the international council on medical & care compunetics


December, 2014

Semantic Interoperability in Czech Healthcare Environment Supported by HL7 Version 3

Nagy, M. et al, Methods of Information in Medicine, 49(2)

The data interchange in the Czech healthcare environment is mostly based on national standards. This paper describes a utilization of international standards and nomenclatures for building a pilot semantic interoperability platform (SIP) that would serve to exchange information among electronic health record systems (EHR-Ss) in Czech healthcare. The work was performed by the national research project of the “Information Society” program.
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21 March 2010 | No Comments »
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Semantic interoperability adheres to proper models and code systems. A detailed examination of different approaches for score systems

Oemig, Frank, and Bernd Blobel, Methods of Information in Medicine, 49(2)

Achieving semantic interoperability requires not only the use of communication standards like HL7 with its underlying models and specifications, but also to constrain those models to instances including permitted attributes, data types, values and code systems. Even the application of both strategies may lead to different modeling approaches and therefore incompatible results, however.
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21 March 2010 | No Comments »
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The Use of Standard Content Specifications in a National Health Interoperability Framework

Heard S. electronic Journal of Health Informatics, 5(1)

The openEHR community has developed a specification that has been taken up by the standards community and has this year been adopted as ISO 13606. The specification offers an engineering and semantic framework for implementing an electronic health record (EHR) service within a service-oriented architecture.
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12 March 2010 | No Comments »
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Electronic Health Records, Semantic Interoperability and Politics

Hovenga EJ, Garde S. electronic Journal of Health Informatics, 5(1)

An opinion paper exploring links between sustainable health systems, electronic health records, semantic interoperability, standards and national e-health strategies. It provides a rationale for why there needs to be a paradigm shift in thinking and explains the need for adopting a set of technical standards and establishing a supporting national infrastructure.
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12 March 2010 | No Comments »
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Putting Health Record Interoperability Standards to Work

Atalag, Koray et al, electronic Journal of Health Informatics, 5(1)

This paper provides a snapshot of the current interoperability standards landscape and investigates how different standards are adopted in different jurisdictions. The aim is to provide useful insights for decision makers by looking from a wider angle to include political, social and business drivers rather than taking a purely technical approach. Semantic interoperability, which is a major bottleneck to achieving eHealth systemic interoperability, is dependent on terminology, content and messaging standards. In particular, the architectural aspects of content and messaging standards seem to be critical and currently the subject of many heated debates. A considerable amount of effort into international harmonisation is underway and evidence shows that it may be possible to use different standards and yet still be able to accomplish semantic interoperability.
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12 March 2010 | No Comments »
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Biomedical informatics and translational medicine

Sarkar I. Journal of Translational Medicine, 8(1)

Biomedical informatics involves a core set of methodologies that can provide a foundation for crossing the “translational barriers” associated with translational medicine. To this end, the fundamental aspects of biomedical informatics (e.g., bioinformatics, imaging informatics, clinical informatics, and public health informatics) may be essential in helping improve the ability to bring basic research findings to the bedside, evaluate the efficacy of interventions across communities, and enable the assessment of the eventual impact of translational medicine innovations on health policies.
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26 February 2010 | No Comments »
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Meaningful use of pharmacogenomics in health records: semantics should be made explicit

Shabo Shvo, Amnon, Pharmacogenomics, 11(1)

The recent emphasis on ‘meaningful use’ of electronic health records in health information technology reforms (e.g., as in the US stimulus package) can leverage the pharmacogenomics field. In order for clinical trials outcomes, based on pharmacogenomics research, to be meaningfully and effectively used in clinical practice there is a need to make health semantics explicit. Often, semantics is merely implicit in both the research and practice worlds and is buried in unstructured and disconnected descriptions of the data or just in the heads of human experts.
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20 December 2009 | No Comments »
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Information and Communications Technology in U.S. Health Care: Why Is Adoption So Slow and Is Slower Better?

