The Computerized Medical Record in Child and Adolescent Neuropsychiatry: the Implementation Project in the Benevento Local Health Authority (ASL)

Abstract

The project of the Computerized Medical Record in Child and Adolescent Neuropsychiatry arises from the need for a digital tool that documents the entire clinical-diagnostic-care pathway of patients accessing outpatient services in public healthcare facilities. It also stems from the necessity to share clinical-health information among different professionals, often located in various sites of the specialist services, from anamnesis data to information derived from multiprofessional evaluations.

The Computerized medical record thus aims to be an essential tool supporting professional interdisciplinarity, which today represents a key prerequisite to ensure the homogeneity and continuity of care for young patients and their families.

Among the numerous advantages associated with the use of this digital tool, particular importance is given to its ability to align the evaluation procedures and diagnostic pathways with the most recent evidence-based guidelines and protocols currently in force, while generating the necessary certifications for the patient.

This article presents the experience of the implementation and development project of the Computerized Medical Record for the Unit of Child and Adolescent Neuropsychiatry – Mental Health Department – of the Benevento Local Health Authority (ASL), in collaboration with the company Equipe srl, the owner of the TaleteWeb platform. The project involved various professionals who participate in multidisciplinary team evaluations, creating dedicated sections for each profession and covering every aspect of medical management, from anamnesis collection to the definition of the final diagnosis.