{"id":"https://openalex.org/W320930032","doi":"https://doi.org/10.24105/ejbi.2015.11.2.5","title":"Developing a conformance methodology for clinically-defined medical record headings: A preliminary report","display_name":"Developing a conformance methodology for clinically-defined medical record headings: A preliminary report","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W320930032","doi":"https://doi.org/10.24105/ejbi.2015.11.2.5","mag":"320930032"},"language":"en","primary_location":{"id":"doi:10.24105/ejbi.2015.11.2.5","doi":"https://doi.org/10.24105/ejbi.2015.11.2.5","is_oa":true,"landing_page_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","pdf_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","source":{"id":"https://openalex.org/S4210179779","display_name":"European Journal for Biomedical Informatics","issn_l":"1801-5603","issn":["1801-5603"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal for Biomedical Informatics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061486314","display_name":"Philip Scott","orcid":"https://orcid.org/0000-0002-6289-4260","observed_orcids":["https://orcid.org/0000-0002-6289-4260"]},"institutions":[{"id":"https://openalex.org/I63072094","display_name":"University of Portsmouth","ror":"https://ror.org/03ykbk197","country_code":"GB","type":"education","lineage":["https://openalex.org/I63072094"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Philip Scott","raw_affiliation_strings":["Centre for Healthcare Modelling and Informatics, University of Portsmouth, UK","HL7 UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Modelling and Informatics, University of Portsmouth, UK","institution_ids":["https://openalex.org/I63072094"]},{"raw_affiliation_string":"HL7 UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Steve Bentley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210129883","display_name":"NHS Digital","ror":"https://ror.org/03am1eg44","country_code":"GB","type":"government","lineage":["https://openalex.org/I4210129883","https://openalex.org/I4400009038"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Steve Bentley","raw_affiliation_strings":["Health and Social Care Information Centre, Leeds, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health and Social Care Information Centre, Leeds, UK","institution_ids":["https://openalex.org/I4210129883"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001365898","display_name":"Iain Carpenter","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4339842","display_name":"Royal College of Physicians","ror":"https://ror.org/0530xmm89","country_code":"GB","type":"education","lineage":["https://openalex.org/I4339842"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Iain Carpenter","raw_affiliation_strings":["Health Informatics Unit, Royal College of Physicians, London, UK","Professional Records Standards Body for health and social care, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Informatics Unit, Royal College of Physicians, London, UK","institution_ids":["https://openalex.org/I4339842"]},{"raw_affiliation_string":"Professional Records Standards Body for health and social care, London, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"David Harvey","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Harvey","raw_affiliation_strings":["IHE-UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IHE-UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091770271","display_name":"Jan Hoogewerf","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4339842","display_name":"Royal College of Physicians","ror":"https://ror.org/0530xmm89","country_code":"GB","type":"education","lineage":["https://openalex.org/I4339842"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jan Hoogewerf","raw_affiliation_strings":["Health Informatics Unit, Royal College of Physicians, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Informatics Unit, Royal College of Physicians, London, UK","institution_ids":["https://openalex.org/I4339842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064540048","display_name":"Munish Jokhani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210129883","display_name":"NHS Digital","ror":"https://ror.org/03am1eg44","country_code":"GB","type":"government","lineage":["https://openalex.org/I4210129883","https://openalex.org/I4400009038"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Munish Jokhani","raw_affiliation_strings":["Health and Social Care Information Centre, Leeds, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health and Social Care Information Centre, Leeds, UK","institution_ids":["https://openalex.org/I4210129883"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036236950","display_name":"D. Kalra","orcid":"https://orcid.org/0000-0001-5254-4067","observed_orcids":["https://orcid.org/0000-0001-5254-4067","https://orcid.org/0000-0002-2998-9882","https://orcid.org/0000-0002-6124-3941"]},"institutions":[{"id":"https://openalex.org/I4210119188","display_name":"European Institute for Health Records","ror":"https://ror.org/01sc1ca25","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210119188"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Dipak Kalra","raw_affiliation_strings":["ProRec UK and EuroRec Institute","openEHR Foundation","SemanticHealthNet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ProRec UK and EuroRec Institute","institution_ids":["https://openalex.org/I4210119188"]},{"raw_affiliation_string":"openEHR