• MeSH
• komunikace MeSH
• lékařská počítačová informatika MeSH
• lidé MeSH
• nemocniční informační systémy MeSH
• referenční standardy MeSH
• software MeSH
• Check Tag
• lidé 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

• MeSH
• lékařská počítačová informatika MeSH
• on-line systémy MeSH
• systémová integrace MeSH
• telemedicína MeSH
• ukládání a vyhledávání informací MeSH
• zdravotní péče - kvalita, dosažitelnost a hodnocení MeSH
• zdravotnické informační systémy MeSH
• Publikační typ
• kongresy MeSH
• sborníky MeSH

• Konspekt
• Veřejné zdraví a hygiena
• NLK Obory
• veřejné zdravotnictví
• lékařská informatika

Objetivo: El proceso de integración de sistemas de información en salud es complejo, especialmente cuando se deben cumplir requisitos de interoperabilidad en los niveles semántico y de la lógica del negocio. Para tener éxito en un proyecto de integración de estas características, es fundamental el uso de una metodología de desarrollo unificada que permita analizar de forma separada diferentes aspectos de la arquitectura del sistema como por ejemplo los procesos de la organización, la información a ser procesada, la distribución de componentes, así como aspectos específicos de las tecnologías a emplear. Este artículo contribuye con un análisis detallado y una demostración de cómo el estándar HL7 puede ser usado para soportar el desarrollo de proyectos de integración de sistemas de información en salud. Métodos: La metodología de desarrollo unificada a utilizar es el Marco Integral de Desarrollo para Sistemas de Información en salud (HIS-DF). HIS-DF es una metodología basada en diferentes estándares, genérica, personalizable y escalable; que soporta el diseño de sistemas de información semánticamente interoperables. Basados en HIS-DF, se analizan tres modelos genéricos para la integración de sistemas de información en salud. Resultados:Los modelos arquitectónicos para integración de sistemas analizados son: Interfaz Punto a Punto, Servidor de Mensajes y Mediación. Los modelos de Interfaz Punto a Punto y Servidor de Mensajes son completamente soportados por sistemas tradicionales de mensajería HL7 versión 2 y versión 3. El estándar HL7 versión 3, combinado con tecnologías orientadas a servicios y la metodología HIS-DF, hacen posible el modelo de Mediación. Los diferentes escenarios de integración son ejemplificados mediante el desarrollo de un sistema de vigilancia de la salud pública basada en la tecnología de Enterprise Java Beans. Conclusión: La selección de la arquitectura de integración es una decisión fundamental de cualquier proyecto de desarrollo de software. HIS-DF provee un enfoque metodológico único para guiar el desarrollo de proyectos de integración de sistemas de información en salud. El modelo de Mediación –ofrecido por la metodología HIS-DF apoyada en artefactos del estándar HL7 versión 3– es el modelo más prometedor de los tres analizados, pues promueve el desarrollo de sistemas de información en salud abiertos, reutilizables, flexibles, semánticamente interoperables, independientes de la plataforma, orientados a servicios y basados en estándares.

Objective: Information systems integration is hard, especially when semantic and business process interoperability requirements need to be met. To succeed, a unified methodology, approaching different aspects of systems architecture such as business, information, computational, engineering and technology viewpoints, has to be considered. The paper contributes with an analysis and demonstration on how the HL7 standard set can support health information systems integration. Methods: Based on the Health Information Systems Development Framework (HIS-DF), common architectural models for HIS integration are analyzed. The framework is a standard-based, consistent, comprehensive, customizable, scalable methodology that supports the design of semantically interoperable health information systems and components. Results: Three main architectural models for system integration are analyzed: the point to point interface, the messages server and the mediator models. Point to point interface and messages server models are completely supported by traditional HL7 version 2 and version 3 messaging. The HL7 v3 standard specification, combined with service-oriented, model-driven approaches provided by HIS-DF, makes the mediator model possible. The different integration scenarios are illustrated by describing a proof-of-concept implementation of an integrated public health surveillance system based on Enterprise Java Beans technology. Conclusion: Selecting the appropriate integration architecture is a fundamental issue of any software development project. HIS-DF provides a unique methodological approach guiding the development of healthcare integration projects. The mediator model – offered by the HIS-DF and supported in HL7 v3 artifacts – is the more promising one promoting the development of open, reusable, flexible, semantically interoperable, platform-independent, service-oriented and standard-based health information systems.

