The Health Level 7 (HL7) Reference Information Model (RIM) was once incepted as an object oriented information model to harmonize the definition of HL7 messages across different application domains. On the heels of the hugely successful HL7 version 2, version 3 and the RIM has received significant attention and credit and in turn is increasingly subjected to criticism. In this paper the authors...

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 Tec...

This paper proposes a semi-automatic approach to extract information stored in a HL7 Clinical Document Architecture (CDA) and transform them to be loaded in a Data Warehouse for secondary purposes. It represents a suitable solution to facilitate the design and implementation of Extract, Transform and Load (ETL) tools that are considered the most time-consuming step of the data warehouse develop...

Clinical documents contain statements and facts about patients under treatment. They help to coordinate care and transmit knowledge among the clinicians contributing to patient care. However, studies show that documentation of important clinical information is generally poor and miscommunication is a leading cause of adverse events. The discharge summary is a formal message between the hospital...

A major portion of patient care planning occurs during the process of writing orders. Computerized order entry can present collections of predefined orders to the user during the ordering process. These order sets are useful for promoting standards of care, and provide one element of structured clinical knowledge to be used by Computerized Provider Order Entry (CPOE) systems at the point of car...

INTRODUCTION Secure exchange of clinical data among providers has the potential to improve quality, safety, efficiency, and reduce duplication. Many communities are experiencing challenges in building effective health information exchanges (HIEs). Previous studies have focused on financial and technical issues regarding HIE development. This paper describes the Western New York (WNY) HIE growth...

There is overlap in a wide range of activities to support both public health and clinical care. Examples include immunization registries (IR), newborn screening (NBS), disease reporting, lead screening programs, and more. Health information exchanges create an opportunity to share data between the clinical and public health environments, providing decision support to clinicians and surveillance...

OBJECTIVES The objectives of this research were to develop and evaluate a cell phone application based on the standard protocol for personal health devices and the standard information model for personal health records to support effective blood glucose management and standardized service for patients with diabetes. METHODS An application was developed for Android 4.0.3. In addition, an IEEE ...

This article describes the architecture of a framework for integrating medical information using Health Level Seven and FHIR. An iterative programming methodology was followed along with incremental approach. The following steps have been done in order: exchange format type is established, terminologies, code systems value sets, to be used are mappings that will set RESTful API over HTTP, gathe...

INTRODUCTION Patient bill of rights (PBR) calls for equal rights to access health services for all patients. It makes a foundation for preserving good relationships between patients, doctors and other healthcare staffs. Third Edition of national PBR was published in Iran in 2009. On the other hand, developing national wide Electronic Health Records (EHR) is now one of the strategic goals of Ira...