scholarly journals Integrating an Electronic Health Record System into a Regional Health Information System: An HL7 FHIR Architecture

2021 ◽  
Author(s):  
Elena Lazarova ◽  
Sara Mora ◽  
Paolo Rubartelli ◽  
Alessandro Cosolito Vitale ◽  
Luisa Pareto ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System ◽  
Health Record ◽  
Record System ◽  
Hl7 Fhir ◽  
Service Oriented ◽  
Infrastructure System ◽  
Provision Of Care ◽  
Oriented Approach

This paper presents an architecture which has been developed in order to integrate a routinely used cardiologic EHR system into the health information infrastructure system of the region where the EHR is used. A Service Oriented Approach based on HL7 and FHIR was used, achieving interoperability, security and confidentiality at all levels. The system has been used for about a year and has brought about significant improvements in the provision of care.

Electronic Health Record Interoperability as Realized in the Turkish Health Information System

2011 ◽  
Vol 50 (02) ◽  
pp. 140-149 ◽  
Author(s):  
M. Yuksel ◽  
A. Avcl ◽  
B. Ceyhan ◽  
Ü. Hülür ◽  
Z. Eryllmaz ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Personal Health Record ◽  
Health Information System ◽  
Public Hospitals ◽  
Second Phase ◽  
Successful Implementation ◽  
Health Record ◽  
Patient Consent ◽  
Electronic Health

Summary Objectives: The objective of this paper is to describe the techniques used in developing the National Health Information System of Turkey (NHIS-T), a nation-wide infrastructure for sharing electronic health records (EHRs). Methods: The UN/CEFACT Core Components Technical Specification (CCTS) methodology was applied to design the logical EHR structure and to increase the reuse of common information blocks in EHRs. Results: The NHIS-T became operational on January 15, 2009. By June 2010, 99% of the public hospitals and 71% of the private and university hospitals were connected to NHIS-T with daily feeds of their patients’ EHRs. Out of the 72 million citizens of Turkey, electronic healthcare records of 43 million citizens have already been created in NHIS-T. Currently, only the general practitioners can access the EHRs of their patients. In the second phase of the implementation and once the legal framework is completed, the proper patient consent mechanisms will be available through the personal health record system that is under development. At this time authorized health-care professionals in secondary and tertiary healthcare systems can access the patients’ EHRs. Conclusions: A number of factors affected the successful implementation of NHIS-T. First, all stakeholders have to adopt the specified standards. Second, the UN /CEFACT CCTS approach was applied which facilitated the development and understanding of rather complex EHR schemas. Finally, the comprehensive testing of vendor-based hospital information systems for their conformance to and interoperability with NHIS-T through an automated testing platform enhanced substantially the fast integration of vendor-based solutions with the NHIS-T.

Engineering Dependable Health Information Systems

2005 ◽  
pp. 91-109 ◽  
Author(s):  
Khin Than Win ◽  
Peter Croll
Keyword(s):  
Information System ◽  
Knowledge Management ◽  
Information Systems ◽  
Electronic Health Record ◽  
Health Information ◽  
Health Information System ◽  
Health Information Systems ◽  
Health Record ◽  
The Relationship

Effective and appropriate implementation of health information systems assists with an organization’s knowledge management. To enhance a user’s trustworthiness and full adoption, a health information system needs to be dependable. This chapter reviews the different development methodologies available for engineering dependable solutions and their application by citing two case studies as an example. Health information systems cover a diverse set of applications. The focus in this chapter is on the development of electronic health record systems, the importance of dependability, and the relationship between dependability and data quality of the health record systems.

scholarly journals Semantics Management for a Regional Health Information System in Italy by CTS2 and FHIR

2021 ◽  
Author(s):  
Roberta Gazzarata ◽  
Norbert Maggi ◽  
Luca Douglas Magnoni ◽  
Maria Eugenia Monteverde ◽  
Carmelina Ruggiero ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information System ◽  
Health Record ◽  
Veneto Region ◽  
Regional Health ◽  
The Common ◽  
Set Up

An infrastructure for the management of semantics is being developed to support the regional health information exchange in Veneto – an Italian region which has about 5 million inhabitants. Terminology plays a key role in the management of the information fluxes of the Veneto region, in which the management of electronic health record is given great attention. An architecture for the management of the semantics of laboratory reports has been set up, adopting standards by HL7. The system has been initially developed according to the common terminology service release 2 (CTS2) standard and, in order to overcome complexities of CTS2 is being revised according to the Fast Healthcare Interoperability Resources (FHIR) standard, which has been subsequently introduced. Aspects of CST2 and of FHIR have been considered in order to retain most suitable aspects of both. This integration can be regarded as most worthwhile.

scholarly journals A DECENTRALIZED CRYPTOGRAPHIC BLOCKCHAIN APPROACH FOR HEALTH INFORMATION SYSTEM

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Dr.J.Chenni Kumaran ◽  
Antony Eric Machado ◽  
Dharanidharan R ◽  
Rishi Johnson Bose
Keyword(s):  
Information System ◽  
Electronic Health Record ◽  
Health Information ◽  
Health Information System ◽  
Health Record ◽  
Electronic Health ◽  
Hashing Algorithm

Blockchain had been an exciting studies vicinity for a long term and the advantages it gives had been utilized by some of diverse industries. Similarly, the healthcare zone stands to advantage immensely from the blockchain generation because of protection, privacy, confidentiality and decentralization. Nevertheless, the Electronic Health Record (EHR) structures face issues concerning records protection, integrity and management. In this paper, we speak how the blockchain generation may be used to convert the EHR structures and might be an answer of those issues. We gift a framework that would be used for the implementation of blockchain generation in healthcare zone for EHR. The goal of our proposed framework is first off to put into effect blockchain generation for EHR and secondly to offer stable garage of digital facts via way of means of defining granular get entry to guidelines for the customers of the proposed framework. Moreover, this framework additionally discusses the scalability trouble confronted via way of means of the blockchain generation in preferred through use of off-chain garage of the facts. This framework gives the EHR device with the advantages of getting a scalable, stable and imperative blockchain-primarily based totally answer with use of sha256 hashing algorithm.

Implementing the lifelong personal health record in a regionalised health information system: The case of Lombardy, Italy

2015 ◽  
Vol 59 ◽  
pp. 164-174 ◽  
Author(s):  
Fulvio Barbarito ◽  
Francesco Pinciroli ◽  
Antonio Barone ◽  
Fabrizio Pizzo ◽  
Riccardo Ranza ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Personal Health Record ◽  
Health Information System ◽  
Personal Health ◽  
Health Record

The Vision for a Person-Centered Health Information System

2018 ◽  
Vol 8 (10) ◽  
Author(s):  
Keith Horvath ◽  
◽  
Patricia Sengstack ◽  
Frank Opelka ◽  
Andrea Borondy Kitts ◽  
...  
Keyword(s):  
Information System ◽  
Health Information ◽  
Health Information System
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