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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
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
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
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
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
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
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...
2016: Applied Clinical Informatics
Justin Doods, Philipp Neuhaus, Martin Dugas
Interoperability between systems and data sharing between domains is becoming more and more important. The portal offers more than 5.300 UMLS annotated forms in CDISC ODM format in order to support interoperability, but several additional export formats are available. CDISC's ODM and HL7's framework FHIR Questionnaire resource were analyzed, a mapping between elements created and a converter implemented. The developed converter was integrated into the portal with FHIR Questionnaire XML or JSON download options...
2016: Studies in Health Technology and Informatics
Iñaki Soto-Rey, Martin Dugas, Michael Storck
Interoperability is one of the biggest issues in health informatics despite of the huge effort invested to solve it. Clinical Data Interchange Standards Consortium (CDISC) and Health Level 7 (HL7) are two of the most recognized institutions working on this field. Several systems are becoming compliant with their standards; however, the process to accomplish it is not always straightforward. In this manuscript, we present the successful implementation of the CDISC ODM and HL7 import and export functions for "MoPat", a web-based multi-language electronic patient-reported outcomes system...
2016: Studies in Health Technology and Informatics
Yukio Kurihara, Haku Ishida, Ezen Kimura, Akira Gochi, Hiroshi Kondoh, Ken-Ichiro Shimai, Noriaki Nakajima, Takeshi Tanaka, Kiyomu Ishikawa, Michihiro Oohara, Takeharu Sonoda, Kohei Takai
A model dataset of patient profile information was created based on the items used at five Japanese university hospitals, the patient information data elements in Health Level 7 (HL7) v2.5, and the standard datasets for medical information exchange used in Japan. In order to check the validity of the model dataset, a cross-sectional survey was performed. A preliminary analysis of 20 Japanese hospitals found that most items were implemented at some hospitals, but the number of items implemented at many hospitals was rather small...
2016: Studies in Health Technology and Informatics
Barbara Giannini, Roberta Gazzarata, Laura Sticchi, Mauro Giacomini
Vaccination in HIV-infected patients constitutes an essential tool in the prevention of the most common infectious diseases. The Ligurian Vaccination in HIV Program is a proposed vaccination schedule specifically dedicated to this risk group. Selective strategies are proposed within this program, employing ICT (Information and Communication) tools to identify this susceptible target group, to monitor immunization coverage over time and to manage failures and defaulting. The proposal is to connect an immunization registry system to an existing regional platform that allows clinical data re-use among several medical structures, to completely manage the vaccination process...
2016: Studies in Health Technology and Informatics
Juan Carlos Camacho Rodriguez, Sebastian Stäubert, Matthias Löbe
Electronic data capture (EDC) tools are designed to simplify data acquisition, improving data quality and managing clinical data electronically. Some data are collected from the laboratory information management system (LIMS), which is an important data source for a study. OpenClinica is an open source clinical data management system (CDMS) for web-based electronic data capture (EDC), which is used widely in academic clinical research. TranSMART is also an open source web-based platform used for the management and analysis of different data types common in clinical and translational research...
2016: Studies in Health Technology and Informatics
Björn Schreiweis, Tobias Bronsch, Katharina E Stein, Stefan Nöst, Lakshmi S Aguduri, Antje Brandner, Peter Pensold, Nicolas Weiss, Nilay Yüksekogul, Björn Bergh, Oliver Heinze
Making clinical information available for research is not only relevant for healthcare institutions, but also for regional EHRs, as cross-sectorial information can be made accessible. In the INFOPAT (INFOrmation technology for PATient-oriented health care in the Rhine-Neckar metropolitan region) project we are thus implementing both, a regional personal cross-enterprise electronic health record (PEHR) and a regional research platform (RRP) based on information from the PEHR. IHE profiles are implemented to achieve interoperability between healthcare institutions electronic medical records (EMR) and PEHR on the one hand, as well as PEHR and RRP on the other hand...
