Public Health methadone treatment electronic health record (EHR)
Liang Xiao, Grainne Cousins, Brenda Courtney, Lucy Hederman, Tom Fahey, Borislav D Dimitrov, Developing an electronic health record (EHR) for methadone treatment recording and decision support, BMC Medical Informatics and Decision Making, 11, 5, 2011
BMC Medical Informatics and Decision Making 11 5
Background: In this paper, we give an overview of methadone treatment in Ireland and outline the rationale for
designing an electronic health record (EHR) with extensibility, interoperability and decision support functionality.
Incorporating several international standards, a conceptual model applying a problem orientated approach in a
hierarchical structure has been proposed for building the EHR.
Methods: A set of archetypes has been designed in line with the current best practice and clinical guidelines
which guide the information-gathering process. A web-based data entry system has been implemented,
incorporating elements of the paper-based prescription form, while at the same time facilitating the decision
Results: The use of archetypes was found to capture the ever changing requirements in the healthcare domain
and externalises them in constrained data structures. The solution is extensible enabling the EHR to cover medicine
management in general as per the programme of the HRB Centre for Primary Care Research.
Conclusions: The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for
analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the
functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for
Primary Care Research in Ireland.
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