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

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
• 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
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH