UNLABELLED Clinical information systems (CIS) can affect the quality of patient care. In this paper, we focus on CIS use in the collaborative treatment of chronic diseases. We have developed a framework to determine which CIS functions have general usefulness for improving patient outcomes. METHODS We reviewed the use of clinical information systems within a collaborative care environment, id...

On the one hand Web services are gaining increasing attention. A lot of standardization has improved their stability and range of application. Composition and coordination techniques for Web services enable an application integration effort beyond loosely coupled systems. On the other hand medical e-services are covered by the DICOM and HL7 communication protocols and profiled by the IHE (Integ...

BACKGROUND Emergency departments in the United States service over 130 million visits per year. The demands for information from these visits require interoperable data exchange standards. While multiple data exchange specifications are in use, none have undergone rigorous standards review. This paper describes the creation and balloting of the Health Level Seven (HL7) Data Elements for Emergen...

HL7 appears in two series of versions; version 2.x (V2) and version 3.0 (V3). Both versions are not compatible with each other. V2 is a market success but not fulfilling the emerging requirements of the world. V3 has the fame to claim as global and futuristic standard. In America 93% hospital are using applications that are developed according to HL7 version 2.x specification. To enhance the ad...

The Health Level 7 (HL7) organization [1] has developed the Clinical Document Architecture’s (CDA) [2], an XMLbased document based on the Reference Information Model (RIM) [1], to provide a structure for clinical data exchange. The XML Schema Definition (XSD) language has been used to describe the CDA’s components and as a basis for the semantic conversion. Expressed in the Web Ontology Languag...

Clinical investigations (CIs) are carried out to demonstrate safety and efficacy of new Medical Devices (MDs). The presence of many stakeholders participating in CIs makes it necessary to develop a common standard language to achieve semantic interoperability among systems and organizations. In Italy the National Research Council is carrying out a project supported by Ministry of Health aiming ...

One of the most successful Healthcare Information Models is version 2 of the Health Level 7 (HL7) standard. However, this standard has various problems, mainly its lack of semantic interoperability. This shortfall was addressed in HL7 Version 3, a newer standard which has been designed to solve this problem. Total semantic interoperability cannot be achieved without defined terminology, and to ...

Starting as a rather simple message standard to be used within hospitals, the scope of HL7 has been extended to covering all domains and institutions in health. The most important development of the HL7 standard set was its development towards a model-based message specification methodology and the further movement towards a unified development process: HL7 Version 3. The focus was design for i...

Given that acceptance of systems within the healthcare domain multiple papers highlighted the importance of integrating tools with the clinical workflow. This paper analyse how clinical context management could be deployed in order to promote the adoption of cloud advanced services and within the clinical workflow. This deployment will be able to be integrated with the eHealth European Interope...

In an increasingly mobile world, many citizens and professionals are frequent travellers. Access during unplanned care to their patient summary, their most essential health information in a form physicians in another country can understand can impact not only their safety, but also the quality and effectiveness of care. International health information technology (HIT) standards such as HL7 CDA...