{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T11:59:25Z","timestamp":1761393565829},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2007,5,2]],"date-time":"2007-05-02T00:00:00Z","timestamp":1178064000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>EHR systems are widely used in hospitals and primary care centres but it is usually difficult to share information and to collect patient data for clinical research. This is partly due to the different proprietary information models and inconsistent data quality. Our objective was to provide a more flexible solution enabling the clinicians to define which data to be recorded and shared for both routine documentation and clinical studies. The data should be possible to reuse through a common set of variable definitions providing a consistent nomenclature and validation of data. Another objective was that the templates used for the data entry and presentation should be possible to use in combination with the existing EHR systems.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We have designed and developed a template based system (called Julius) that was integrated with existing EHR systems. The system is driven by the medical domain knowledge defined by clinicians in the form of templates and variable definitions stored in a common data repository. The system architecture consists of three layers. The presentation layer is purely web-based, which facilitates integration with existing EHR products. The domain layer consists of the template design system, a variable\/clinical concept definition system, the transformation and validation logic all implemented in Java. The data source layer utilizes an object relational mapping tool and a relational database.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The Julius system has been implemented, tested and deployed to three health care units in Stockholm, Sweden. The initial responses from the pilot users were positive. The template system facilitates patient data collection in many ways. The experience of using the template system suggests that enabling the clinicians to be in control of the system, is a good way to add supplementary functionality to the present EHR systems.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The approach of the template system in combination with various local EHR systems can facilitate the sharing and reuse of validated clinical information from different health care units. However, future system developments for these purposes should consider using the openEHR\/CEN models with shareable archetypes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1472-6947-7-10","type":"journal-article","created":{"date-parts":[[2007,5,3]],"date-time":"2007-05-03T17:33:21Z","timestamp":1178213601000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Julius \u2013 a template based supplementary electronic health record system"],"prefix":"10.1186","volume":"7","author":[{"given":"Rong","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6sta","family":"Enberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar O","family":"Klein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2007,5,2]]},"reference":[{"key":"141_CR1","volume-title":"Patterns of Enterprise Application Architecture, Addison Wesley","author":"M Fowler","year":"2003","unstructured":"Fowler M: Patterns of Enterprise Application Architecture, Addison Wesley. 2003"},{"issue":"2","key":"141_CR2","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1197\/jamia.M1375","volume":"11","author":"Renske K Los","year":"2004","unstructured":"Los Renske, van Ginneken Astrid, de Wilde Marcel, van der Lei Johan: OpenSDE: Row Modeling Applied to Generic Structured Data Entry. J Am Med Inform Assoc. 2004, 11 (2): 162-165. 10.1197\/jamia.M1375. doi: 10.1197\/jamia.M1375","journal-title":"J Am Med Inform Assoc"},{"issue":"1","key":"141_CR3","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1055\/s-0038-1634254","volume":"39","author":"S Yamazaki","year":"2000","unstructured":"Yamazaki S, Satomura Y: Standard method for describing an electronic patient record template: application of XML to share domain knowledge. Methods Inf Med. 2000, 39 (1): 50-5.","journal-title":"Methods Inf Med"},{"issue":"3","key":"141_CR4","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1136\/jamia.1998.0050237","volume":"5","author":"SB Henry","year":"1998","unstructured":"Henry SB, Douglas K, Galzagorry G, Lahey A, Holzemer WL: A template-based approach to support utilization of clinical practice guidelines within an electronic health record. J Am Med Inform Assoc. 1998, 5 (3): 237-44.","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR5","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1055\/s-0038-1636826","volume":"36","author":"CE Kahn Jr","year":"1997","unstructured":"Kahn CE: A generalized language for platform-independent structured reporting. Method Inform Med. 1997, 36: 163-71.","journal-title":"Method Inform Med"},{"key":"141_CR6","unstructured":"Beale T: Archetypes \u2013 An Interoperable Knowledge Methodology for Future-proof Information Systems. 2007-05-02, [http:\/\/www.deepthought.com.au\/it\/archetypes\/Output\/front.html]"},{"key":"141_CR7","unstructured":"The openEHR Foundation. 2007-05-02, [http:\/\/www.openehr.org]"},{"key":"141_CR8","unstructured":"CEN\/TC 251. 2007-05.-02, [http:\/\/www.centc251.org\/WGI\/WGIdoclist.htm]"},{"key":"141_CR9","unstructured":"ISO 11404 Language-independent datatypes. 2007-05-02, [http:\/\/isotc.iso.org\/livelink\/livelink\/fetch\/2000\/2489\/Ittf_Home\/PubliclyAvailableStandards.htm]"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-7-10.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1472-6947-7-10\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-7-10","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1472-6947-7-10.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T21:52:08Z","timestamp":1630446728000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/1472-6947-7-10"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5,2]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["141"],"URL":"https:\/\/doi.org\/10.1186\/1472-6947-7-10","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5,2]]},"assertion":[{"value":"25 August 2006","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 May 2007","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 May 2007","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"10"}}