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https://www.readbyqxmd.com/read/28423833/hl7-fhir-ontological-reinterpretation-of-medication-resources
#1
Catalina Martinez-Costa, Stefan Schulz
"A solid ontology-based analysis with a rigorous formal mapping for correctness" is one of the ten reasons why the HL7 standard Fast Healthcare Interoperability Resources (FHIR) is advertised to be better than other standards for EHR interoperability. In this paper, we aim at contributing to this formal analysis by proposing an RDF representation of a subset of FHIR resources based on a highly constrained top-level ontology and guided by the use of a set of Content Ontology Design Patterns (Content ODPs) for representing clinical information...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28423746/feasibility-of-representing-a-danish-microbiology-model-using-fhir
#2
Mie Vestergaard Andersen, Ida Hvass Kristensen, Malene Møller Larsen, Claus Hougaard Pedersen, Kirstine Rosenbeck Gøeg, Louise B Pape-Haugaard
Achieving interoperability in health is a challenge and requires standardization. The newly developed HL7 standard: Fast Healthcare Interoperability Resources (FHIR) promises both flexibility and interoperability. This study investigates the feasibility of expressing a Danish microbiology message model content in FHIR to explore whether complex in-use legacy models can be migrated and what challenges this may pose. The Danish microbiology message model (the DMM) is used as a case to illustrate challenges and opportunities accosted with applying the FHIR standard...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28362598/an-oais-based-hospital-information-system-on-the-cloud-analysis-of-a-nosql-column-oriented-approach
#3
Antonio Celesti, Fazio Maria, Agata Romano, Alessia Bramanti, Placido Bramanti, Massimo Villari
The Open Archive Information System (OAIS) is a reference model for organizing people and resources in a system, and it is already adopted in care centers and medical systems to efficiently manage clinical data, medical personnel and patients. Archival storage systems are typically implemented using traditional relational database systems, but the relation-oriented technology strongly limits the efficiency in the management of huge amount of patients' clinical data, especially in emerging Cloud-based, that are distributed...
March 10, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28213144/modeling-and-validating-hl7-fhir-profiles-using-semantic-web-shape-expressions-shex
#4
Harold R Solbrig, Eric Prud'hommeaux, Grahame Grieve, Lloyd McKenzie, Joshua C Mandel, Deepak K Sharma, Guoqian Jiang
BACKGROUND: HL7 Fast Healthcare Interoperability Resources (FHIR) is an emerging open standard for the exchange of electronic healthcare information. FHIR resources are defined in a specialized modeling language. FHIR instances can currently be represented in either XML or JSON. The FHIR and Semantic Web communities are developing a third FHIR instance representation format in Resource Description Framework (RDF). Shape Expressions (ShEx), a formal RDF data constraint language, is a candidate for describing and validating the FHIR RDF representation...
March 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28186050/a-survey-of-standard-information-models-for-clinical-decision-support-systems
#5
Seyed Ali Mussavi Rizi, Abdul Roudsari
HL7 CDA, vMR, and openEHR archetypes have been utilized as standard information models for clinical decision support systems. Compared to openEHR archetypes, vMR typically requires less time to develop and extend which makes it a good fit for rapid prototyping and pilot projects, while openEHR archetypes handle the data and semantic specification better. Using CDA for clinical decision support systems is discouraged due to its complexity, steep learning curve, and potential safety issues.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28186039/integration-of-health-information-systems-using-hl7-a-case-study
#6
Jessica Wan-Yi Kuo, Alex Mu-Hsing Kuo
Interoperability is a prerequisite for health information systems (HIS) that will reduce waste of unnecessary costs, errors, delays, and futile repetition. Many previous studies had proposed different approaches in the attempt to solve interoperability challenges. In this paper, we report our experiences in using Health Level 7 (HL7) standard and adopting the Common Gateway Model for exchanging heath data. The benefits and challenges of using standards for data interoperability are also described.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28177109/messaging-standard-requirements-for-electronic-health-records-in-islamic-republic-of-iran-a-delphi-study
#7
M Ahmadi, S Foozonkhah, L Shahmoradi, A D Mahmodabadi
The present descriptive-comparative study was conducted to give an overview of the messaging standards that are necessary for interoperable electronic health records (EHRs). We designed a preliminary model after data collection and compared the messaging standards of Health Level Seven (HL7) and the International Organization for Standardization (ISO). The data were assessed with the Delphi technique. A comprehensive model for the messaging standards of EHRs in the Islamic Republic of Iran was presented in three pivots: structural characteristics (standard for all EHRs, XML-based and object-oriented messages, and dual model); model specifications (reference model, archetypes and classes of reference model), and general features (distinct ontology, mapping with other standards, and using reference archetypes for exchanging documents)...
