We demonstrated the feasibility of using documentation artifacts in a bottom-up approach to develop common models and sets of terms that are complete from the perspective of clinical implementation. Importantly, we demonstrated a process by which a community of practice can contribute to closing gaps in existing standards using SDO processes.
Handoffs, the transfer of care responsibility from one provider to another, commonly occur in intra-disciplinary silos that exclude patients. Little is known about patient preferences about handoff participation in surgical oncology and key information needs including user experience (UX) considerations. This exploratory, descriptive study was conducted at a cancer center in the western United States using a purposeful sampling technique to select 20 surgical oncology in-patients. The team used methodological pluralism for data collection: naturalistic observations, interviews, field notes, and artifact capture. Data analysis included systematic steps and content analysis consistent with accepted qualitative research methods. The analysis resulted in 356 codes synthesized into 15 categories and 3 themes: Depends Upon How Sick I Am, I Want To Know Everything, and My Life Is In Their Hands. Fifteen participants expressed varying levels of interest in participating in handoffs, and 18 of the 20 wanted to know "everything" about themselves. Initial categories of patients' information needs were developed. An opportunity exists to expand health informatics tools to inpatients and their families and design them from patients' perspectives. UX considerations are outlined to expand informatics tools for collaborative decision making to inpatient activities and include personcentered applications, electronic white boards to consider user diversity and tasks as well as context-sensitive information design.
The HL7 V3 Care Provision Domain differs from the HL7 CDA regarding support of the dynamics of care (eg, for continuity of care) as provided through a series of interactions and queries, but is similar with respect to the data and their organization.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.