The US Food and Drug Administration recommends submission of digital electrocardiograms in the standard HL7 XML format into the electrocardiogram warehouse to support preapproval review of new drug applications. The Food and Drug Administration scrutinizes electrocardiogram quality by viewing the annotated waveforms and scoring electrocardiogram quality by the warehouse algorithms. Part of the ...

Background: Although established communication standards do exist in the health care domain (i.e., DICOM and HL7) the communication within heterogeneous information systems still shows a variety of errors. The complexity of these systems aggravates the identification of error reasons. A structured summary of communication errors and their reasons is essential for developing methods that support...

The two primary objectives of this paper are: (a) to demonstrate how Comma, a business modeling methodology based on commitments, can be applied in healthcare process modeling, and (b) to evaluate the effectiveness of such an approach in producing healthcare process models. We apply the Comma approach on a breast cancer diagnosis process adapted from an HHS committee report, and presents the re...

In order to reduce the effort in the integration and actualization of heterogeneous healthcare legacy systems that should share a common database, we propose the creation of an interoperability bus using the HL7 standard—the HL7Middleware. This interoperability bus is an intermediate layer responsible for the communication between a database, health information systems and medical equipment, ca...

Introduction In 2012, the Oregon Public Health Division (OPHD) took advantage of the opportunity created by Meaningful Use, a Centers for Medicare & Medicaid Services (CMS) Incentive Program, to implement statewide syndromic surveillance. The Oregon syndromic surveillance project, or Oregon ESSENCE, began accepting MUcompliant HL7 2.5.1 data in late 2013. Early onboarding efforts were labor-int...

OBJECTIVES Describe how the HL7 Clinical Document Architecture (CDA), a foundational standard in US Meaningful Use, contributes to a "big data, incrementally structured" interoperability strategy, whereby data structured incrementally gets large amounts of data flowing faster. We present cases showing how this approach is leveraged for big data analysis. METHODS To support the assertion that ...

The success of open source software in other fields has generated a surge of interest in open source for healthcare. Open source initiatives not only help reduce costs for the patients and healthcare providers but also establish standards that are necessary to prevent vendor lock-in. The National Health Information Network (NHIN) project is aimed at modernizing the US Healthcare Information Inf...

Understanding the meaning of messages exchanged between healthcare organizations, has long been realized as one of the key problem, known as interoperability issue. Taking heterogeneity into account, semantic mappings between data elements of databases (hospital, laboratory or any healthcare organization database) and a standard data/information model such as HL7 RIM is the need of the day. Fin...

Based on the long-term work of scientific institutions and SDOs dedicated to system architectures, an interoperability framework is presented to help navigating through existing, emerging and even future standards for comprehensive interoperability of health and social services. HL7 artifacts as well as work product of competing organizations are classified and semi-formally interrelated. The m...

Since clinical document architecture (CDA) became an American National Standards Institute (ANSI)-approved health level seven (HL7) Standard, many countries have begun making an effort to make local standards conform to CDA. In order to make CDA compatible with the many different local standards existing in different countries, we designed a prototype model using HL7 CDA R2 with medical markup ...