International Medical Informatics Association (IMIA) Primary Health Care Informatics Working Group (PHCI WG)

For further details about the Working Group – please contact the Chair:  Simon de Lusignan This e-mail address is being protected from spambots. You need JavaScript enabled to view it This e-mail address is being protected from spambots. You need JavaScript enabled to view it

IMIA working group pages: 


Professor Simon de Lusignan

Clinical Informatics and Health Outcomes Research Group 

Chair and Head of Department of Health Care Management and Policy

University of Surrey, GUILDFORD, GU2 7XH, UK

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it


Professor Siaw-Teng Liaw

School of Public Health & Community Medicine

University of New South Wales


Email:   This e-mail address is being protected from spambots. You need JavaScript enabled to view it

This e-mail address is being protected from spambots. You need JavaScript enabled to view it Goal: 

To establish and sustain a “community of practice” to promote and develop primary health care informatics as a specialism within health informatics.[1]


Patients and follow link discount viagra onlilne citizens will achieve better health status through the implementation of informatics in primary care.  This improvement may be through improving their direct care as well as through enabling population level data to better inform public health as well as more efficiently and effectively answer ethically approved research questions. 


To promote the

  1. development and evaluation of methods to model and implement research studies based on routinely collected computerised medical record (CMR) data;
  2. development of ontological approaches to case finding, interventions and outcome measures  in routinely collected CMR data and repositories of data from multiple CMRs (i.e. working with real world evidence);
  3. use of IT at the point of care – in the primary care clinical consultation; and
  4. development of models for the assessment and management of multimorbidity and 50 mg viagra polypharmacy.
  5.  disseminate best practice through workshops and publications through the IMIA Yearbook and Journal of Innovation in Health Care.

Planned activities of the Primary Health Care Informatics Working Group:

(1) Conduct a workshop pre-Medinfo in Brazil

(2) Develop the working groups publications in Journal of Innovation in Health Informatics.

(3) Continue our annual submission to the Yearbook.  This year’s submission is about the impact of informatics in patient-centred, coordinated, quality assured care.

Past Activities of the Primary Health Care Informatics Working Group: 

Yearbook of Medical Informatics 2015:

We conducted a Delphi study on the theme “Does informatics enable or inhibit the delivery of patient-centred, coordinated, and quality-assured care”. The objective of the study was to achieve consensus about the role of informatics in patient-centred care. The three-round consensus building exercise involved panel of general practitioners and informatics academics who were members of the working group.

Yearbook of Medical Informatics 2014:

We reviewed the literature on the use of big data to improve health, applied to generic vaccine use cases, that illustrate benefits and risks of vaccination.  We used flu vaccination and pre-school childhood immunisation as exemplars.

MIE2014- Village of the Future 

Yearbook of Medical Informatics 2013:

We further developed our interest in complex datasets by conducting a literature review of how ontologies and sematic integration methodologies might support improved chronic disease management.  Despite their potential there is a scant evidence base for their implementation.  More research is urgently required in this area.[3] 

 MEDINFO 2013 – Denmark:

 For the 14th World Congress on Medical and click here Health Informatics which took place in Copenhagen we conducted a survey among European members about patient online access to records.  Across Europe, there is willingness, but a lack of uptake.[2]

 Yearbook of Medical Informatics 2012:

The working group had a paper accepted on how to conduct requirements analyses for studies using routine data.[4]  This builds on the modelling work within the working group.  With more and more research being carried out using routine data, research protocols need to be developed to reflect this need.  

We suggest how generic reference models for research projects should be developed at four levels and become a standard part of standard research protocols:

–  Rich pictures[5] /schema that provide an overview

–  Data flow diagrams (DFD) to document where data used in a research project originate and to describe the data flows during a research project

–  Unified Modelling Language (UML) use-case diagrams to capture the processes within a research project

–  Business process models modelled using business process modelling notation (BPMN) to capture the barriers to project participation. 

Yearbook of Medical Informatics 2011:

We have achieved two publications in the IMIA Yearbook developed from our MEDFINFO workshops.  We hope that these will help standardise the way that we report observational studies of the computer in the consultation[6] and help model the barriers to linking routine data in research[7] 

MEDINFO 2010 – South Africa

The working group put on two workshops at this event – one on the use of the computer in the consultation and the second on the barriers to using routine data for international research (  The outputs from this informed our submission to the IMIA Yearbook of Medical Informatics, see above. 

Journal: Journal of Innovation in Health Informatics:

Journal of Innovation in Health Informatics (previously known as Informatics in Primary Care) remains the journal of choice for the working group.  Due to the generosity of the British Computer Society the Journal is free-full-text on-line and free-to-publish.  Your working group chair is Editor-in-Chief and Co-chair is a Section Editor.  Working group members are encouraged to submit research papers and look there to register as reviewers.

Simon de Lusignan



[1] de Lusignan S. What is primary care informatics? J Am Med Inform Assoc. 2003;10(4):304-9

[2] de Lusignan S, Ross P, Shifrin M, Hercigonja-Szekeres M, Seroussi B. A comparison of approaches to providing patients access to summary care records across old and new europe: an exploration of facilitators and barriers to implementation. Stud Health Technol Inform. 2013;192:397-401.

[3] Liyanage H, Liaw ST, Kuziemsky C, Terry AL, Jones S, Soler JK, de Lusignan S.  The Evidence-base for Using Ontologies and Semantic Integration Methodologies to  Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG.

Yearb Med Inform. 2013;8(1):147-54.

[4] de Lusignan S, Krause P, Michalakidis G, Vicente MT, Thompson S, McGilchrist M, Sullivan F, van Royen P, Agreus L, Desombre T, Taweel A, Delaney B. Business Process Modelling is an Essential Part of a Requirements Analysis. Contribution of EFMI Primary Care Working Group. Yearb Med Inform. 2012;7(1):34-43.

[5] Checkland, Peter B. and Scholes, J. Soft Systems Methodology in Action, John Wiley & Sons Ltd. 1990. ISBN 0-471-92768-6

[6] de Lusignan S, Pearce C, Kumarapeli P, Stavropoulou C, Kushniruk A, Sheikh A, Shachak A, Mendis K.  Reporting Observational Studies of the Use of Information Technology in the Clinical Consultation

A Position Statement from the International Medical Informatics Association Primary Care Informatics Working Group (IMIA PCI WG). Yearb Med Inform. 2011;6(1):39-47.

[7] de Lusignan S, Liaw S-T, Krause P, Curcin V, Vicente M, Michalakidis G, Argreus L, Leysen P, Mendis K.  Key concepts to assess the readiness of data for International research:  Data quality, lineage and provenance, extraction and processing errors, traceability, and curation. Yearb Med Inform. 2011;6(1):112-20.