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24
July, 2014
Thursday

Development of a draft pan-canadian primary health care electronic medical record content standard

Sullivan-Taylor P et al, International Perspectives in Health Informatics, 2011

In collaboration with a broad range of stakeholders, the Canadian Institute for Health Information (CIHI) led the development of the draft pan-Canadian primary health care (PHC) electronic medical record (EMR) content standard to be used in EMR applications across the country to support PHC data capture and information use and improved health system management. To achieve this goal, CIHI initiated the following activities: stakeholder engagement, information requirements gathering and adoption and implementation promotion of the common content standard for wide-spread use. The resulting pan-Canadian standardized data set will allow consistent data capture that will improve understanding and ability to report on PHC utilization and access, chronic disease prevention and management, health promotion, medication usage, patient safety, quality of care including patient safety and outcomes.
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25 February 2011 | No Comments »
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Functionalities of free and open electronic health record systems

Flores Zuniga AE et al, International Journal of Technology Assessment in Health Care, 26(4)

Objectives:
The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.

Methods:
ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.
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21 February 2011 | No Comments »
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Designing infrastructure to exchange Electronic Medical Records with web services

Gaynor M et al, International Journal of Biomedical Engineering and Technology, 3(3/4)

This paper discusses how to share medical information between heterogeneous applications via web services. Our design theory is based on a real-options framework, performance analysis and experience building iRevive, a working web-services-enabled pre-hospital documentation application.
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3 January 2011 | No Comments »
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Electronic Health Record Interoperability as Realized in the Turkish Health Information System

Dogac A et al, Methods of Information in Medicine, 50(1)

Objectives:
The objective of this paper is to describe the techniques used in developing the National Health Information System of Turkey (NHIS-T), a nation-wide infrastructure for sharing electronic health records (EHRs).

Methods:
The UN/CEFACT Core Components Technical Specification (CCTS) methodology was applied to design the logical EHR structure and to increase the reuse of common information blocks in EHRs.
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9 December 2010 | No Comments »
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Approaching semantic interoperability in Health Level Seven

Dolin RH, Alschuler L. J Am Med Inform Assoc, 2010

‘Semantic Interoperability’ is a driving objective behind many of Health Level Seven’s standards. The objective in this paper is to take a step back, and consider what semantic interoperability means, assess whether or not it has been achieved, and, if not, determine what concrete next steps can be taken to get closer. A framework for measuring semantic interoperability is proposed, using a technique called the ‘Single Logical Information Model’ framework, which relies on an operational definition of semantic interoperability and an understanding that interoperability improves incrementally.
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26 November 2010 | No Comments »
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Modeling shared care plans using CONTsys and openEHR to support shared homecare of the elderly

Hägglund M et al, J Am Med Inform Assoc, 2010

This case report describes how two complementary standards, CONTsys (European Standard EN 13940-1 for continuity of care) and the reference model of openEHR, were applied in modeling a shared care plan for shared homecare based on requirements from the OLD@HOME project. Our study shows that these requirements are matched by CONTsys on a general level. However, certain attributes are not explicit in CONTsys, for example agents responsible for performing planned interventions, and support for monitoring outcome of interventions.
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26 November 2010 | No Comments »
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Seamless Integration of ISO/IEEE11073 Personal Health Devices and ISO/EN13606 Electronic Health Records into an End-to-End Interoperable Solution

Ruiz IM et al, Telemedicine and e-Health, 16(10)

The new paradigm of personal health demands open standards and middleware components that permit transparent integration and end-to-end interoperability from new personal health devices to healthcare information system. The use of standards seems to be the internationally accepted way to face this challenge. In this article, the implementation of an end-to-end standard-based personal health solution is presented.
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22 November 2010 | No Comments »
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Integration of IEEE 1451 and HL7 Exchanging Information for Patients’ Sensor Data

Kim W et al, Journal of Medical Systems, 34(6)

HL7 (Health Level 7) is a standard developed for exchanging incompatible healthcare information generated from programs or devices among heterogenous medical information systems. At present, HL7 is growing as a global standard. However, the HL7 standard does not support effective methods for treating data from various medical sensors, especially from mobile sensors. As ubiquitous systems are growing, HL7 must communicate with various medical transducers.
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25 October 2010 | No Comments »
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Some views about SNOMED-CT by a General Practitioner

SNOMED- CT is is a concept-oriented and machine-readable medical terminology which has gained popularity this last ten years. It has been proposed as the reference terminology for use in electronic medical records and is supposed to cover the entire field needed to care and cure.
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30 July 2010 | No Comments »
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Achieving “Meaningful Use” of Electronic Health Records Through the Integration of the Nursing Management Minimum Data Set

Westra BL et al, The Journal of Nursing Administration, 40(7/8)

OBJECTIVE:
To update the definitions and measures for the Nursing Management Minimum Data Set (NMMDS).

