This paper summarizes the evaluation of two standardized approaches to implementation of messages for demographic data exchange between the preventive cardiology outpatient department located at the Institute of Computer Science AS CR, v.v.i. in Prague and the Outpatients Department of Cardiology of Municipal Hospital in Caslav. Our setting consists of four independent systems maintaining different clinical data (scheduling system, hospital information system, EHR system and a digital ECG). The aim is to avoid repetitive patient demographic data entry. We evaluate the suitability of IHE Patient Administration Management Profile (including HL7 v.2.5) and Czech national standard DASTA using Standard Evaluation Framework proposed and published in 2008 by J. Mykkänen et al. Besides the evaluation of standards, we also discuss some aspects of the framework.
- MeSH
- ambulantní péče MeSH
- chorobopisy - spojování MeSH
- demografie MeSH
- elektronické zdravotní záznamy organizace a řízení MeSH
- kardiologická služba nemocniční MeSH
- lidé MeSH
- poskytování zdravotní péče MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
The paper describes several classification systems that could improve patient safety through semantic interoperability among contemporary electronic health record systems (EHR-Ss) with support of the HL7 v3 standard. We describe a proposal and a pilot implementation of a semantic interoperability platform (SIP) interconnecting current EHR-Ss by using HL7 v3 messages and concepts mappings on most widely used classification systems. The increasing number of classification systems and nomenclatures requires designing of various conversion tools for transfer between main classification systems. We present the so-called LIM filler module and the HL7 broker, which are parts of the SIP, playing the role of such conversion tools. The analysis of suitability and usability of individual terminological thesauri has been started by mapping of clinical contents of the Minimal Data Model for Cardiology (MDMC) to various terminological classification systems. A national-wide implementation of the SIP would include adopting and translating international coding systems and nomenclatures, and developing implementation guidelines facilitating the migration from national standards to international ones. Our research showed that creation of such a platform is feasible; however, it will require a huge effort to adapt fully the Czech healthcare system to the European environment.
- MeSH
- chorobopisy - spojování metody MeSH
- elektronické zdravotní záznamy organizace a řízení MeSH
- kardiologie metody organizace a řízení MeSH
- kardiovaskulární nemoci klasifikace MeSH
- lidé MeSH
- programovací jazyk MeSH
- řízený slovník MeSH
- sémantika MeSH
- šíření informací metody MeSH
- systémová integrace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Ciele: Výmena dát v prostredí českého zdravotníctva je väčšinou založená na národných štandardoch. Tento článok popisuje využitie medzinárodných štandardov a nomenklatúr na skonštruovanie pilotnej platformy sémantickej interoperability (PSI), ktorá by slúžila na výmenu informácií medzi systémami elektronických zdravotných záznamov (EZZ) v českom zdravotníctve. Táto práca bola zastrešená národným výskumným projektom programu „Informačná spoločnosť“. Metódy: Na začiatku projektu boli formulované požiadavky, ktoré by mala PSI splňovať. Bolo analyzovaných niekoľko komunikačných štandardov (openEHR, HL7 v3, DICOM) a HL7 v3 bol zvolený pre naše riešenie na výmenu medicínskych záznamov. Do pilotného prostredia boli zahrnuté dva systémy: WinMedicalc 2000 a EZZ ADAMEKj. Výsledky: Na popis informačného obsahu oboch systémov boli vytvorené Lokálne Informačné Modely (LIM) založené na HL7. Koncepty z našich pôvodných informačným modelov boli namapované na kódovacie systémy podporované HL7 (LOINC, SNOMED CT and ICD-10) a výmena dát pomocou správ HL7 v3 bola naimplementovaná a otestovaná pomocou dotazov na pacientove administratívne údaje. Ako brána medzi lokálnymi systémami EZZ (sEZZ) a infraštruktúrou založenou na správach HL7 slúžil nami vyvinutý konfigurovateľný HL7 broker. Záver: Celonárodná implementácia PSI v plnej veľkosti založená na HL7 v3 by zahrňovala prijatie a preklad príslušných medzinárodných kódovacích systémov a nomenklatúr, vytvorenie implementačných postupov uľahčujúcich migráciu od národných štandardov po tie medzinárodné. Naša pilotná štúdia ukázala, že náš prístup je uskutočniteľný, ale úplná integrácia systému českého zdravotníctva do európskeho kontextu e-zdravia bude vyžadovať ešte veľké úsilie.
Objectives: The data interchange in the Czech healthcare environment is mostly based on national standards. This paper describes a utilization of international standards and nomenclatures for building a pilot semantic interoperability platform (SIP) that would serve to exchange information among electronic health record systems (EHR-Ss) in Czech healthcare. The work was performed by the national research project of the „Information Society" program. Methods: At the beginning of the project a set of requirements the SIP should meet was formulated. Several communication standards (openEHR, HL7 v3, DICOM) were analyzed and HL7 v3 was selected to exchange health records in our solution. Two systems were included in our pilot environment: WinMedicalc 2000 and ADAMEKj EHR. Results: HL7-based local information models were created to describe the information content of both systems. The concepts from our original information models were mapped to coding systems supported by HL7 (LOINC, SNOMED CT and ICD-10) and the data exchange via HL7 v3 messages was implemented and tested by querying patient administration data. As a gateway between local EHR systems and the HL7 message-based infrastructure, a configurable HL7 Broker was developed. Conclusions: A nationwide implementation of a full-scale SIP based on HL7 v3 would include adopting and translating appropriate international coding systems and nomenclatures, and developing implementation guidelines facilitating the migration from national standards to international ones. Our pilot study showed that our approach is feasible but it would demand a huge effort to fully integrate the Czech healthcare system into the European e-health context.
- MeSH
- chorobopisy - počítačové systémy normy MeSH
- financování organizované MeSH
- informační systémy trendy využití MeSH
- nemocniční informační systémy normy využití MeSH
- programovací jazyk MeSH
- sémantika MeSH
- systémová integrace MeSH
- ukládání a vyhledávání informací MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
The EuroMISE Center focuses on new approaches in the field of electronic health record (EHR). Among others, the structured health documentation in dentistry in the form of an EHR is being systematically studied. This paper describes the evolution of the EHR developed at the EuroMISE Center named MUDRLite and its graphical component for dentists called DentCross. The summary of features of the DentCross component is followed by a brief description of automatic speech recognition and an ASR module. The problems with data insertion into EHR during examination of a dental patient lead to further research in the area of the automatic speech recognition in medical practice. Cooperation of engineers, informaticians and dental physicians resulted in an application called DentVoice which is a successful application of the ASR module and the DentCross component of the MUDRLite EHR. The junction of voice control and graphical representation of dental arch makes hand-busy activities in dental praxis easier, quicker and more comfortable. This will result in a better quality of the data stored in a structured form in dental EHR, thus enabling better decision making and use of decision support systems.
- MeSH
- chorobopisy - počítačové systémy MeSH
- financování organizované MeSH
- navrhování softwaru MeSH
- počítačová grafika MeSH
- software pro rozpoznávání řeči MeSH
- ukládání a vyhledávání informací MeSH
- uživatelské rozhraní počítače MeSH
- využití lékařské informatiky MeSH
- znalostní báze MeSH
- zubní záznamy MeSH
