. Lancet 377(9779):1778–1797, 2011.

    Article  Google Scholar 

  5. ENSP / Fiocruz, Carga global de doença do Estado de Minas Gerais, 2005. Belo Horizonte: Relatório Final do Projeto, 2011.

    Google Scholar 

  6. Shortell, S. M. et al., Remaking healthcare in America: building organized delivery systems. San Francisco: Jossey-Bass, 1996.

    Google Scholar 

  7. Castells, M., The networked society. 4th edition. Vol. 1. São Paulo: Paz e Terra, 1999.

  8. Mendes, E. V., As redes de atenção à saúde. Cienc Saúde Coletiva. 15(5):2297–2305, 2010.

    Article  Google Scholar 

  9. Pan American Health Organization, Integrated networks of health services: Concepts, Policy Options and a roadmap for its implementation in the Americas. Washington: HSS/PAHO /WHO (Series Renewing Primary Health Care in the Americas, 2008.

    Google Scholar 

  10. World Health Organization, Report on the global tobacco epidemics, 2008 - The MPOWER package. Geneva: WHO, 2008.

    Google Scholar 

  11. International Organization for Standardization, ISO/TR 20514: 2005: Health informatics - Electronic health record - Definition, scope, and context, 2005.

  12. Santos, M. R., Electronic health record system based on ISO 13606: applications in the State Health Secretariat of Minas Gerais 2011. 178 f. Thesis (Doctorate in Information Science). Belo Horizonte: School of Information Science, Federal University of Minas Gerais, 2011.

    Google Scholar 

  13. V. Vijayakumar, et al., E-Health Cloud Security Using Timing Enabled Proxy Re-Encryption. Mobile Networks and Applications, 1–12, 2018.

  14. International Organization for Standardization, ISO 13606-1:2008: Health Informatics, Electronic health record communication, Part 1: Reference Model, 2008a.

  15. International Organization for Standardization, ISO 13606-2: 2008: Health Informatics, Electronic health record communication, Part 2: Archetype interchange specification, 2008b.

  16. World Health Organization, Building foundations for eHealth: progress of Member States: report of the WHO Global Observatory for eHealth. Geneva: WHO, 2006.

    Google Scholar 

  17. World Health Organization, Terms of reference for designing the requirements of the health information system of Maputo Central Hospital and preparation of the tender specifications - Technical Report. WHO, 2007.

  18. Brazil. E-Health strategy for Brazil. Brasília: Ministry of Health, Secretary of Strategic and Participative Management, SUS Department of Informatics, 2014.

  19. Mota, F. R.L., Prontuário eletrônico do paciente e o processo de competência informacional. In: Enc. Bibli, 2006. R. Elect. Bibliotecon. Ci. Inf., Florianópolis, 22, 2006.

  20. Minas Gerais Homepage, 2013. http://sres.saude.mg.gov.br, last accessed 2013/04/27

  21. Conde, A. M., Towards best practice in the Archetype Development Process. Dissertation (Master in Health Informatics). Dublin: Department of Information Science, University of Dublin, 2010.

  22. Späth, M. B., and Grimson, J., Applying the archetype approach to the database of a biobank information management system. Int. J. Med. Inform. 80(3):205–226, 2011.

    Article  Google Scholar 

  23. Moresi, E., Metodologia da pesquisa. Brasília, 2003.

  24. Maia, T. A., Health electronic registration archetypes governance process in Minas Gerais: a case study. 90 f. Dissertation (Master in Information Systems and Knowledge Management). Belo Horizonte: Faculty of Business Sciences, FUMEC University, 2014.

    Google Scholar 

  25. Trigo, J. D. et al., On the seamless, harmonized use of ISO/IEEE11073 and openEHR. IEEE Journal of Biomedical and Health Informatics 18(3), 2014.

  26. Menárguez-Tortosa, M., and Fernández-Breis, J. T., OWL-based reasoning methods for validating archetypes. J. Biomed. Inform. 46(2):304–317, 2013.

    Article  Google Scholar 

  27. Brazil, National Archives Council - Electronic Documents Technical Chamber. e-ARQ Brazil: Model of Requirements for Information Systems in Archival Document Management. Rio de Janeiro: Arquivo Nacional, 2011.

    Google Scholar 

  28. Leslie, H., Archetype authoring, review and publication. OpenEHR foundation Homepage, 2008. http://www.openehr.org/wiki/display/healthmod/Archetype+authoring%2C+review+and+publication, last accessed 2014/08/11

  29. Brazil, National Council of Health Secretaries: Improvement in Management of Primary Health Care: Project AGAP/ National Council of Health Secretaries. Brasilia: CONASS, 2011.

    Google Scholar 

  30. Santos, M. R. et al., Health Information Exchange for Continuity of Maternal and Neonatal Care Supporting: A Proof-of-Concept Based on ISO Standard. Applied Clinical Informatics 8(4), 2017.

  31. Reis, Z.S.N. et al., Electronic Systems Interoperability Study: Based on the Interchange of Hospital Obstetrical Information. In: Computer-Based Medical Systems (CBMS), 2015 IEEE 28th International Symposium on Computer-Based Medical Systems, 2015. https://doi.org/10.1109/CBMS.2015.57

  32. Dogac, A. et al. (2007) Key issues of technical interoperability solutions in eHealth and the RIDE project. Homepage, http://www.ehealthnews.eu/images/stories/pdf/ride.pdf, last accessed 2014/08/05

  33. European Commission (2009) Semantic interoperability for better health and safer healthcare. Deployment and Research Roadmap for Europe. https://doi.org/10.2759/38514

Download references

Acknowledgements

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) and Secretaria de Estado de Saúde de Minas Gerais for the support to this research.

Funding

This study was funded by:

• Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) - CNPQ Productivity Grant - 308461/2017–7 – Cristiana Fernandes De Muylder.

• Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) - FAPEMIG Universal APQ-01938-15 – Cristiana Fernandes De Muylder.

• Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG) - FAPEMIG Edital PPSUS, n° APQ-00879-12 – Zilma Nogueira Reis.

Author information

Authors and Affiliations

Authors

Contributions

Thais Maia – Data research, theoretical and final paper version.

Cristiana Fernandes De Muylder – Professor, researcher and advisor – Theoretical, data and final paper version.

Zilma S. Nogueria Reis – Theoretical and text analysis.

Corresponding author

Correspondence to Thais Abreu Maia.

Ethics declarations

Conflict of interest

Thais Abreu Maia declares that she has no conflict of interest.

Cristiana Fernandes De Muylder declares that she has no conflict of interest.

Zilma Silveira Nogueira Reis declares that she has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Transactional Processing Systems

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Maia, T.A., De Muylder, C.F. & Reis, Z.S.N. Archetype Development Process: A Case Study of Support Interoperability among Electronic Health Record in the State of Minas Gerais, Brazil. J Med Syst 43, 57 (2019). https://doi.org/10.1007/s10916-019-1179-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10916-019-1179-7

Keywords

Navigation