Foundation","institution_ids":[]},{"raw_affiliation_string":"SemanticHealthNet","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032958537","display_name":"Stephen Kay","orcid":"https://orcid.org/0000-0001-6843-011X","observed_orcids":["https://orcid.org/0000-0001-6843-011X"]},"institutions":[{"id":"https://openalex.org/I4210119188","display_name":"European Institute for Health Records","ror":"https://ror.org/01sc1ca25","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210119188"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Stephen Kay","raw_affiliation_strings":["ProRec UK and EuroRec Institute","openEHR Foundation","SemanticHealthNet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ProRec UK and EuroRec Institute","institution_ids":["https://openalex.org/I4210119188"]},{"raw_affiliation_string":"openEHR Foundation","institution_ids":[]},{"raw_affiliation_string":"SemanticHealthNet","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024241250","display_name":"Ian McNicoll","orcid":"https://orcid.org/0009-0008-7364-185X","observed_orcids":["https://orcid.org/0009-0008-7364-185X"]},"institutions":[{"id":"https://openalex.org/I63072094","display_name":"University of Portsmouth","ror":"https://ror.org/03ykbk197","country_code":"GB","type":"education","lineage":["https://openalex.org/I63072094"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ian McNicoll","raw_affiliation_strings":["University of Portsmouth Address: Lion Terrace , Portsmouth PO1 3HE , UK","openEHR Foundation","SemanticHealthNet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Portsmouth Address: Lion Terrace , Portsmouth PO1 3HE , UK","institution_ids":["https://openalex.org/I63072094"]},{"raw_affiliation_string":"openEHR Foundation","institution_ids":[]},{"raw_affiliation_string":"SemanticHealthNet","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066309016","display_name":"Mala Bridgelal Ram","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mala Bridgelal Ram","raw_affiliation_strings":["Professional Records Standards Body for health and social care, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Professional Records Standards Body for health and social care, London, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058657096","display_name":"Rahil Qamar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210129883","display_name":"NHS Digital","ror":"https://ror.org/03am1eg44","country_code":"GB","type":"government","lineage":["https://openalex.org/I4210129883","https://openalex.org/I4400009038"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rahil Qamar Siddiqui","raw_affiliation_strings":["Health and Social Care Information Centre, Leeds, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health and Social Care Information Centre, Leeds, UK","institution_ids":["https://openalex.org/I4210129883"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049039164","display_name":"Roger Wallhouse","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210119188","display_name":"European Institute for Health Records","ror":"https://ror.org/01sc1ca25","country_code":"FR","type":"healthcare","lineage":["https://openalex.org/I4210119188"]}],"countries":["FR"],"is_corresponding":false,"raw_author_name":"Roger Wallhouse","raw_affiliation_strings":["ProRec UK and EuroRec Institute","SemanticHealthNet"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ProRec UK and EuroRec Institute","institution_ids":["https://openalex.org/I4210119188"]},{"raw_affiliation_string":"SemanticHealthNet","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5076187572","display_name":"Robert Worden","orcid":"https://orcid.org/0000-0001-7304-2752","observed_orcids":["https://orcid.org/0000-0001-7304-2752"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert Worden","raw_affiliation_strings":["HL7 UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HL7 UK","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5061486314"],"corresponding_institution_ids":["https://openalex.org/I63072094"],"apc_list":null,"apc_paid":null,"fwci":2.2431,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.86516593,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"11","issue":"02","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.753000020980835},{"id":"https://openalex.org/keywords/conformance-testing","display_name":"conformance testing","score":0.7870000004768372},{"id":"https://openalex.org/keywords/openehr-archetypes","display_name":"openEHR archetypes","score":0.7329999804496765},{"id":"https://openalex.org/keywords/hl7","display_name":"HL7","score":0.9010000228881836},{"id":"https://openalex.org/keywords/ihe","display_name":"IHE","score":0.9599999785423279},{"id":"https://openalex.org/keywords/mind-mapping","display_name":"mind mapping","score":0.6359999775886536},{"id":"https://openalex.org/keywords/interoperability","display_name":"interoperability","score":0.5989999771118164},{"id":"https://openalex.org/keywords/standard-development-process","display_name":"standard development process","score":0.6669999957084656},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.6399999856948853}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.47854501008987427},{"id":"https://openalex.org/C23123220","wikidata":"https://www.wikidata.org/wiki/Q816826","display_name":"Information