Christensen, Michael C., and Dahlia Remler, Journal of Health Politics, Policy and Law, 34(6)

Politicians across the political spectrum support greater investment in health care information and communications technology (ICT) and expect it to significantly decrease costs and improve health outcomes. We address three policy questions about adoption of ICT in health care: First, why is there so little adoption? Second, what policies will facilitate and accelerate adoption? Third, what is the best pace for adoption? We first describe the unusual economics of ICT, particularly network externalities, and then determine how those economics interact with and are exacerbated by the unusual economics of health care.
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17 December 2009 | No Comments »
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Local EHR Management Based on openEHR and EN13606

Păun I et al, Journal of Medical Systems, 35(4)

This article describes handling medical data in a healthcare system based on electronic healthcare records. At a medical unit level, data storage requires both accurate collecting and high security.
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22 November 2009 | No Comments »
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Standard-Based Homecare Challenge

Martínez-Espronceda M et al, Handbook of Digital Homecare, 2009

Advances in Information and Communication Technologies, ICT, are bringing new opportunities in the field of interoperable and standard-based systems oriented to ubiquitous environments and wearable devices used for digital homecare patient telemonitoring. It is hoped that these advances are able to increase the quality and the efficiency of the care services provided. Likewise they should facilitate a home monitoring of chronic, elderly, under palliative care or have undergone surgery, leaving beds in the Hospital for patients in a more critical condition. In any case telemonitored patients could continue to live in their own homes with the subsequent advantages as more favorable environment, less need for trips to the hospital, etc.
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5 October 2009 | No Comments »
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Standards for Digital Homecare

Meijer, Wouter J., Handbook of Digital Homecare, 2009

This chapter discusses requirements for digital homecare that are dictated by current international standards. The standards relate to services and devices.
For digital homecare services, standardsconcern quality assurance (quality management system and indicators), information management (quality of data and information), supporting systems (calibration, instruction and system integration) and organization. For organizing, the start is to define the needs of clients in terms of health and quality of life: independence, self-reliance, participation and self-determination. Next, processes must be described that lead to these goals.
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5 October 2009 | No Comments »
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Health care process and workflow in continuity of care

Mennerat, François et al, Medical Informatics in a United and Healthy Europe, 2009

Basically, the workshop aims to raise and collect input to Part 2 (”Health care process and workflow”), currently under development, of the European standard EN 13940 “Health informatics – System of concepts to support continuity of care”, the general objective of which is to enable communication at the semantic level between information systems in health care in the perspective of continuity of care. Its scope encompasses identifying the various processes and process objects involved, taking into consideration resource management aspects, responsibilities of health care providers, and means for patients’ participation.
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15 September 2009 | No Comments »
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The role of ontologies for sustainable, semantically interoperable and trustworthy EHR solutions

Blobel, Bernd et al, Medical Informatics in a United and Healthy Europe, 2009

As health systems around the world turn towards highly distributed, specialized and cooperative structures to increase quality and safety of care as well as efficiency and efficacy of delivery processes, there is a growing need for supporting communication and collaboration of all parties involved with advanced ICT solutions. The Electronic Health Record (EHR) provides the information platform which is maturing towards the eHealth core application. To meet the requirements for sustainable, semantically interoperable, and trustworthy EHR solutions, different standards and different national strategies have been established.
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12 September 2009 | No Comments »
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Health Level 7 Development Framework for Medication Administration

Kim, Hwa Sun, and Hune Cho, Computers, Informatics, Nursing, 27(5)

We propose the creation of a standard data model for medication administration activities through the development of a clinical document architecture using the Health Level 7 Development Framework process based on an object-oriented analysis and the development method of Health Level 7 Version 3. Medication administration is the most common activity performed by clinical professionals in healthcare settings. A standardized information model and structured hospital information system are necessary to achieve evidence-based clinical activities.
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3 September 2009 | No Comments »
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Medical Informatics in a United and Healthy Europe

