HighlightsContent-based search avoids information overload in IHE XDS Shared EHR systems.Content-based search enables retrieval of fine-grained information items.Content-based search implemented by integrating Archetypes in IHE XDS.
To our knowledge there is no similar summary that concisely summarizes common communication problems and also refers to their underlying reasons. Equivalent content is mostly published in experience reports that just concentrate on single aspects. We used the details of such references in order to compile our categorization - it thus can be regarded as an intersection of relevant experiences. The categorization can raise a basic awareness on potential problems and supports the understanding of the underlying reasons. An evaluation in a real environment must prove whether the content of the categorization is correct.
Objectives:The Certification Commission for Healthcare Information Technology (CCHIT) and EuroRec offer the most prominent functional approaches to Electronic Health Record quality certification in the US and Europe. The current study aims at the analysis of these approaches from the perspective of weaknesses in information exchange. Furthermore, the implicit coverage of the information dimension within their functional requirements is analyzed. Methods: The quality frameworks from the CCHIT and EuroRec were compared to a comprehensive and universal categorization of communication errors in order to determine the communication problems anticipated by these two approaches. Results: The approaches of the CCHIT and EuroRec anticipate nearly the same communication errors but their number with regard to the error categorization is rather low. The two approaches include problem classes, such as authorization problems, wrong details in data, data loss, and poor quality content. Areas that are not covered include application errors, errors with regard to information transcription, etc. Conclusion: The current study points out that the approaches of the CCHIT and EuroRec only cover a small part of the possible communication errors with their functional requirements. Therefore, an integration of the identified, missing errors in the requirements proposed by CCHIT and EuroRec should be closely considered.
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