Specifications and needs assessment - The RICH project: a network of information and communication for hospitals [5]
3.3 Management of patient records
To define the functional goals of patient records, the method is to separate what is the domain of production management acts as defined above, of medical activity itself.
3.3.1 Support the production activity acts
As part of the production of documents, the file is requested during the events involved in the life cycle of the act:
• prescriptive for Unity
• Application of act to plan and sending the message to the provider (or change in demand)
• receives the result of planning,
• receives the result of the execution of the act.
• provider for the unit, these are events
• receipt of the request for action,
• planning and sending the result of planning at the prescriber (or amendment of planning) acquisition of the result of the act and sent to the prescriber.
The model presented is of course schematic and should be developed to reflect all adjustments to disciplines and techniques. Accordingly, in RICH:
• the patient file is logically divided between the unit and delivery units prescriptive,
• sets of procedures in dual units prescribers and delivery units are being evidence. They must interact with each other, according to norms of inter-services that need clear here.
3.3.2 Consideration of medical activity
In the diagram, it relates to the activities:
• for the physician:
• Home medical-history,
• development of diagnostics,
• treatment decision,
• seq
• balance sheet.
• the provider
• preparation and review of documents before implementation,
• acquisition and interpretation of results.
RICH does not intend to propose a method using artificial intelligence techniques to assist the physician in its activities.
For cons, the objective is to present RICH doctor for performing these tasks, the maximum information as appropriate, the level of detail or summary required.
This implies that the patient records in each unit of production, forms the basis of expertise of this unit and sources of physician information.
4 - CONCLUSION
RICH is a demonstration project is to say that the ambition is to run and accept hospital services a European system that is both integrated and distributed.
It is also expected RICH he can use the latest achievements in technology information, create an industry devoted to European IT systems and hospital management contribute to the development and adoption of international standards.
