scholarly journals Interoperable HL7 FHIR platform to report PCR SARS-CoV-2 tests from laboratories to the Chilean government (Preprint)

10.2196/25149 ◽  
2020 ◽  
Author(s):  
Sergio Guinez-Molinos ◽  
Jose Andrade ◽  
Alejandro Medina ◽  
Sonia Espinoza ◽  
Elvis Rios
Keyword(s):  
Hl7 Fhir ◽  
Chilean Government

scholarly journals Interoperable HL7 FHIR platform to report PCR SARS-CoV-2 tests from laboratories to the Chilean government (Preprint)

2020 ◽  
Author(s):  
Sergio Molinos ◽  
Jose Andrade ◽  
Alejandro Medina ◽  
Sonia Espinoza ◽  
Elvis Rios
Keyword(s):  
Process Management ◽  
Common Factor ◽  
Application Programming Interface ◽  
Modeling Process ◽  
Access Control List ◽  
Hl7 Fhir ◽  
Application Programming ◽  
The Right ◽  
Minimum Dataset ◽  
Chilean Government

BACKGROUND Testing, traceability, and the isolation (TTI strategy) actions are a central strategy defined by WHO to contain the COVID-19 pandemic. In this sense, countries have had difficulties in counting the number of people infected with SARS-CoV-2. Errors in reporting results are a common factor as well as the lack of interoperability between laboratories and governments. Approaches aimed at sending spreadsheets via email expose patients' privacy and have increased the probability of errors due to re-typing and generate a delay in the notification of results. OBJECTIVE Design and develop an interoperable platform to report PCR SARS-CoV-2 tests from laboratories to the Chilean government. METHODS The methodology to design and develop the interoperable platform was comprised of six well-structured stages: 1) Creation of a minimum dataset to PCR SARS-CoV-2 tests, 2) Modeling process and endpoints where institutions interchange information, 3) Standards and interoperability design, 4) Software development, 5) Quality assurance and 6) Software implementation. RESULTS The main result was the interoperable FHIR platform to report PCR SARS-CoV-2 tests from laboratories to the Chilean government. The platform was designed, developed, tested, and implemented following a structured methodology. The platform's performance to 1,000 requests resulted in a response time of 240 milliseconds, throughput was 28.3 requests per second, and the process management time was 131 milliseconds. The platform has availability of 99.9 %. The security was implemented with JSON Web Token (JWT) to ensure confidentiality, authorization, and authentication. All the PCR SARS-CoV-2 tests were accessible through an Application Programming Interface (API) gateway with valid credentials and the right access control list. CONCLUSIONS The platform was implemented and is currently being used by UC Christus Laboratory. The platform is secure. It was tested adequately for confidentiality, secure authorization, authentication, and message integrity. This platform simplifies the reporting of PCR SARS-CoV-2 tests and reduces the time and probability of mistakes in counting positive cases. The interoperable solution with FHIR is working successfully and is open for the community, laboratories, and any institution that needs to report PCR SARS-CoV-2 tests.

scholarly journals Learning HL7 FHIR Using the HAPI FHIR Server and Its Use in Medical Imaging with the SIIM Dataset

2018 ◽  
Vol 31 (3) ◽  
pp. 334-340 ◽  
Author(s):  
Mohannad A. Hussain ◽  
Steve G. Langer ◽  
Marc Kohli
Keyword(s):  
Medical Imaging ◽  
Hl7 Fhir

scholarly journals Quantitative Methods for a New Configuration of Territorial Units in a Chilean Government Agency Tender Process

2011 ◽  
Vol 41 (3) ◽  
pp. 263-277 ◽  
Author(s):  
Guillermo Durán ◽  
Rafael Epstein ◽  
Cristian Martinez ◽  
Gonzalo Andres Zamorano
Keyword(s):  
Quantitative Methods ◽  
Government Agency ◽  
Chilean Government

