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Appl Clin Inform 2017; 08(01): 108-121
DOI: 10.4338/ACI-2016-08-RA-0139
Research Article
Schattauer GmbH

Leveraging the Value of Human Relationships to Improve Health Outcomes

Lessons learned from the OpenMRS Electronic Health Record System
Suranga N. Kasthurirathne
1  Indiana University School of Informatics and Computing, Indianapolis, IN
,
Burke W. Mamlin
2  Indiana University School of Medicine, Indianapolis, IN
3  Regenstrief Institute, Center For Biomedical Informatics, Indianapolis, IN
,
Theresa Cullen
2  Indiana University School of Medicine, Indianapolis, IN
3  Regenstrief Institute, Center For Biomedical Informatics, Indianapolis, IN
› Author Affiliations
Further Information

Publication History

Received: 15 August 2016

Accepted: 30 February 2016

Publication Date:
20 December 2017 (online)

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Summary

Objectives: Despite significant awareness on the value of leveraging patient relationships across the healthcare continuum, there is no research on the potential of using Electronic Health Record (EHR) systems to store structured patient relationship data, or its impact on enabling better health-care. We sought to identify which EHR systems supported effective patient relationship data collection, and for systems that do, what types of relationship data is collected, how this data is used, and the perceived value of doing so.

Materials and methods: We performed a literature search to identify EHR systems that supported patient relationship data collection. Based on our results, we defined attributes of an effective patient relationship model. The Open Medical Record System (OpenMRS), an open source medical record platform for underserved settings met our eligibility criteria for effective patient relationship collection. We performed a survey to understand how the OpenMRS patient relationship model was used, and how it brought value to implementers.

Results: The OpenMRS patient relationship model has won widespread adoption across many implementations and is perceived to be valuable in enabling better health care delivery. Patient relationship information is widely used for community health programs and enabling chronic care. Additionally, many OpenMRS implementers were using this feature to collect custom relationship types for implementation specific needs.

Conclusions: We believe that flexible patient relationship data collection is critical for better healthcare, and can inform community care and chronic care initiatives across the world. Additionally, patient relationship data could also be leveraged for many other initiatives such as patient centric care and in the field of precision medicine.

Keywords

Electronic health records and systems - patient-centered care - family relations - parent-child relations - professional-family relations - chronic disease - care coordination