February 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28118917/opening-the-duke-electronic-health-record-to-apps-implementing-smart-on-fhir
#8
Richard A Bloomfield, Felipe Polo-Wood, Joshua C Mandel, Kenneth D Mandl
OBJECTIVE: Recognizing a need for our EHR to be highly interoperable, our team at Duke Health enabled our Epic-based electronic health record to be compatible with the Boston Children's project called Substitutable Medical Apps and Reusable Technologies (SMART), which employed Health Level Seven International's (HL7) Fast Healthcare Interoperability Resources (FHIR), commonly known as SMART on FHIR. METHODS: We created a custom SMART on FHIR-compatible server infrastructure written in Node...
March 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28048916/mo-ab-204-02-ihe-rad
#9
J Seibert
You've experienced the frustration: vendor A's device claims to work with vendor B's device, but the practice doesn't match the promise. Getting devices working together is the hidden art that Radiology and Radiation Oncology staff have to master. To assist with that difficult process, the Integrating the Healthcare Enterprise (IHE) effort was established in 1998, with the coordination of the Radiological Society of North America. Integrating the Healthcare Enterprise (IHE) is a consortium of healthcare professionals and industry partners focused on improving the way computer systems interconnect and exchange information...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048268/mo-ab-204-03-profile-development-and-ihe-process
#10
C Pauer
You've experienced the frustration: vendor A's device claims to work with vendor B's device, but the practice doesn't match the promise. Getting devices working together is the hidden art that Radiology and Radiation Oncology staff have to master. To assist with that difficult process, the Integrating the Healthcare Enterprise (IHE) effort was established in 1998, with the coordination of the Radiological Society of North America. Integrating the Healthcare Enterprise (IHE) is a consortium of healthcare professionals and industry partners focused on improving the way computer systems interconnect and exchange information...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047622/mo-ab-204-04-connectathons-and-testing
#11
W Bosch
You've experienced the frustration: vendor A's device claims to work with vendor B's device, but the practice doesn't match the promise. Getting devices working together is the hidden art that Radiology and Radiation Oncology staff have to master. To assist with that difficult process, the Integrating the Healthcare Enterprise (IHE) effort was established in 1998, with the coordination of the Radiological Society of North America. Integrating the Healthcare Enterprise (IHE) is a consortium of healthcare professionals and industry partners focused on improving the way computer systems interconnect and exchange information...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047508/mo-ab-204-00-interoperability-in-radiation-oncology-ihe-ro-committee-update
#12
Scott Hadley
You've experienced the frustration: vendor A's device claims to work with vendor B's device, but the practice doesn't match the promise. Getting devices working together is the hidden art that Radiology and Radiation Oncology staff have to master. To assist with that difficult process, the Integrating the Healthcare Enterprise (IHE) effort was established in 1998, with the coordination of the Radiological Society of North America. Integrating the Healthcare Enterprise (IHE) is a consortium of healthcare professionals and industry partners focused on improving the way computer systems interconnect and exchange information...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046852/mo-ab-204-01-ihe-ro-overview
#13
S Hadley
You've experienced the frustration: vendor A's device claims to work with vendor B's device, but the practice doesn't match the promise. Getting devices working together is the hidden art that Radiology and Radiation Oncology staff have to master. To assist with that difficult process, the Integrating the Healthcare Enterprise (IHE) effort was established in 1998, with the coordination of the Radiological Society of North America. Integrating the Healthcare Enterprise (IHE) is a consortium of healthcare professionals and industry partners focused on improving the way computer systems interconnect and exchange information...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27815798/relevance-of-ehealth-standards-for-big-data-interoperability-in-radiology-and-beyond
#14
Paolo Marcheschi
The aim of this paper is to report on the implementation of radiology and related information technology standards to feed big data repositories and so to be able to create a solid substrate on which to operate with analysis software. Digital Imaging and Communications in Medicine (DICOM) and Health Level 7 (HL7) are the major standards for radiology and medical information technology. They define formats and protocols to transmit medical images, signals, and patient data inside and outside hospital facilities...
