The index as a new concept towards an integrated framework for the electronic patient record
Objective: To overcome some classical limitations of the POMR (Problem Oriented Medical Record), including the management at 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 worker). 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.
medical records problem-oriented medical records computerized patient records