On the Structural and Semantic Interoperability of the Electronic Healthcare Records
نویسندگان
چکیده
Interoperable cross-border clinical data exchange is an ambitious goal with several challenges, the most prominent ones being the structural differences in the EHR standards and the different terminologies used for semantic encodings of the data elements used in the EHRs. In this article, we address the structural interoperability problem of the EHRs by adapting the UN/CEFACT Core Component Technical Specification to define a mapping among the document components of EHRs as specified through HL7 CDA R2 and CEN EN 13606-1 standards. Then in order to address the semantic interoperability, we describe how to use the HL7 Common Terminology Services (CTS) to translate the codes from different code systems. For this purpose, we give implementations of CTS functions in terms of the Web service operations of one of the prominent terminology servers, namely, UMLSKS. Finally, we describe a method to map locally developed codes to their international counterparts.
منابع مشابه
Hospital information systems interoperability in Iran
Introduction: Interoperability is needed when the Hospital Information System (HIS) data should be combined and shared with different systems. This study was aimed to determine the semantic and technical interoperability of hospital information systems of Iran’s health care centers and propose guidelines to create and develop interoperability of these centers. Methods: This descriptive st...
متن کاملAdoption of Electronic Personal Health Records in Canada: Perceptions of Stakeholders
Background Healthcare stakeholders have a great interest in the adoption and use of electronic personal health records (ePHRs) because of the potential benefits associated with them. Little is known, however, about the level of adoption of ePHRs in Canada and there is limited evidence concerning their benefits and implications for the healthcare system. This study aimed to describe the current ...
متن کاملAn Ontology for Healthcare Quality Indicators: Challenges for Semantic Interoperability
Semantic interoperability, a popular research area for electronic health records, can also be a challenge for quality indicators. We analysed attributes and relationships in a diverse set of over 200 healthcare quality indicators and created a searchable ontology. The ontology is intended to help reduce duplication of effort in healthcare quality monitoring. We describe issues with coding the i...
متن کاملکاربرد هستی شناسی های وب معنایی در نظام های اطلاع رسانی پزشکی
One of the challenges of current medical information systems which is based on keyword searching, is that it may retrieve a large amount of irrelevant information during searching. Also, these systems don't provide interoperability among healthcare systems. For interfacing these challenges, and for the purposes of more interoperability between user and machine, semantic web (web 3) has been d...
متن کاملData Quality for Semantic Interoperable Electronic Health Records
The current study considers an example of healthcare domain from a BIG DATA perspective to address the issues related to data quality. Healthcare domain frequently demands for timely semantic exchange of data residing at disparate sources. It aids in providing support for remote medical care and reliable decision making. However, an efficient semantic exchange needs to address challenges such a...
متن کاملA Narrative Review of Blockchain in Healthcare: Applications and challenges
Introduction: Healthcare as an industry has unique requirements such as patient security and privacy, interoperability, sharing, transmission, and access control of patient data. On the other hand, the advantages of blockchain technology and the compliance of these advantages with the requirements of the health industry have encouraged researchers to investigate the methods of applying blockcha...
متن کامل