Newborn screening (NBS) is a complex process that has high-stakes health implications and requires rapid and effective communication between many people and organizations. Currently, each NBS laboratory has its own method of reporting results to state programs, hospitals and individual providers, with wide variation in content and format. Pediatric care providers receive reports by mail, email,...

One of the main challenges of achieving interoperability using the HL7 V3 healthcare standard is the lack of clear definition and supporting tools for modeling, testing, and conformance checking. Currently, the knowledge defining the modeling is scattered around in MIF schemas, tools and specifications or simply with the domain experts. Modeling core HL7 concepts, constraints, and semantic rela...

BACKGROUND The Health Quality Measures Format (HQMF) is a Health Level 7 (HL7) standard for expressing computable Clinical Quality Measures (CQMs). Creating tools to process HQMF queries in clinical databases will become increasingly important as the United States moves forward with its Health Information Technology Strategic Plan to Stages 2 and 3 of the Meaningful Use incentive program (MU2 a...

Aligning and synchronizing data from disparate medical devices can be an impediment to interoperability with electronic medical record systems (EMR). While some medical devices support open standards-based data communication, like Health Level Seven (HL7), many medical devices still do not. Even when medical devices support open standards, terminology and units of measurement may not be consist...

BACKGROUND Due to the challenges faced by health and social care systems, in particular those related to actual demographic trends, home care emerges as a potentially cost-effective solution to answer the needs of citizens, and to allow the reallocation of resources to alternatives to hospitalization or institutionalization. OBJECTIVE Home care services require cooperation between different a...

This thesis was one of the deliverables of StandIN. The purpose of StandIN was to propose a common framework including standards for technical interoperability. The goal of this thesis was to structure and analyze information about the knowledgeand adoption level of the standards among providers of healthcare information systems (HIS’s). Moreover, it aimed to evaluate different aspect that migh...

OBJECTIVES Several standards applied to the healthcare domain support semantic interoperability. These standards are far from being completely adopted in health information system development, however. The objective of this paper is to provide a method and suggest the necessary tooling for reusing standard health information models, by that way supporting the development of semantically interop...

RAPID3 (routine assessment of patient index data) is an index found within a multi-dimensional health assessment questionnaire (MDHAQ) for routine clinical care, composed only of 3 self-report scores for physical function, pain, and patient global estimate, each scored 0-10, for a total of 0-30. RAPID3 is correlated significantly with DAS28 (Disease Activity Score) and CDAI (Clinical Disease Ac...

Healthcare information is composed of many types of varying and heterogeneous data. Semantic interoperability in healthcare is especially important when all these different types of data need to interact. Presented in this paper is a solution to interoperability in healthcare based on a standards-based middleware software architecture used in enterprise solutions. This architecture has been tra...