data interoperability
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iii, 51 stran : ilustrace ; 30 cm
- MeSH
- lékařská počítačová informatika MeSH
- online 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
- souborné dílo MeSH
- Konspekt
- Veřejné zdraví a hygiena
- NLK Obory
- veřejné zdravotnictví
- lékařská informatika
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
This paper first looks at the several definitions of the word interoperability. Next, the paper addresses several of the distinct components that are factors in accomplishing interoperability: semantic interoperability, functional interoperability, stakeholder interoperability, consumer interoperability, business interoperability, privacy and security interoperability, and international interoperability. This paper discusses each of these components in terms of their current state relating to interoperability and suggests what changes might be made to achieve interoperability.
Das Erreichen der semantischen Interoperabilität erfordert nicht nur den Einsatz von Kommunikationsstandards wie HL7 mit den dazugehörigen Modellen und Spezifikationen, sondern für die Instanziierung auch die Einschränkung dieser Modelle in ihren Eigenschaften, Datentypen und den verwendeten Werten und Codesystemen. Die Anwendung dieser Strategien kann aber trotzdem zu unterschiedlichen und damit ggf. inkompatiblen Modellen führen. Dieses Papier gibt einen kurzen Überblick über unterschiedliche Modellierungsansätze, die anhand der Score und Assessment-Systeme erläutert werden. Es werden die Vor- und Nachteile der verschiedenen Ansätze demonstriert. Die präsentierten Ergebnisse berücksichtigen die Übermittlung derselben Basisinformationen mittels HL7 v2.x und V3, um die Implementierungsaufwendungen insgesamt zu reduzieren.
Objectives: Achieving semantic interoperability requires not only the use of communication standards like HL7 with its underlying models and specifications, but also to constrain those models to instances including permitted attributes, data types, values and code systems. Even the application of both strategies may lead to different modeling approaches and therefore incompatible results, however. Methods: This paper analyzes the different ways to create a model exemplified at score and assessment systems. Results: The different approaches have advantages and disadvantages. The presented results allow for transmitting the same basic information facilitating HL7 v2.x and V3 in a way reducing implementation efforts. Conclusions: Establishing a generic approach to communicate the details of score systems driven by an appropriate set of codes is the best solution for implementers.
With the arrival of the information age and transition towards Electronic Health Records (EHR) and Digital Data, the need for aggregating data across multiple sources lead to the concepts of interoperability. Initially, interoperability was defined only from the perspective of technical interoperability and semantic interoperability. Over time, what was required to make things work together expanded the concepts of the scope of this topic. Unfortunately, the momentum of what currently exists, lack of motivation to change, the cost of change, and lack of a clear Return on Investment (ROI), and unclear solutions has made interoperability seemingly an impossible goal. This paper postulates that the definition of interoperability varies based on use case. The paper discusses what adjectives the term interoperability might legitimately carry – total, partial, implied, . . . The paper also discusses the problems associated with a focus on the word interoperability and attempting to create standards that enable the concept rather than a focus on what we are really trying to do and then looking at what is required to make that happen. Finally, the paper discusses the recent Request for Information (RFI) from the U.S. Office of the National Coordination (ONC) for Health Information Technology to provide suggestions about how interoperability might be measured.
People living with diabetes have many medical devices available to assist with disease management. A critical aspect that must be considered is how systems for continuous glucose monitoring and insulin pumps communicate with each other and how the data generated by these devices can be downloaded, integrated, presented and used. Not only is interoperability associated with practical challenges, but also devices must adhere to all aspects of regulatory and legal frameworks. Key issues around interoperability in terms of data ownership, privacy and the limitations of interoperability include where the responsibility/liability for device and data interoperability lies and the need for standard data-sharing protocols to allow the seamless integration of data from different sources. There is a need for standardised protocols for the open and transparent handling of data and secure integration of data into electronic health records. Here, we discuss the current status of interoperability in medical devices and data used in diabetes therapy, as well as regulatory and legal issues surrounding both device and data interoperability, focusing on Europe (including the UK) and the USA. We also discuss a potential future landscape in which a clear and transparent framework for interoperability and data handling also fulfils the needs of people living with diabetes and healthcare professionals.
