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Jacob K Crump, Guilherme Del Fiol, Marc S Williams, Robert R Freimuth
Integration of genetic information is becoming increasingly important in clinical practice. However, genetic information is often ambiguous and difficult to understand, and clinicians have reported low-self-efficacy in integrating genetics into their care routine. The Health Level Seven (HL7) Infobutton standard helps to integrate online knowledge resources within Electronic Health Records (EHRs) and is required for EHR certification in the US. We implemented a prototype of a standards-based genetic reporting application coupled with infobuttons leveraging the Infobutton and Fast Healthcare Interoperability Resources (FHIR) Standards...
2018: AMIA Summits on Translational Science Proceedings
Na Hong, Andrew Wen, Feichen Shen, Sunghwan Sohn, Sijia Liu, Hongfang Liu, Guoqian Jiang
Standards-based modeling of electronic health records (EHR) data holds great significance for data interoperability and large-scale usage. Integration of unstructured data into a standard data model, however, poses unique challenges partially due to heterogeneous type systems used in existing clinical NLP systems. We introduce a scalable and standards-based framework for integrating structured and unstructured EHR data leveraging the HL7 Fast Healthcare Interoperability Resources (FHIR) specification. We implemented a clinical NLP pipeline enhanced with an FHIR-based type system and performed a case study using medication data from Mayo Clinic's EHR...
2018: AMIA Summits on Translational Science Proceedings
Márcio Freire Cruz, Carlos Arthur Mattos Teixeira Cavalcante, Sérgio Torres Sá Barretto
Health Level Seven (HL7) is one of the standards most used to centralize data from different vital sign monitoring systems. This solution significantly limits the data available for historical analysis, because it typically uses databases that are not effective in storing large volumes of data. In industry, a specific Big Data Historian, known as a Process Information Management System (PIMS), solves this problem. This work proposes the same solution to overcome the restriction on storing vital sign data. The PIMS needs a compatible communication standard to allow storing, and the one most commonly used is the OLE for Process Control (OPC)...
May 30, 2018: Journal of Medical Systems
Sylvia Thun, Heike Dewenter
BACKGROUND: Medical documentation is no longer used primarily for administrative processes or healthcare billing, but for the entire electronic health record with accompanying eHealth use cases. OBJECTIVES: It shall be examined to what extent classifications such as the International Statistical Classification of Diseases and Related Health Problems (ICD-11) and the International Classification of Health Interventions (ICHI), in comparison to the international reference terminology SNOMED CT, meet the requirements of current eHealth applications and ensure interoperability...
May 30, 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Kirstine Rosenbeck Gøeg, Rune Kongsgaard Rasmussen, Lasse Jensen, Christian Møller Wollesen, Søren Larsen, Louise Bilenberg Pape-Haugaard
BACKGROUND AND OBJECTIVES: Most telemedicine solutions are proprietary and disease specific which cause a heterogeneous and silo-oriented system landscape with limited interoperability. Solving the interoperability problem would require a strong focus on data integration and standardization in telemedicine infrastructures. Our objective was to suggest a future-proof architecture, that consisted of small loose-coupled modules to allow flexible integration with new and existing services, and the use of international standards to allow high re-usability of modules, and interoperability in the health IT landscape...
July 2018: Computer Methods and Programs in Biomedicine
Nikola Tanjga, René Baranyi, Thomas Grechenig, Christian Gossy, Stefan Welte, Peter Kastner, Robert Modre-Osprian
BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA...
2018: Studies in Health Technology and Informatics
Jozef Aerts
BACKGROUND: The development processes of data exchange standards for use in healthcare are very different from those used in clinical research. Healthcare data standards are traditionally developed by the Health Level 7 (HL7) organization, whereas those for use in clinical research are mostly developed by the Clinical Data Interchange Standards Consortium. No alignment of these standards has so far taken place. OBJECTIVES: Due to the increasing use of electronic health records as primary source in clinical research, it becomes necessary to align these standards, not only the semantic standards, but also the data exchange standards (formats) themselves...
2018: Studies in Health Technology and Informatics
Mohannad A Hussain, Steve G Langer, Marc Kohli
Health Level 7's (HL7's) new standard, FHIR (Fast Health Interoperability Resources), is setting healthcare information technology and medical imaging specifically ablaze with excitement. This paper aims to describe the protocol's advantages in some detail and explore an easy path for those unfamiliar with FHIR to begin learning the standard using free, open-source tools, namely the HL7 application programming interface (HAPI) FHIR server and the SIIM Hackathon Dataset.
May 3, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Dominik Brammen, Paul Eggert, Benjamin Lucas, Laura Heermann-Langford, James C McClay
Interoperability between emergency department (ED) information systems requires a shared data specification. In 2013 Health Level Seven International, an international standards body, approved a specification for Data Elements for Emergency Department Systems (DEEDS) for use in the United States. A similar specification was created in Germany for national employment, defining data elements and forms. This study presents the first step in the efforts to harmonize the two data definitions for International approval by comparing the meaning of the German Emergency Department Medical Record (GEDMR) data element definitions with the US DEEDS using a methodology for terminology mapping from ISO/TR 12300...
2018: Studies in Health Technology and Informatics
Kirstine Rosenbeck Gøeg, Mark Hummeluhr
Information exchange at the level of semantic interoperability requires that information models and clinical terminologies work well together. In HL7 FHIR resources, terminology binding to standard terminologies such as SNOMED CT are suggested, and even though most are suggestions rather than rules, they still must reflect the clinical domain accurately. In this study, we suggest a method for empirically evaluating whether a terminology binding represents the value sets used in practice. We evaluated the terminology binding associated with the MedicationRequest...