• MeSH
• financování organizované MeSH
• informační systémy organizace a řízení   využití   MeSH
• lékařská informatika organizace a řízení   MeSH
• nemocniční informační systémy organizace a řízení   MeSH
• organizační modely MeSH
• programovací jazyk MeSH
• rozvoj plánování MeSH
• sémantika MeSH
• systémová integrace MeSH
• využití lékařské informatiky MeSH
• Publikační typ
• práce podpořená grantem MeSH

Background: IHE integration profiles for managing patient identification, PIX and PDQ, exist in two alternative forms: on the one hand using HL7 2.x, on the other hand based on HL7 Version 3. Objective: Knowing difierences between the competing integration profiles shall assist the user to choose the one better suitable for their specific deployment. Methods: Difierences in the set of interactions, the information model, the vocabulary and the required behavior of individual interactions were analyzed. Results: A list of specific features and constraints for each of the integration profiles was compiled. Conclusions: Not all of the identified deltas originate in the inherent incompatibility between HL7 2.x and 3.0, they also result from the specific constraints imposed by the IHE profile. Identified disparities include the communication pattern, constraints to identifier schemas and pseudonymization capabilities.

• MeSH
• informační systémy * MeSH
• lékařská informatika * MeSH
• lidé MeSH
• referenční standardy MeSH
• software MeSH
• Check Tag
• lidé MeSH

Příspěvek v první části poskytne přehled a krátké seznámení s dostupnými standardy HL7, způsobem autorské ochrany, licenční politikou sdružení HL7 ČR, a cenovou dostupnost pro české fi rmy a poskytovatele zdravotní péče. Druhá část popíše základní stavební kameny a principy vývoje standardu HL7 verze 3, nastíní budoucí trend automatizovaného vývoje aplikací nad HL7 v3 a popíše přínosy a způsoby využití v ČR. Těžiště příspěvku bude v poslední části věnované komunikačnímu standardu HL7 verze 2. HL7 v2 je ve světě asi nejrozšířenější komunikační standard. Příspěvek popíše základní charakteristiky HL7 v2 zprávy, vyjmenuje oblasti použití (domény), způsoby použití a provede srovnání s DASTA jak z pohledu vlastní defi nice standardu, způsobu vývoje standardu, tak i možností implementace. Příspěvek bude v každé části refl ektovat český způsob pojetí interoperability (IZIP, SUKL, VZP, registry), a na závěr se pokusí zodpovědět na otázku smyslu dalšího vývoje DASTA.

• Klíčová slova
• DASTA,
• MeSH
• Health Level Seven MeSH
• počítačové komunikační sítě normy   MeSH
• registrace normy   MeSH
• sémantika MeSH
• software normy   MeSH

Objective: The current process for reporting infectious disease in Korea is a complex workflow based on manual entry and verification of data and requires transmission of report via obsolete technologies such as FAX. As such, it incurs unnecessary time and efiort that hinder real time monitoring of epidemic outbreak. Further, the lack of standardized coding of data in the report makes it dificult to manage and analyze the data from difierent sources. We propose an interoperable infectious disease reporting system based on HL7 standards that simplifies the reporting workfiow and enables near real time reporting in Korea. Method: We first analyze the current process of infectious disease reporting in Korea and identify its shortcomings in detail. Next we analyze KRFID (Korea Report Form of Infectious Disease) and related regulations to draw a data architecture design. Finally we take existing HL7 CDA implementation guides such as PHIN and Healthcare Associated Infection (HAI) Reports Template and conduct a comparative analysis to derive our design of CDA. Result: The final design of CDA consists of Patient and Infection sections. The Patient section includes 4 entries and the Patient section has 6 entries. KRFID is composed of 24 data items, of which 14 are included in the CDA header and the other in the body. The value of each entry is encoded using either SNOMED-CT or LOINC. Conclusion: The system we developed enables fast reporting by eliminating unnecessary workload and delays. In the reporting process, the steps for manual entry, printing a form, and sending it via FAX at healthcare providers can be omitted and the procedure in which employees at Regional Health Centers manually enter data through KCDC web portal can also be removed. The system also ofiers interoperability by using international standards. Specifically, we adopted HL7 CDA for the report form and LOINC and SNOMED-CT for encoding data. Finally, due to the regulatory requirement that all infectious disease reports should be documented and archived, the adoption of CDA as the electronic format of KRFID satisfies the regulation as well as the need for real time monitoring of infectious diseases in Korea. Objective: The current process for reporting infectious disease in Korea is a complex workflow based on manual entry and veri cation of data and requires transmission of report via obsolete technologies such as FAX. As such, it incurs unnecessary time and effort that hinder real time monitoring of epidemic outbreak. Further, the lack of standardized coding of data in the report makes it difficult to manage and analyze the data from different sources. We propose an interoperable infectious disease reporting system based on HL7 standards that simpli es the reporting work ow and enables near real time reporting in Korea. Method: We rst analyze the current process of infectious disease reporting in Korea and identify its shortcomings in detail. Next we analyze KRFID (Korea Report Form of Infectious Disease) and related regulations to draw a data architecture design. Finally we take existing HL7 CDA implementation guides such as PHIN and Healthcare Associated Infection (HAI) Reports Template and conduct a comparative analysis to derive our design of CDA. Result: The nal design of CDA consists of Patient and Infection sections. The Patient section includes 4 entries and the Patient section has 6 entries. KRFID is composed of 24 data items, of which 14 are included in the CDA header and the other in the body. The value of each entry is encoded using either SNOMED-CT or LOINC. Conclusion: The system we developed enables fast reporting by eliminating unnecessary workload and delays. In the reporting process, the steps for manual entry, printing a form, and sending it via FAX at healthcare providers can be omitted and the procedure in which employees at Regional Health Centers manually enter data through KCDC web portal can also be removed. The system also o ers interoperability by using international standards. Speci cally, we adopted HL7 CDA for the report form and LOINC and SNOMED-CT for encoding data. Finally, due to the regulatory requirement that all infectious disease reports should be documented and archived, the adoption of CDA as the electronic format of KRFID satis es the regulation as well as the need for real time monitoring of infectious diseases in Kor ea.

• MeSH
• informační systémy MeSH
• lékařská informatika * MeSH
• lidé MeSH
• referenční standardy * MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Korejská republika MeSH

The use of eCommerce solutions in the German health care market is hindered by fragmented solutions and lack of guidance to the use of standards. Especially the area of procurement is mainly dominated by proprietary solutions. Also, the splits in the area of information transfer - which are attributable to the non-coverage usage of standards – result in delays, transcription errors, wrong orders and patient confusion. The project ”Standards zur Unterstützung von eCommerce im Gesundheitswesen” (eCG) w a s launched in August 2012 and i s funded by the German Federal Ministry for Economic Affairs and Energy – ”Bundesministerium für Wirtschaft und Energie” (BMWi) – within the programme ”Mittelstand Digital”. The eCG project consortium consists of ”Hochschule Niederrhein” (HSNR), ”Zentrum für Informations- und Medizintechnik der Universitätsklinik Heidelberg” (ZIM), The German Medical Technology Association ”Bundesverband der Medizintechnologie” (BVMed e.V.) and ”Integrating the Healthcare Enterprise” in Germany (IHE Deutschland e.V.). One of the main goals of this project is to design a sustainable supply system for healthcare and subsequently produce a significant increase of potentials for efficiency within the health sector by developing interoperability between different, already used standards in the healthcare and the logistics domain. After a literature research and analyses of business processes in hospital new IHE Integration Profiles were modeled in order to describe the interaction between different (software) actors in a hospital starting with ordering products in a point of care until buying it by an external vendor. These profiles are described in an implementation guide ”eSupply in Healthcare”. For transactions between the actors HL7 v2 messages and GS1 standard were used.

• MeSH
• centrální zásobování nemocnice * organizace a řízení   MeSH
• lékařská informatika * MeSH
• řízení zdravotnických informací metody   normy   MeSH
• správa materiálů v nemocnici MeSH
• zdravotnické informační systémy * MeSH
• Publikační typ
• práce podpořená grantem MeSH
• přednášky MeSH

Background: HL7 version 2.x is the most popular and most propagated data exchange standard in the world. It is mature and adopted by several IHE Technical Frameworks. Nevertheless it has some weaknesses especially in the way it is documented. Several conformance constructs (optionality/usage and repetitions) are still under discussion although the meaning is unambiguous and clear. The deadline for HL7 v2.9 proposals is over and the next ballot is in preparation for May 2016. Objectives: Therefore the question arises what will come next? HL7 v2.10? HL7 International is in favor of distributing new releases every year, so that this is a good opportunity to update the representation and documentation of HL7 v2.x while maintaining backward compatibility for running interfaces. Methods: A semantic analysis of the conformance constructs being used by HL7 v2.x allows for developing transition matrices so that the new representation can be automatically generated in large parts. Of course, a new separation into domains require manual support. Results: This paper demonstrates the new representation form rendered out of the HL7 Comprehensive Database. Conclusions: Harmonizing HL7 v2.x with other standards in the way it is represented simplifies implementation and therefore supports interoperability among applications.

• MeSH
• Health Level Seven normy   trendy   MeSH
• informační systémy normy   MeSH
• počítačové systémy normy   MeSH
• ukládání a vyhledávání informací normy   MeSH

• MeSH
• chorobopisy - počítačové systémy organizace a řízení   MeSH
• databáze faktografické MeSH
• počítačové komunikační sítě normy   MeSH
• řízení zdravotnictví MeSH
• Publikační typ
• příručky MeSH

• Konspekt
• Lékařské vědy. Lékařství
• NLK Obory
• lékařská informatika