openEHR Based Contextual Problem List

Stud Health Technol Inform. 2021 May 27;281:490-491. doi: 10.3233/SHTI210209.

Abstract

The problem list is a key facet of the digital patient record that has historically been difficult to curate. This paper presents an implementation of a contextual problem list using openEHR. It describes the modelling approach, key model elements, and how these are assembled to underpin a Problem Oriented Medical Record. Finally, it discusses issues associated with how problem lists may be used.

Keywords: Contextual problem list; clinical models; diagnosis; digital health; openEHR; problem oriented medical record.

MeSH terms

  • Electronic Health Records
  • Humans
  • Medical Records*
  • Medical Records, Problem-Oriented*