Collecting electronic health record (EHR) to support holistic spa therapy as a diagnostic procedure for advance care planning (ACP): a literature review

Abstract

Developing technology and collecting electronic information are fostering the creation of new procedures and clinical decision-support tools for therapy in rehabilitation hospitals and spa resorts. Electronic health records (EHR) does not take into account the complementarity of activities with the need for effective patient care in rehabilitation and sanatorium hospitals and spas. This paper aims to present a proposal for a complementary electronic anamnestic tool (CEAT) in a holistic approach to the patient's prevention and rehabilitation process in a rehabilitation hospital or a spa resort using EHRs that will be effective in ACP. To achieve the objective thus formulated, the literature was reviewed and thoroughly analyzed in terms of stratification and classification of the tools using EHRs. designed CEAT tool consists of a history of physical status (weight, height, waist circumference), neurological incidents, cardiovascular disorders, past treatments/surgeries, psychiatric disorders, and level of daily physical activity, supplemented by survey questionnaires selected in a literature review based on their widespread usefulness supported by scientific evidence. The questionnaires included in CEAT allow for a multifaceted assessment of the patient's health status, taking into account their physical state, functional capacity, and well-being.