Contributions to e-health developments an electronic health records

Research output: ThesisPhD Thesis


The e-health field, comprising electronic health records (EHRs) plays an important role in health care. Health care providers are becoming aware that well structured EHRs are essential preconditions for progress. This Ph. D. thesis describes the results of several studies and developments that we performed in this area over the past six years (from 2003-2008). The first part describes the certification procedures in different health care domains that have taught us that software labeling can significantly contribute to the improvement of the EHR systems. The proposed methodology of scenario testing proved to be a very efficient practice which allows testing EHR systems in a manner that conforms perfectly to the common working circumstances of the health care provider. The electronic physiotherapy registry, as described in a second part was the first step towards a structured electronic recording of patient data in physiotherapy in Belgium. We contributed to the effective transition from the paper-based registry to the electronic registry while solving the problems of inalterability and traceability of the data, taking into account the user-friendliness for the end-user. A last part of this thesis is devoted to the problem concerning the structure of the EHR for physiotherapists and its interoperability. The conceptual model we developed defines an interoperability framework between the threelevel problem oriented medical registration (POMR) EHR structure of the general practitioner and the ERH for physiotherapists, that has a cyclic eight level structure, by means of two newly created Kmehr-bis (XML) messages.
Original languageEnglish
Awarding Institution
  • Vrije Universiteit Brussel
  • Nyssen, Marc, Supervisor
  • Van Schravendijk, Christiaan, Supervisor
Place of PublicationBrussels
Publication statusPublished - 2009


  • e-heath


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