2018: Studies in Health Technology and Informatics
Duarte Gonçalves-Ferreira, Mariana Leite, Cátia Santos-Pereira, Manuel E Correia, Luis Antunes, Ricardo Cruz-Correia
Introduction The new General Data Protection Regulation (GDPR) compels health care institutions and their software providers to properly document all personal data processing and provide clear evidence that their systems are inline with the GDPR. All applications involved in personal data processing should therefore produce meaningful event logs that can later be used for the effective auditing of complex processes. Aim This paper aims to describe and evaluate HS.Register, a system created to collect and securely manage at scale audit logs and data produced by a large number of systems...
2018: Studies in Health Technology and Informatics
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
Sungkee Lee, Hyoungho Do
Objectives: Increasing use of medical devices outside of healthcare facilities inevitably requires connectivity and interoperability between medical devices and healthcare information systems. To this end, standards have been developed and used to provide interoperability between personal health devices (PHDs) and external systems. ISO/IEEE 11073 standards and IHE PCD-01 standard messages have been used the most in the exchange of observation data of health devices. Recently, transmitting observation data using the HL7 FHIR standard has been devised in the name of DoF (Devices on FHIR) and adopted very fast...
January 2018: Healthcare Informatics Research
Cristina Soguero-Ruiz, Inmaculada Mora-Jiménez, Javier Ramos-López, Teresa Quintanilla Fernández, Antonio García-García, Daniel Díez-Mazuela, Arcadi García-Alberola, José Luis Rojo-Álvarez
Many indices have been proposed for cardiovascular risk stratification from electrocardiogram signal processing, still with limited use in clinical practice. We created a system integrating the clinical definition of cardiac risk subdomains from ECGs and the use of diverse signal processing techniques. Three subdomains were defined from the joint analysis of the technical and clinical viewpoints. One subdomain was devoted to demographic and clinical data. The other two subdomains were intended to obtain widely defined risk indices from ECG monitoring: a simple-domain (heart rate turbulence (HRT)), and a complex-domain (heart rate variability (HRV))...
March 1, 2018: International Journal of Environmental Research and Public Health
YuJin Shin, Chang-Ho Kang, Woori Kim, Jae-Seong So
The production of viable functional probiotics presupposes stability of strain features in the final product. In previous studies, Enterococcus faecium HL7 was found to have relatively higher cell viability after freeze-drying and the long-lasting resistance to heat (60 °C) as well as higher antimicrobial activities against some of fish and human pathogens among isolated strains. For heat adaptation, E. faecium HL7 cells were exposed to 52 °C for 15 min. After adaption, slight decreases of unsaturated membrane fatty acid ratios were confirmed through fatty acid analysis...
February 24, 2018: Probiotics and Antimicrobial Proteins
Carlos Luis Parra-Calderón, Jane Kaye, Alberto Moreno-Conde, Harriet Teare, Francisco Nuñez-Benjumea
Herein, we describe the characterization of a Digital Consent (DC) System to support current ethical-legal issues associated with challenges posed by informed consent for genomic research. A potential solution to support ongoing interaction with patients and allow control over how their data and samples are being used in genomic research can be Digital Consent based. But there are other challenges that need to be addressed, such as incidental findings when analyzing the results of genomic tests (not expected)...
April 2018: Journal of Community Genetics
Harpreet Singh, Raghuram Mallaiah, Gautam Yadav, Nitin Verma, Ashu Sawhney, Samir K Brahmachari
Reducing child mortality with quality care is the prime-most concern of all nations. Thus in current IT era, our healthcare industry needs to focus on adapting information technology in healthcare services. Barring few preliminary attempts to digitalize basic hospital administrative and clinical functions, even today in India, child health and vaccination records are still maintained as paper-based records. Also, error in manually plotting the parameters in growth charts results in missed opportunities for early detection of growth disorders in children...
November 29, 2017: Journal of Medical Systems
Dukyong Yoon, Sukhoon Lee, Tae Young Kim, JeongGil Ko, Wou Young Chung, Rae Woong Park
Objectives: Biosignal data include important physiological information. For that reason, many devices and systems have been developed, but there has not been enough consideration of how to collect and integrate raw data from multiple systems. To overcome this limitation, we have developed a system for collecting and integrating biosignal data from two patient monitoring systems. Methods: We developed an interface to extract biosignal data from Nihon Kohden and Philips monitoring systems...
October 2017: Healthcare Informatics Research
Mark Phillips, Lia Halasz
No abstract text is available yet for this article.
December 1, 2017: International Journal of Radiation Oncology, Biology, Physics
Neil Murthy, Loren Rodgers, Laura Pabst, Amy Parker Fiebelkorn, Terence Ng
In 2016, 55 jurisdictions in 49 states and six cities in the United States* used immunization information systems (IISs) to collect and manage immunization data and support vaccination providers and immunization programs. To monitor progress toward achieving IIS program goals, CDC surveys jurisdictions through an annual self-administered IIS Annual Report (IISAR). Data from the 2013-2016 IISARs were analyzed to assess progress made in four priority areas: 1) data completeness, 2) bidirectional exchange of data with electronic health record systems, 3) clinical decision support for immunizations, and 4) ability to generate childhood vaccination coverage estimates...
November 3, 2017: MMWR. Morbidity and Mortality Weekly Report
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