Adlassnig, Klaus-Peter et al (eds), MIE2009, 2009

This volume contains the proceedings of the Twenty-second International Conference on Medical Informatics Europe MIE 2009, that was held in Sarajevo, Bosnia and Herzegovina, from 30 August to 2 September 2009. The scientific topics present in this proceedings range from national and trans-national eHealth roadmaps, health information and electronic health record systems, systems interoperability and communication standards, medical terminology and ontology approaches, and social networks to Web, Web 2.0, and Semantic Web solutions for patients, health personnel, and researchers. Furthermore, they include quality assurance and usability of medical informatics systems, specific disease management and telemedicine systems, including a section on devices and sensors, drug safety, clinical decision support and medical expert systems, clinical practice guidelines and protocols, as well as issues on privacy and security. Moreover, bioinformatics, biomedical modeling and simulation, medical imaging and visualization and, last but not least, learning and education through medical informatics systems are parts of the included topics.

3 September 2009 | Comments Off
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An Ontology Architecture for HL7 V3: Pitfalls and Outcomes

Oemig F, Blobel B. IFMBE Proceedings 2009, 25/12

Different communication standards in healthcare – esp. HL7 version 2.x [1] and v3 [2] – lack inter- and intra-family compatibility. This paper shortly analyses the underlying structures of the V3 communication standard in order to create an HL7 V3 ontology which can be used for different purposes like an ontology-based bridging between different communication standards.
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20 July 2009 | No Comments »
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Reliable and Robust Transmission and Storage Techniques for Medical Images with Patient Information

Nergui, Myagmarbayar et al, Journal of Medical Systems, OnlineFirst

There is an increased emphasis on the use of digital techniques in all aspects of human life today. Broadcast radio and television, cellular phone services, consumer and entertainment electronics etc are increasingly using digital signal processing techniques to improve the quality of service. Transmission and storage of documentation and images pertaining to patient records cannot remain an exception to this global trend.
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8 July 2009 | No Comments »
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Advances in Information Technology and Communication in Health

McDaniel, James G. (ed), ITCH 2009, 2009

The topics of Advances in Information Technology and Communication in Health, the proceedings of ITCH 2009, include telemedicine and telehealth, electronic health records, software assurance and usability, terminology, classification and standards, software selection and evaluation, research and development initiatives, service administration, management and self-management, nation-wide Canadian initiatives, ethics, policy and government, decision support, artificial intelligence and modeling, software design and development, educational initiatives and professional development and technology adoption and evaluation.

In March 1986, a Canadian colloquium with an international flavor was convened to discuss the impact of information technology on community health. It was sponsored by the School of Health Information Science at the University of Victoria and the British Columbia Ministry of Health. This small, successful gathering was the predecessor of the Information Technology in Community Health (ITCH) conferences that followed in 1987, 1988, 1990, 1992, 1994, 1996, 1998 and 2000.

In 2007, after a brief hiatus, the conference was held again, but this time it had expanded its scope. It was known as Information Technology and Communications in Health (ITCH) 2007; with the same acronym but with a different meaning as demanded by its international appeal and wider choice of subject areas. The conference in 2007 was an unmatched success and for the conference of 2009, an even more eventful convention is expected, which encourages experts to demonstrate and share their experiences and knowledge. The theme for the ITCH 2009 conference is ‘Revolutionizing Health Care with Informatics: From Research to Practice’.

7 July 2009 | No Comments »
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Improving primary care for patients with complex chronic diseases: Can health information technology play a role?

Grant, Richard W., and Blackford Middleton, CMAJ, 181 (1-2)

The primary care of patients with type 2 diabetes mellitus remains suboptimal despite the availability of potent medications and clear evidence-based guidelines. With its increasing prevalence, its substantial economic burden and impact on health, and an extensive list of measurable health care parameters, type 2 diabetes has understandably become a focus of many quality-improvement efforts.
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7 July 2009 | No Comments »
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Integration of IEEE 1451 and HL7 Exchanging Information for Patients’ Sensor Data

Kim, Wooshik et al, Journal of Medical Systems, online first

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.
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19 June 2009 | No Comments »
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