the international council on medical & care compunetics


December, 2014

systems integration

Empowering citizens with access control mechanisms to their personal health resources

Calvillo J et al, International Journal of Medical Informatics, 2012

Advancements in information and communication technologies have allowed the development of new approaches to the management and use of healthcare resources. Nowadays it is possible to address complex issues such as meaningful access to distributed data or communication and understanding among heterogeneous systems. As a consequence, the discussion focuses on the administration of the whole set of resources providing knowledge about a single subject of care (SoC). New trends make the SoC administrator and responsible for all these elements (related to his/her demographic data, health, well-being, social conditions, etc.) and s/he is granted the ability of controlling access to them by third parties. The subject of care exchanges his/her passive role without any decision capacity for an active one allowing to control who accesses what.
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24 April 2012 | No Comments »
Categories: Bibliography, Journal Article, Patients, RA Research, Record Access | Keyword(s): , , , , , ,

Patient-centered care and electronic health records: it’s still about the relationship

Two of the most important developments in ambulatory practice over the past 20 years are the advent of patient and relationship-centered care (PRCC) and electronic health records (EHRs). However, there is a large gap in knowledge and practice between PRCC and EHR use. We believe the integration of PRCC with EHRs has the potential to personalize care, improve population-based care, and increase patient involvement.
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13 September 2011 | No Comments »
Categories: Bibliography, Journal Article | Keyword(s): , , , ,

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)

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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Semantic interoperability between health communication standards through formal ontologies

Oemig F, Blobel B. Medical Informatics in a United and Healthy Europe, 2009

The paper shortly analyses the HL7 communication standards for resolving the gap between them by developing a set of ontologies reflecting the concepts and relationships which is exemplified with the incompatible HL7 versions 2.x and 3.
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9 May 2010 | No Comments »
Categories: Book Article | Keyword(s): , , , ,

Ontology-driven health information systems architectures

Blobel B, Oemig F. Medical Informatics in a United and Healthy Europe, 2009

Following an architecture vision such as the Generic Component Model (GCM) architecture framework, health information systems for supporting personalized care have to be based on a component-oriented architecture. Representing concepts and their interrelations, the GCM perspectives system architecture, domains, and development process can be described by the domains’ ontologies.
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9 May 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 »
Categories: Journal Article | Keyword(s): , , , , , ,

Integrated care needs integrated information management and technology

Protti, Denis, Healthcare Quarterly, 13 Spec No

Integrated care entails that professionals from different organizations have to work together in a team-oriented way to provide high-quality care for a patient. This requires that healthcare professionals share information about–and with–patients at appropriate points in the care or treatment process.
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27 March 2010 | No Comments »
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Architectural Approaches for HL7-based Health Information Systems Implementation

López, Diego M, and Bernd Blobel, Methods of Information in Medicine, 49(2)

Information systems integration is hard, especially when semantic and business process interoperability requirements need to be met. To succeed, a unified methodology, approaching different aspects of systems architecture such as business, information, computational, engineering and technology viewpoints, has to be considered. The paper contributes with an analysis and demonstration on how the HL7 standard set can support health information systems integration.
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21 March 2010 | No Comments »
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Effect of computerized order entry with integrated decision support on the growth of outpatient procedure volumes: seven-year time series analysis

Sistrom, Christopher L. et al, Radiology, 251(1)

To determine the effect of a computerized radiology order entry (ROE) and decision support (DS) system on growth rate of outpatient computed tomography (CT), magnetic resonance (MR) imaging, and ultrasonography (US) procedure volumes over time at a large metropolitan academic medical center.
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6 May 2009 | No Comments »
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The state of regional health information organizations: current activities and financing

Adler-Milstein J et al, Health Affairs, 27(1)

Electronic clinical data exchange promises substantial financial and societal benefits, but it is unclear whether and when it will become widespread. In early 2007 we surveyed 145 regional health information organizations (RHIOs), the U.S. entities working to establish data exchange.
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20 April 2009 | No Comments »
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Vital signs in intensive care: automatic acquisition and consolidation into electronic patient records

Fonseca T et al, Journal of Medical Systems, 33(1)

The integration of computer systems into clinical practice is a consequence of the growing sophistication of medical machinery. The fact that patient management in large institutions is handled by complex information systems brings about the need for integration between applications on both sides. The paper describes a prototype for automatic data collection from intensive care devices developed at Pedro Hispano Hospital in Portugal.
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29 March 2009 | No Comments »
Categories: Journal Article | Keyword(s): , , , , ,

Lessons from the HIE Front

Goedert, Joseph, Health Data Management, 17(2)

For every health information exchange and regional health information organization, there are hard lessons being learned as the initiatives struggle to start operations and grow.
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28 January 2009 | No Comments »
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An electronic registry for physiotherapists in Belgium

Buyl, Ronald, and Marc Nyssen, eHealth Beyond the Horizon - Get IT There

This paper describes the results of the KINELECTRICS project. Since more and more clinical documents are stored and transmitted in an electronic way, the aim of this project was to design an electronic version of the registry that contains all acts of physiotherapists. The solution we present here, not only meets all legal constraints, but also enables to verify the traceability and inalterability of the generated documents, by means of SHA-256 codes.
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22 December 2008 | No Comments »
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Improving Healthcare Middleware Standards with Semantic methods and technologies

Román, Isabel et al, Medical and Care Compunetics 5, 2008

A critical issue in healthcare informatics is to facilitate the integration and interoperability of applications. This goal can be achieved through an open architecture based on a middleware independent from specific applications; useful for working with existing systems, as well as for the integration of new systems. Several standard organizations are making efforts toward this target.
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30 March 2008 | No Comments »
Categories: 2008, Book Article, Conferences | Keyword(s): , , , , , , , , , ,

An e-consent-based shared EHR system architecture for integrated healthcare networks

Bergmann, Joachim et al, International Journal of Medical Informatics, 76(2-3)

Virtual integration of distributed patient data promises advantages over a consolidated health record, but raises questions mainly about practicability and authorization concepts. Our work aims on specification and development of a virtual shared health record architecture using a patient-centred integration and authorization model.
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13 March 2007 | No Comments »
Categories: Journal Article, Patients, RA Research, Record Access | Keyword(s): , , , , , , ,

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