USING THE FAST HEALTHCARE INTEROPERABILITY RESOURCES HEALTH IN-FORMATION EXCHANGE STANDARD IN DIGITAL HEALTHCARE

2021 ◽  
Vol 115 ◽  
pp. 43-49
Author(s):  
Oleg Vladislavovich Mikhailenko ◽  
◽  
Gennady Borisovich Staikov ◽  
Georgy Alekseevich Dorrer ◽  
◽  
...  
Keyword(s):  
Scientific Literature ◽  
Medical Applications ◽  
Hl7 Fhir ◽  
Digital Healthcare

The purpose of this article is to thoroughly understand the HL7 FHIR standard, to consider the use and adoption of the standard in modern medical applications and organizations. Thus, the article is a review of the scientific literature on FHIR and its current use in digital healthcare, identifying the main topics that are discussed in the context of FHIR in the scien-tific literature.

Events Are Developing at Such a Rapid Pace

2019 ◽  
pp. 164-181
Author(s):  
Alan McPherson
Keyword(s):  
United States ◽  
The United States ◽  
Department Of Justice ◽  
American Citizen ◽  
Rapid Pace ◽  
Chilean Government

This chapter begins when the Department of Justice and FBI, led by Eugene Propper, identify Michael Townley and Armando Fernández as having been in the United States during the assassination. This knowledge prompts US investigators to pressure the Chilean government into handing over Townley, an American citizen, for questioning. The Chileans expel him to the United States, where he reveals the conspiracy to kill Letelier. In return for his testimony, Townley is given a light sentence and placed into the Witness Protection Program. Two of the Cubans go into hiding, while three are found guilty but then later acquitted on technicalities. Three Chileans are named in the indictment.

Chilbom

2019 ◽  
pp. 105-116
Author(s):  
Alan McPherson
Keyword(s):  
Federal Bureau ◽  
Department Of Justice ◽  
Federal Bureau Of Investigation ◽  
Chilean Government

This chapter begins Part Two of the book, “Investigation.” “CHILBOM” is the code-name that the Federal Bureau of Investigation gives to the Letelier case, suspecting early that the Chilean government is involved but confirming only after a year and a half of investigation. Eugene Propper is the Assistant US Attorney in charge of the investigation at the Department of Justice, with the FBI assisting.

A Next Generation of IT

2020 ◽  
pp. 2048-2071
Author(s):  
Anthony J. Mallia
Keyword(s):  
Semantic Web ◽  
Health Record ◽  
Snomed Ct ◽  
Model Driven ◽  
Generation Computing ◽  
Wiki Technology ◽  
Hl7 Fhir ◽  
High Level ◽  
New Generation ◽  
Semantic Mediawiki

A potential new generation computing environment is emerging which combines wiki technology with semantic web concepts. This has brought about the fusion of the wiki execution ecosystem, a semantic web for model-driven applications, and a high-level language as an extension to wiki text for accelerated development. Semantic MediaWiki provides this platform and a fragment of a health record, including allergy intolerance as structured in HL7 FHIR with terminology bindings to SNOMED CT and to HL7 terminologies was developed by the author in a short timeframe (approximately 10 hours). The system navigates around the health record and controls the entry of terms in the record from controlled ValueSets. All terminologies and ValueSets are integrated into the prototype.

Conclusion

2020 ◽  
pp. 175-180
Author(s):  
Shmuel Nili
Keyword(s):  
Military Coup ◽  
Military Dictatorship ◽  
Head Of State ◽  
Augusto Pinochet ◽  
The Military ◽  
Chilean Government

December 2006 saw the passing of General Augusto Pinochet, who ruled Chile through a military dictatorship that lasted almost seventeen years. Pinochet’s regime, which had its roots in a 1973 military coup against Salvador Allende’s democratically elected government, murdered thousands and tortured tens of thousands. Upon Pinochet’s passing, the Chilean government allowed the military to hold official ceremonies mourning him, but refused to honor the military dictator with a head-of-state funeral....

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