Sustainability and Shared Value
In recent years, the health field has seen the value of having complete Electronic Medical Records and much work has been done to improve and implement them in the clinical and hospital environment. Specifically, a lot of work has been done at the interoperability level, so that the EHR of a patient moving through different health systems or hospitals can continue to be valid in the new destination. Different EHR standards have been defined, such as CEN / ISO EN13606, HL7 (RIM, CDA) and OpenEHR, where the characteristics that an EHR must comply with have been marked both at the communication level with other EHRs, as well as at the structure level. .
The results obtained at the level of both technological and medical research have been very positive, and although at an operational level this type of systems have not yet been completely transferred to all hospital environments, today they are a reality at the product level and exist a market in continuous growth that is improving health systems both nationally and internationally.
However, such an EHR vision does not fully exploit the potential offered by these systems. In particular, all those patient records stored in the EHR implicitly reflect clinical decisions made by healthcare professionals who have participated in the medical care offered to the patient, as well as the results of those decisions:
What parameters have been used for each patient for the decisions made about what tests to carry out, what treatments to prescribe, what interventions to carry out.
What criteria have been followed in these decisions (if the criteria have followed the guidelines set by the clinical guidelines or protocols of the corresponding health institutions)
What has been the result of the decisions made on the patient (effect of the treatments provided, fulfillment of the objectives of providing a specific treatment).
In this way, the exploitation of that information that is implicit in the EHR systems could also serve to improve the knowledge we have about the mechanisms of a disease or the effectiveness of the treatments provided.
The SemanHis project wants to move EHR systems from being mere data repositories to knowledge repositories, which could serve to improve future decisions made in a patient. For this, it is proposed to carry out a Semantic Clinical History that allows the extraction of implicit knowledge in the history and its exploitation both for the clinical field and for hospital management. Specifically, the development of a new version of the Hygehos Electronic Health Record is proposed, which is shared by both companies in the consortium: a semantic Hygehos with capabilities to offer decision support services.
Asunción Clínica and the VicomTech IK4 technology center work in the SemanHIS project and it is included in the Hazitek program for the Development of Business R&D of the Department of Economic Development and Infrastructures of the Basque Government.
Develop a system that allows the exploitation of the information contained in the EHR of a health system, hospital and medical center with a secondary purpose, apart from storing all the medical history and interactions of a patient:
The evaluation of the effectiveness of the clinical practice carried out.
The clarification of the decision criteria carried out (vs the criteria established by the clinical guidelines or protocols).
The identification of patients who meet certain characteristics (for example, for the recruitment of patients in clinical studies).
Obtain knowledge of EHR in the field of chronic patients.
Develop a prototype of the system (pre-commercial) that can help the participants of the consortium to improve their commercial and research activity.