November 4, 2016: La Radiologia Medica
https://www.readbyqxmd.com/read/27762206/electronic-erapid3-routine-assessment-of-patient-index-data-opportunities-and-complexities
#15
REVIEW
Theodore Pincus
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 Activity Index), and distinguishes active from control treatments as efficiently as these indices in clinical trials involving adalimumab, abatacept, certolizumab, infliximab, and rituximab...
September 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27762195/electronic-multidimensional-health-assessment-questionnaire-emdhaq-past-present-and-future-of-a-proposed-single-data-management-system-for-clinical-care-research-quality-improvement-and-monitoring-of-long-term-outcomes
#16
REVIEW
Theodore Pincus
An MDHAQ/RAPID3 (multidimensional health assessment questionnaire/routine assessment of patient index data) was developed from the HAQ over 25 years, based on observations made from completion by every patient (with all diagnoses) at every routine rheumatology visit since 1980. Modification of the HAQ was viewed as similar to improving a laboratory test, with a primary focus on clinical value for diagnosis, prognosis, and/or management, as well as feasibility for minimal effect on clinical workflow. Rigorous attention, was also directed to validity, reliability, other methodologic and technological considerations, but after clinical value and feasibility were established...
September 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27696173/implementation-of-a-novel-electronic-health-record-embedded-physician-orders-for-life-sustaining-treatment-system
#17
Dana M Zive, Jennifer Cook, Charissa Yang, David Sibell, Susan W Tolle, Michael Lieberman
In April 2015, Oregon Health & Science University (OHSU) deployed a web-based, electronic medical record-embedded application created by third party vendor Vynca Inc. to allow real-time education, and completion of Physician Orders for Life Sustaining Treatment (POLST). Forms are automatically linked to the Epic Systems™ electronic health record (EHR) patient header and submitted to a state Registry, improving efficiency, accuracy, and rapid access to and retrieval of these important medical orders. POLST Forms, implemented in Oregon in 1992, are standardized portable medical orders used to document patient treatment goals for end-of-life care...
November 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27686851/executable-medical-guidelines-with-arden-syntax-applications-in-dermatology-and-obstetrics
#18
Alexander Seitinger, Andrea Rappelsberger, Harald Leitich, Michael Binder, Klaus-Peter Adlassnig
INTRODUCTION: Clinical decision support systems (CDSSs) are being developed to assist physicians in processing extensive data and new knowledge based on recent scientific advances. Structured medical knowledge in the form of clinical alerts or reminder rules, decision trees or tables, clinical protocols or practice guidelines, score algorithms, and others, constitute the core of CDSSs. Several medical knowledge representation and guideline languages have been developed for the formal computerized definition of such knowledge...
August 12, 2016: Artificial Intelligence in Medicine
https://www.readbyqxmd.com/read/27665112/semantically-enriched-data-access-policies-in-ehealth
#19
Michał Drozdowicz, Maria Ganzha, Marcin Paprzycki
Internet of Things (IoT) requires novel solutions to facilitate autonomous, though controlled, resource access. Access policies have to facilitate interactions between heterogeneous entities (devices and humans). Here, we focus our attention on access control in eHealth. We propose an approach based on enriching policies, based on well-known and widely-used eXtensible Access Control Markup Language, with semantics. In the paper we describe an implementation of a Policy Information Point integrated with the HL7 Security and Privacy Ontology...
November 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27579472/integrating-genomic-resources-with-electronic-health-records-using-the-hl7-infobutton-standard
#20
Bret S E Heale, Casey Lynnette Overby, Guilherme Del Fiol, Wendy S Rubinstein, Donna R Maglott, Tristan H Nelson, Aleksandar Milosavljevic, Christa L Martin, Scott R Goehringer, Robert Freimuth, Marc S Williams
BACKGROUND: The Clinical Genome Resource (ClinGen) Electronic Health Record (EHR) Workgroup aims to integrate ClinGen resources with EHRs. A promising option to enable this integration is through the Health Level Seven (HL7) Infobutton Standard. EHR systems that are certified according to the US Meaningful Use program provide HL7-compliant infobutton capabilities, which can be leveraged to support clinical decision-making in genomics. OBJECTIVES: To integrate genomic knowledge resources using the HL7 infobutton standard...
August 31, 2016: Applied Clinical Informatics
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