As somebody who is interested to work with healthcare professionals to innovate and develop web applications for making a practical difference to the quality of care for patients, this type of standard is of great interest.
One of our objectives is - what information can SoMoMed's solution integrate with a recognised patient record standard. By integrate I mean - what information can pass to/from between the patient record and SoMoMed, as a healthcare professional is assessing patients' needs.
Reading through the standard, a few points struck me as important;
- In a true people-centered approach, the standard was "by healthcare professionals from multi-disciplinary backgrounds"; starting with patients and including Carers, Nurses, GPs, & Consultants. These 'users' along with healthcare technology providers contributed to a detailed standard.
- The scope of the standard covers all aspects of a patient's interaction and treatment including;
- Treatment handover
- There is also a 'Core' section which lists all the important information needed for SNOMED CT (use link from Google booksmarks).
- The scope of data categories is also important in that both medical (e.g. allergies) and social context data (e.g. Smoking and Alcohol intake) are listed
- With data listed according to each of the patient treatment stages (e.g. Referral, Admission etc)
- Within each stage of a patient's treatment cycle, the data is broken out by medical, social, safety and legal categories along with helpful explanations as to the requirement of that data
Improving patient care and (health) system performance
Lastly, I think the importance of a standard patient record was correctly highlighted; not only to improve the quality of care on an individual patient basis, but also for the "measurement of whole system performance, and stop reinventing the wheel"
As we know quality data is a basic requirement for assessing a healthcare programme and I believe that this standard is a big step in that (right) direction.
Interested to hear your experiences on using and improving standard patient records and your initial thoughts on this standard