In order to improve the patient healthcare, it is required to cooperate among different clinical information systems. Enabling patient records to be shared among hospitals is essential not only in delivering the quality of clinical services but also in saving medical expenses. The referred or emergency transported patients are required to carry their referral initiation forms. In this case, the...

Drug misuse is a prominent cause of morbidity and mortality in the United States. Recent focus on behavioral and social domains in the electronic health record (EHR) has highlighted the need for comprehensive examination of social history information, such as drug use. In this study, representation of drug use was examined in three types of sources: (1) standards from HL7 and openEHR, (2) clini...

Advancing technologies in the healthcare industry has led to the idea of an electronic health record. This form of document will allow healthcare institutions to store patient information more efficiently. The technology that allows hospitals to create such a document is XML. This paper discusses the emergence of XML in the healthcare field and also the HL7 standard, which provides guidelines f...

We present an approach to establish a personal and electronic health record (PEHR) system in our region, and describe the underlying vision, the technical aspects, the current status as well as the gained experiences. Applied are international standards (HL7, DICOM) and technologies existing today. Obstacles to overcome during the implementation have been the management of access rights, data p...

Point-of-care information needs are common and frequently unmet. One solution to this problem is the use of Infobuttons, which are context-sensitive links from electronic health records (EHR) to knowledge resources, sometimes involving an intermediate broker known as an Infobutton Manager. Health Level Seven (HL7) has developed the Context-Aware Knowledge Retrieval (Infobutton) standard to stan...

BACKGROUND Adverse sensitivity (e.g., allergy and intolerance) information is a critical component of any electronic health record system. While several standards exist for structured entry of adverse sensitivity information, many clinicians record this data as free text. OBJECTIVES This study aimed to 1) identify and compare the existing common adverse sensitivity information models, and 2) ...

Ubiquitous home healthcare systems have been playing an increasingly significant role in the treatment and management of chronic diseases, such as diabetes and hypertension, but progress has been hampered by the lack of standardization in the exchange of medical health care information. In an effort to establish standardization, this paper proposes a home healthcare monitoring system data excha...

Jails and prisons are responsible for providing medical and mental health care to individuals in their custody. In many cases, correctional facilities have become the default medical and mental health treatment provider for offenders. Public health and public safety are interrelated issues; for example, drug abusers are 3–4 times more likely to commit crimes, and individuals with mental health ...

BACKGROUND Electronic health records (EHRs) play an important role in the treatment of chronic diseases such as diabetes mellitus. Although the interoperability and selected functionality of EHRs are already addressed by a number of standards and best practices, such as IHE or HL7, the majority of these systems are still monolithic from a user-functionality perspective. The purpose of the OntoH...

This paper describes the data transformation pipeline defined to support the integration of a new clinical site in a standards-based semantic interoperability environment. The available datasets combined structured and free-text patient data in Dutch, collected in the context of radiation therapy in several cancer types. Our approach aims at both efficiency and data quality. We combine custom-d...