Experience-Based Electronic Health Records

Abstract

Electronic Health Records are clinical information repositories that have been proposed primarily to provide access to all clinical data of a patient. They have been formally defined by a dual model composed of a reference model and an archetype model. Such dual approach allows semantic interoperability, thus making different systems understand each other. In this work we extend the current structure with a third Decisional Model that will allow reasoning over the embedded clinical contents. Such reasoning will be based on the reuse of the clinical experience gained by the corresponding clinical professionals during different decision procedures.