2016: Studies in Health Technology and Informatics
Hannes Ulrich, Ann-Kristin Kock, Petra Duhm-Harbeck, Jens K Habermann, Josef Ingenerf
Unreconciled data structures and formats are a common obstacle to the urgently required sharing and reuse of data within healthcare and medical research. Within the North German Tumor Bank of Colorectal Cancer, clinical and sample data, based on a harmonized data set, is collected and can be pooled by using a hospital-integrated Research Data Management System supporting biobank and study management. Adding further partners who are not using the core data set requires manual adaptations and mapping of data elements...
2016: Studies in Health Technology and Informatics
Rebecca A Meehan, Donald T Mon, Kandace M Kelly, Mitra Rocca, Gary Dickinson, John Ritter, Constance M Johnson
Though substantial work has been done on the usability of health information technology, improvements in electronic health record system (EHR) usability have been slow, creating frustration, distrust of EHRs and the use of potentially unsafe work-arounds. Usability standards could be part of the solution for improving EHR usability. EHR system functional requirements and standards have been used successfully in the past to specify system behavior, the criteria of which have been gradually implemented in EHR systems through certification programs and other national health IT strategies...
August 11, 2016: Journal of Biomedical Informatics
Amy E Metroka, Vikki Papadouka, Alexandra Ternier, Jane R Zucker
OBJECTIVE: We compared the quality of data reported to New York City's immunization information system, the Citywide Immunization Registry (CIR), through its real-time Health Level 7 (HL7) Web service from electronic health records (EHRs), with data submitted through other methods. METHODS: We stratified immunizations administered and reported to the CIR in 2014 for patients aged 0-18 years by reporting method: (1) sending HL7 messages from EHRs through the Web service, (2) manual data entry, and (3) upload of a non-standard flat file from EHRs...
July 2016: Public Health Reports
Mehnaz Adnan, Donald Peterkin, Graham Mackereth
An electronic Influenza like Illness surveillance system developed to support general practices to electronically notify the cases of influenza like illness (ILI) for national sentinel surveillance in New Zealand. Content analysis was performed to capture the information necessary for ILI surveillance. An online form was implemented within the patient management system to record the details of ILI cases. A middleware framework was developed to manage the information flow between GPs and national influenza surveillance coordinators...
2016: Studies in Health Technology and Informatics
Guoqian Jiang, Richard C Kiefer, Luke V Rasmussen, Harold R Solbrig, Huan Mo, Jennifer A Pacheco, Jie Xu, Enid Montague, William K Thompson, Joshua C Denny, Christopher G Chute, Jyotishman Pathak
The Quality Data Model (QDM) is an information model developed by the National Quality Forum for representing electronic health record (EHR)-based electronic clinical quality measures (eCQMs). In conjunction with the HL7 Health Quality Measures Format (HQMF), QDM contains core elements that make it a promising model for representing EHR-driven phenotype algorithms for clinical research. However, the current QDM specification is available only as descriptive documents suitable for human readability and interpretation, but not for machine consumption...
August 2016: Journal of Biomedical Informatics
(no author information available yet)
On behalf of the Scientific Program Committee, I extend a warm welcome to the IMIA-NI members, students, practitioners, informatics researchers, industry partners, and others interested in health and nursing informatics who have come to attend the NI 2016, 13th International Congress on Nursing Informatics. NI 2016 is a biennial conference of the IMIA-NI and the leading scientific meeting for health and nursing informatics research and practice. NI 2016 presents work not only from the discipline of nursing but also from many other disciplines and specialties including both basic and applied informatics...
2016: Studies in Health Technology and Informatics
Chai Young Jung, Jong-Ye Choi, Seong Jik Jeong, Kyunghee Cho, Yong Duk Koo, Jin Hee Bae, Sukil Kim
INTRODUCTION: Arden Syntax is a Health Level Seven International (HL7) standard language that is used for representing medical knowledge as logic statements. Arden Syntax Markup Language (ArdenML) is a new representation of Arden Syntax based on XML. Compilers are required to execute medical logic modules (MLMs) in the hospital environment. However, ArdenML may also replace the compiler. The purpose of this study is to demonstrate that MLMs, encoded in ArdenML, can be transformed into a commercial rule engine format through an XSLT stylesheet and made executable in a target system...
May 16, 2016: Artificial Intelligence in Medicine
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