BACKGROUND:
Meaningful use of electronic health records includes reuse of the data for quality improvement. Nursing management data are essential to explain variances in outcomes. The NMMDS is a research-based minimum set of essential standardized management data useful to support nursing management and administrative decisions for quality improvement.
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29 July 2010 | No Comments »
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Design and implementation of a standards-based interoperable clinical decision support architecture in the context of the Korean EHR

Cho I et al, International Journal of Medical Informatics, 79(2)

Background
In 2000 the Korean government initiated efforts to secure healthcare accessibility and efficiency anytime and anywhere via the nationwide healthcare information system by the end of 2010. According to the master plan, electronic health record (EHR) research and development projects were designed in 2005. One subproject was the design and implementation of standards-based interoperable clinical decision support (CDS) capabilities in the context of the EHR system.
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11 July 2010 | No Comments »
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A Communication Standards Ontology Using Basic Formal Ontologies

Oemig F. Bernd B, Medical and Care Compunetics 6, 2010

Working interoperability not only requires harmonized system’s architectures, but also the same interpretation of technical specifications in order to guide the development process.
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20 June 2010 | No Comments »
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What is missing in health informatics standardization for pHealth?

Blobel B et al, Medical and Care Compunetics 6, 2010

Health systems turn everywhere, but with different speed, from organization-centered to personalized eHealth or pHealth, i.e. ubiquitous care delivery independent of time and location of the resources involved. As interoperability is an important issue in such distributed, fully integrated, intelligent and individualized environment, pHealth solutions have to comply with advanced architectural solutions based on international standards. Representing concepts and their interrelations, such architectural framework perspectives’ system architecture, domains, and development process can be described by the domains’ ontologies.
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17 June 2010 | No Comments »
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Quality Evaluation of Health Information System’s Architectures Developed Using the HIS-DF Methodology

López DM et al, Medical and Care Compunetics 6, 2010

Requirement analysis, design, implementation, evaluation, use, and maintenance of semantically interoperable Health Information Systems (HIS) have to be based on eHealth standards. HIS-DF is a comprehensive approach for HIS architectural development based on standard information models and vocabulary. The empirical validity of HIS-DF has not been demonstrated so far.
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17 June 2010 | No Comments »
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Extraction of standardized archetyped data from Electronic Health Record systems based on the Entity-Attribute-Value Model

Duftschmid G et al, International Journal of Medical Informatics, 2010

Objective
The ISO/EN 13606 Electronic Health Record architecture standard permits semantically interoperable exchange of Electronic Health Record data by using archetypes to define the structure and semantics of Electronic Health Record contents. Practical implementations of the ISO/EN 13606 standard have been scarcely reported on, and none of the publications describes in detail an efficient technique of archetype-compliant data extraction from an Electronic Health Record system. We address this research issue in the present report, and focus on a specific class of largely research-oriented Electronic Health Record systems which are internally based on the Entity-Attribute-Value Model.
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13 June 2010 | No Comments »
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Integration proposal through standard-based design of an end-to-end platform for p-Health environments

Martínez I. et al, Conf Proc IEEE Eng Med Biol Soc, 2009

Interoperability among medical devices and compute engines in the personal environment of the patient, and with healthcare information systems in the remote monitoring and management process is a key need that requires developments supported on standard-based design. Even though there have been some international initiatives to combine different standards, the vision of an entire end-to-end standard-based system is the next challenge. This paper presents the implementation guidelines of a ubiquitous platform for Personal Health (p-Health).
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11 April 2010 | No Comments »
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The Impact of Web 2.0 on the Doctor-Patient Relationship

Lo B, Parham L. The Journal of Law, Medicine & Ethics, 38(1)

Web 2.0 innovations may enhance informed patient decision-making, but also raise ethical concerns about inaccurate or misleading information, damage to the doctor-patient relationship, privacy and confidentiality, and health disparities.
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3 April 2010 | No Comments »
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[Information systems in health and health indicators: an integrating perspective]

Canela-Soler, Jaume et al, Medicina Clínica, 134 Suppl 1

Health Information Systems (HIS) are the core support to decision-making in health organizations. Within HIS, health indicators (HI) reflect, numerically, events measured in the health-illness continuum. The integrated health information system is intended to standardize, integrate and organize all the information available in health information systems through an accessible and secure repository, and to conveniently distribute information for decision-making. To standardize information it is necessary to define standards and semantic information to enable us to identify concepts and relate them uniquely to each other.
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2 April 2010 | No Comments »
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[Standards for interoperability: new challenges]

Gallego-Pérez, Carlos et al, Medicina Clínica, 134 Suppl 1

Strategies for implementation of information systems have mainly focused on the implementation of different models of electronic medical records systems and solutions for specific departments. The next step is to make these systems share and exchange information and assistance that generate accessible citizens. For it, must be structured in a coherent and give a semantic content to allow interoperability between systems.
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2 April 2010 | No Comments »
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[Shared electronic health record in catalonia, Spain]

Under the law adopted by its Parliament, the Government of Catalonia has developed an electronic medical record system for its National Health System (NHS). The model is governed by the following principles: 1) The citizen as owner of the data: direct access to his data and right to exercise his opposition’s privileges; 2) Generate confidence in the system: security and confidentiality strength; 3) Shared model of information management: publishing system and access to organized and structured information, keeping in mind that the NHS of Catalonia is formally an “Integrated system of healthcare public use” (catalan acronym: SISCAT) with a wide variety of legal structures within its healthcare institutions; 4) Use of communication standards and catalogs as a need for technological and functional integration. In summary: single system of medical records shared between different actors, using interoperability tools and whose development is according to the legislation applicable in Catalonia and within its healthcare system.
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2 April 2010 | No Comments »
Categories: Journal Article, Patients, RA Research, Record Access | Keyword(s): , , , , , , ,

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