- MeSH
- diabetes mellitus * farmakoterapie MeSH
- elektronické zdravotní záznamy MeSH
- krevní glukóza MeSH
- lidé MeSH
- selfmonitoring glykemie * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Spojené království MeSH
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
- elektronické zdravotní záznamy organizace a řízení MeSH
- programovací jazyk MeSH
- sémantika MeSH
- systémová integrace MeSH
- ukládání a vyhledávání informací MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Background: We present our current approaches to improving personal data protection in (i) large (regional/ national/international) scale health information exchanges (HIEs) and (ii) UK NHS IG toolkit and ISO 27001-compliant trustworthy research environments (TREs) for discovery science communities. In particular we examine impacts of the General Data Protection Regulation (GDPR) on these technology designs and developments and the responses we have made to control complexity. Methods: The paper discusses multiple requirements to implement the key GDPR principles of “data protection by design” and “data protection by default”, each requiring new capabilities to embed multiple security tests and data protection tools in common deployable infrastructures. Methods are presented for consistent implementation of diverse data processing use cases. Results: We describe how modular compositions of GDPRcompliant data processing software have been used to implement use case(s) and deliver information governance (IG) requirements transparently. Security surveillance analysis is embedded throughout the application lifecycle, namely at design, implementation and operation (runtime) phases. A solution is described to the challenge of integrating coherent research (analytic) environments for authorized researchers to access data and analytic tools without compromising security or privacy. Conclusion: We recognise the need for wider implementation of rigorous interoperability standards concerning privacy and security management. Standards can be disseminated within low-cost commodity infrastructures that are shared across consortium partners. Comprehensive model-based approaches to information management will be fundamental to guaranteeing security and privacy in challenging areas such as ethical use of artificial intelligence in medicine. The target architecture is still in evolution but needs a number of communitycollaborative API developments to couple advanced specifications fulfilling all IG requirements.
Straipsnyje analizuojamos objektinėmis technologijomis ir šių technologijų panaudojimas kuriant medicininės paskirties informacinę sistemą (IS). Medicininių duomenų standartų, konceptų ir technologijų spartus vystymasis iškėlė problemą – kaip sukurti sistemą, kuri pakankamai lanksčiai ir gerai veiktų su nuolat besikeičiančiais duomenimis. Po objektinių technologijų analizės: J2EE (Java 2 Platform, Enterprise Edition) ir Microsoft .NET, bei atvirojo kodo objektinių duomenų bazių valdymo sistemų (ODBVS), mes pasiūlėme sistemos architektūrą ir panaudojant .NET technologiją bei ODBVS db4o sukūrėme sistemą. Rezultatai apima ne tik sukurtą sistemą, bet taip pat objektinių duomenų bazių privalumus, bei sistemos integraciją į Nacionalinę elektroninės sveikatos sistemą. Sukurta sistema turėtų padėti medicinos darbuotojams pasiekti svarbią informaciją iš kiekvieno kompiuterio, kiekvienoje ligoninėje.
The article focuses on object oriented technologies and the usage of these technologies, how to create an information system (IS) for applications in medicine, specifically in ophthalmology. The rapid evolution of medical data standards, concepts and technologies has created a problem – how to develop a system that would be flexible enough to work with evolving data. After the analysis of object-oriented technologies: Java 2 Platform, Enterprise Edition (J2EE) and Microsoft .NET and open source object-oriented data base management systems (OODBMS) we have proposed and created a system based on .NET and OODBMS db4o. Results include the developed system with proposed architecture and used techniques, also the advantages of object-oriented data bases (OODB), the systems’ possible interoperability with the National Electronic Health Record system. Developed IS should help medical specialists to reach important information from any computer in any hospital.
