• MeSH
• Information Literacy MeSH
• Information Dissemination MeSH
• Health Communication MeSH
• Publication type
• Collected Work MeSH

• Conspectus
• Výchova a vzdělávání
• NML Fields
• knihovnictví, informační věda a muzeologie

• MeSH
• Economics MeSH
• European Union MeSH
• Integrated Advanced Information Management Systems MeSH
• Publication type
• Congress MeSH

• Conspectus
• Knihovnictví. Informatika
• NML Fields
• knihovnictví, informační věda a muzeologie
• věda a výzkum

Paper describes the system that is developed by the authors and which allows interconnection of vital signs monitor DASH, implant control system ICS 3000, HIS (Hospital Information System) used at Městská nemocnice Ostrava and REPACE the central registry of pacemaker implantations. This connection allows users to effectively create, store and visualize operation reports with patient's data. The new system is being developed using C# programming language within .NET environment. The developed application's title is ImplantSys.

• MeSH
• Pacemaker, Artificial * MeSH
• Hospital Information Systems * MeSH
• Registries * MeSH
• Systems Integration * MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH

Výchozí stav: Integracní platforma je základním technickým prostredkem pro realizaci interoperabilního elektronického zdravotního záznamu (EHR). Cíle: Naším cílem je analýza funkcionálního clenení integracní platformy a jeho vazby na definované úrovne interoperability. Metody: Na modelových prípadech overíme, zda je možné definovat jednoduchou závislost mezi prípady užití EHR a technologickými funkcionalitami integracní platformy. Výsledky: Experimentálne zjistíme, že závislost existuje a lze s ní pracovat. Závery: Výsledky budou diskutovány s ohledem na možnosti zobecnení metody, její praktické používání a další výzkum v této oblasti.

Background: Integration platform is a basic technical tool realizing an interoperable Electronic Health Record (EHR). Objectives: Our goal is an analysis of the integration platform functional structure and its relations to defined interoperability levels. Methods: The existence possibility of a simple dependency between EHR use cases and integration platform technical functions will be tested on the models. Results: The experiments will result into a proof of existence of this dependency and into a possibility to work with it. Conclusions: The results will be discussed according to opportunity to generalize this method, to use it practically and develop further research in this domain.

• Keywords
• integrační platforma, integrační vzor,
• MeSH
• Information Systems * MeSH
• Medical Informatics MeSH
• Humans MeSH
• Reference Standards MeSH
• Records * MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

• MeSH
• Electronic Health Records standards   MeSH
• Health Level Seven MeSH
• Integrated Advanced Information Management Systems * standards   MeSH
• Health Information Exchange * standards   MeSH
• Health Information Systems standards   MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

• MeSH
• Cell Death MeSH
• Gastroenterology MeSH
• Clinical Laboratory Information Systems MeSH
• Hospital Information Systems MeSH
• Radiology Information Systems MeSH
• Geographicals
• Czech Republic MeSH

• MeSH
• Electronic Data Processing MeSH
• International Cooperation MeSH
• Health Services Administration MeSH
• Socialism MeSH
• Statistics as Topic MeSH
• Geographicals
• Historical Geographic Locations MeSH

Integration platform is a basic technical tool for realizing an interoperable Electronic Health Record (EHR). Our goal is to interrelate the knowledge about interoperability, the functions required for an EHR system and the formalized best practises for an integration platform. An evaluation method has been developed, testing dependencies between EHR use cases and logic implemented in the integration platform has been tested on the HL7 EHR System Functional Model. A dependency has been identified and is discussed in this article.

• MeSH
• Humans MeSH
• Computers trends   utilization   MeSH
• Computer Communication Networks * classification   trends   utilization   MeSH
• Health Records, Personal * MeSH
• Check Tag
• Humans MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

This paper deals with a developed information system called a Personal Genetic Card (PGC). The system aims to integrate the known clinical knowledge (interpretations and recommendations) linked to genetic information with the analysis results of a patient. Genetic information has an increasing influence on the clinical decision of physicians as well as other medical and health services. All these services need to connect the genetic profile with the phenotypes such as drug metabolization, drug toxicity, drug dosing, or intolerance of some substances. It still applies that the best way to represent data of medical records is a structured form of record. Many approaches can be used to define the structure (syntax) of the record and the content (semantics) of the record and to exchange data in forms of various standards and terminologies. Moreover, the genetic analysis field has its terminology databases for representing genetic information (e.g. HGNC, NCBI). The next step is to connect the genetic analysis results with c clinical knowledge (interpretation, recommendation). This step is crucial because the genetic analysis results have clinical benefits if we can assign them to some valid clinical knowledge. And the best final result is when we can make a better recommendation based on the genetic results and clinical knowledge. Genetic knowledge databases (e.g. PharmGKB, SNPedia, ClinVar) contain many interpretations and even recommendations for genetic analysis results based on different purposes. This situation is appropriate for developing the PGC system that takes inspiration from case-based reasoning in purpose to allow integration of the assumptions and knowledge about phenotypes and the real genetic analysis results in the structured form.

• MeSH
• Medical Records Systems, Computerized * MeSH
• Phenotype MeSH
• Genetic Testing * MeSH
• Semantics MeSH
• Publication type
• Journal Article MeSH

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
• Financing, Organized MeSH
• Information Systems organization & administration   utilization   MeSH
• Medical Informatics organization & administration   MeSH
• Hospital Information Systems organization & administration   MeSH
• Models, Organizational MeSH
• Programming Languages MeSH
• Program Development MeSH
• Semantics MeSH
• Systems Integration MeSH
• Medical Informatics Applications MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH