Susannah Mclean, Paul Miller, Alistair Ewing, Juliet Anne Spiller, Lynsey Fielden
{"title":"新的开放式电子病历技术和临床协作是改善患者护理和真正互操作性的重要步骤：苏格兰首个数字ReSPECT紧急护理计划。","authors":"Susannah Mclean, Paul Miller, Alistair Ewing, Juliet Anne Spiller, Lynsey Fielden","doi":"10.1136/bmjhci-2025-101435","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To deploy a digital application of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) across health boards (HBs).</p><p><strong>Methods: </strong>Clinicians, patients and other regional stakeholders collaborated with the Scottish National Technology Service (NTS) defining requirements. Development was agile with user feedback.</p><p><strong>Results: </strong>The ReSPECT web application developed on Scotland's National Digital Platform used an openEHR Clinical Data Repository. Plans can be viewed and edited across settings. Deployed in 2020, by July 2025, 8 of 14 HBs were onboarded and >5500 patients had digital ReSPECT plans.</p><p><strong>Discussion: </strong>openEHR structures clinical data in a modular way, enabling other applications to use the same data layer. Close collaboration between technicians and users fulfilled the application's requirements and solved problems together.</p><p><strong>Conclusions: </strong>Collaboration on the digital ReSPECT accelerated deployment, enabling more people's wishes and clinical recommendations to be captured and shared across care settings and transitions. openEHR technology enables new data uses.</p>","PeriodicalId":9050,"journal":{"name":"BMJ Health & Care Informatics","volume":"32 1","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439144/pdf/","citationCount":"0","resultStr":"{\"title\":\"New openEHR technology and clinical collaboration in vital steps toward improved patient care and true interoperability: Scotland's first digital ReSPECT emergency care plan.\",\"authors\":\"Susannah Mclean, Paul Miller, Alistair Ewing, Juliet Anne Spiller, Lynsey Fielden\",\"doi\":\"10.1136/bmjhci-2025-101435\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To deploy a digital application of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) across health boards (HBs).</p><p><strong>Methods: </strong>Clinicians, patients and other regional stakeholders collaborated with the Scottish National Technology Service (NTS) defining requirements. Development was agile with user feedback.</p><p><strong>Results: </strong>The ReSPECT web application developed on Scotland's National Digital Platform used an openEHR Clinical Data Repository. Plans can be viewed and edited across settings. Deployed in 2020, by July 2025, 8 of 14 HBs were onboarded and >5500 patients had digital ReSPECT plans.</p><p><strong>Discussion: </strong>openEHR structures clinical data in a modular way, enabling other applications to use the same data layer. Close collaboration between technicians and users fulfilled the application's requirements and solved problems together.</p><p><strong>Conclusions: </strong>Collaboration on the digital ReSPECT accelerated deployment, enabling more people's wishes and clinical recommendations to be captured and shared across care settings and transitions. openEHR technology enables new data uses.</p>\",\"PeriodicalId\":9050,\"journal\":{\"name\":\"BMJ Health & Care Informatics\",\"volume\":\"32 1\",\"pages\":\"\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439144/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Health & Care Informatics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bmjhci-2025-101435\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Health & Care Informatics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmjhci-2025-101435","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
New openEHR technology and clinical collaboration in vital steps toward improved patient care and true interoperability: Scotland's first digital ReSPECT emergency care plan.
Objective: To deploy a digital application of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) across health boards (HBs).
Methods: Clinicians, patients and other regional stakeholders collaborated with the Scottish National Technology Service (NTS) defining requirements. Development was agile with user feedback.
Results: The ReSPECT web application developed on Scotland's National Digital Platform used an openEHR Clinical Data Repository. Plans can be viewed and edited across settings. Deployed in 2020, by July 2025, 8 of 14 HBs were onboarded and >5500 patients had digital ReSPECT plans.
Discussion: openEHR structures clinical data in a modular way, enabling other applications to use the same data layer. Close collaboration between technicians and users fulfilled the application's requirements and solved problems together.
Conclusions: Collaboration on the digital ReSPECT accelerated deployment, enabling more people's wishes and clinical recommendations to be captured and shared across care settings and transitions. openEHR technology enables new data uses.
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