retrieval","level":1,"score":0.47167783975601196},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.3258349299430847}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.24105/ejbi.2015.11.2.5","doi":"https://doi.org/10.24105/ejbi.2015.11.2.5","is_oa":true,"landing_page_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","pdf_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","source":{"id":"https://openalex.org/S4210179779","display_name":"European Journal for Biomedical Informatics","issn_l":"1801-5603","issn":["1801-5603"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal for Biomedical Informatics","raw_type":"journal-article"},{"id":"pmh:oai:archive.ugent.be:8511825","doi":null,"is_oa":false,"landing_page_url":"https://biblio.ugent.be/publication/8511825","pdf_url":null,"source":{"id":"https://openalex.org/S4306400478","display_name":"Ghent University Academic Bibliography (Ghent University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I32597200","host_organization_name":"Ghent University","host_organization_lineage":["https://openalex.org/I32597200"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ISSN: 1801-5603","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.24105/ejbi.2015.11.2.5","doi":"https://doi.org/10.24105/ejbi.2015.11.2.5","is_oa":true,"landing_page_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","pdf_url":"https://doi.org/10.24105/ejbi.2015.11.2.5","source":{"id":"https://openalex.org/S4210179779","display_name":"European Journal for Biomedical Informatics","issn_l":"1801-5603","issn":["1801-5603"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal for Biomedical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.504800021648407}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320320295","display_name":"Newcastle University","ror":"https://ror.org/01kj2bm70"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W320930032.pdf","grobid_xml":"https://content.openalex.org/works/W320930032.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W2002088543","https://openalex.org/W2074095828","https://openalex.org/W2095603117","https://openalex.org/W2136317597","https://openalex.org/W2586944337","https://openalex.org/W3121641123","https://openalex.org/W4246376596","https://openalex.org/W4297907807"],"related_works":["https://openalex.org/W2407742755","https://openalex.org/W2765777765","https://openalex.org/W2624984721","https://openalex.org/W2249951875","https://openalex.org/W1521997486","https://openalex.org/W2425613743","https://openalex.org/W2704216825","https://openalex.org/W2256349069","https://openalex.org/W4319877690","https://openalex.org/W2370327607"],"abstract_inverted_index":{"Background:":[0],"The":[1],"Professional":[2],"Records":[3],"Standards":[4],"Body":[5],"for":[6,22,102,125,139,201],"health":[7],"and":[8,18,25,48,61,73,94,129,142,151,174,182,191,193,204,232,238,245],"social":[9],"care":[10,32],"(PRSB)":[11],"was":[12,65,90,100,123,134],"formed":[13],"in":[14,34,116],"2013":[15],"to":[16,50,70,157,162,169,185,218,235],"develop":[17],"assure":[19],"professional":[20,85],"standards":[21,226],"the":[23,35,37,55,84,107,117,126,137,159,163,170,187],"content":[24],"structure":[26],"of":[27,53,109],"patient":[28,119,165],"records":[29],"across":[30],"all":[31],"disciplines":[33],"UK.Although":[36],"PRSB":[38,222],"work":[39],"is":[40,59,213],"aimed":[41],"at":[42],"Electronic":[43],"Health":[44],"Record":[45],"(EHR)":[46],"adoption":[47],"interoperability":[49],"support":[51],"continuity":[52],"care,":[54],"current":[56],"technical":[57,95,246],"guidance":[58],"limited":[60],"ambiguous.Objectives:":[62],"This":[63],"project":[64],"initiated":[66],"as":[67,136],"a":[68,180],"proof-ofconcept":[69],"demonstrate":[71],"whether,":[72],"if":[74,206],"so,":[75],"how,":[76],"conformance":[77],"methods":[78],"can":[79],"be":[80],"developed":[81],"based":[82],"on":[83],"standards.Methods:":[86],"An":[87],"expert":[88],"group":[89],"convened,":[91],"comprising":[92],"clinical":[93,244],"representatives.A":[96],"constrained":[97],"data":[98,149],"set":[99],"defined":[101],"an":[103,224],"outpatient":[104,110,160],"letter,":[105],"using":[106],"subset":[108],"headings":[111,161,198],"that":[112],"are":[113,199],"also":[114],"present":[115],"ep-SOS":[118],"summary.A":[120],"mind":[121],"map":[122,158],"produced":[124,135],"main":[127],"sections":[128],"sub-sections.An":[130],"openEHR":[131],"archetype":[132],"model":[133,190],"basis":[138],"creating":[140],"HL7":[141],"IHE":[143],"implementation":[144],"artefacts.Results:":[145],"Several":[146],"issues":[147],"about":[148,196],"definition":[150],"representation":[152],"were":[153],"identified":[154],"when":[155],"attempting":[156],"epSOS":[164],"summary,":[166],"partly":[167],"due":[168],"difference":[171],"between":[172],"process":[173,228],"static":[175],"viewpoints.Mind":[176],"maps":[177],"have":[178,208],"been":[179],"simple":[181],"helpful":[183],"way":[184],"visualize":[186],"logical":[188],"information":[189],"expose":[192],"resolve":[194],"disagreements":[195],"which":[197],"purely":[200],"human":[202],"navigation":[203],"which,":[205],"any,":[207],"intrinsic":[209],"meaning.Conclusions:":[210],"Conformance":[211],"testing":[212],"feasible":[214],"but":[215],"nontrivial.In":[216],"contrast":[217],"traditional":[219],"standards-development":[220],"timescales,":[221],"needs":[223],"agile":[225],"development":[227],"with":[229],"EHR":[230],"vendor":[231],"integrator":[233],"collaboration":[234],"ensure":[236],"implementability":[237],"widespread":[239],"adoption.This":[240],"will":[241],"require":[242],"significant":[243],"resources.":[247]},"counts_by_year":[{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2016-06-24T00:00:00"}
