An Interoperable Electronic Health Record System for Clinical Cardiology

Lazarova, Elena; Mora, Sara; Maggi, Norbert; Ruggiero, Carmelina; Vitale, Alessandro; Rubartelli, Paolo

doi:10.3390/informatics9020047

Cited by 6 publications

(4 citation statements)

References 42 publications

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“…In 2017, the MII National Steering Committee produced a first document, later updated, containing a high-level description of the CDS as well as recommendations on the syntactic and semantic standards to be employed in all modules 7 . On the structural level, information should be modeled using the Fast Healthcare Interoperability Resources (FHIR) 8 , a recent Health Level Seven (HL7) 9 standard rapidly gaining adoption for the exchange of healthcare information 10 – 12 . It is organized in several resources (e.g.…”

Section: Introductionmentioning

confidence: 99%

Towards interoperability in infection control: a standard data model for microbiology

Rinaldi,

Drenkhahn,

Gebel

et al. 2023

Sci Data

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The COVID-19 pandemic has made it clear: sharing and exchanging data among research institutions is crucial in order to efficiently respond to global health threats. This can be facilitated by defining health data models based on interoperability standards. In Germany, a national effort is in progress to create common data models using international healthcare IT standards. In this context, collaborative work on a data set module for microbiology is of particular importance as the WHO has declared antimicrobial resistance one of the top global public health threats that humanity is facing. In this article, we describe how we developed a common model for microbiology data in an interdisciplinary collaborative effort and how we make use of the standard HL7 FHIR and terminologies such as SNOMED CT or LOINC to ensure syntactic and semantic interoperability. The use of international healthcare standards qualifies our data model to be adopted beyond the environment where it was first developed and used at an international level.

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Section: Introductionmentioning

confidence: 99%

Towards interoperability in infection control: a standard data model for microbiology

Rinaldi,

Drenkhahn,

Gebel

et al. 2023

Sci Data

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show abstract

“…In personalized medicine, it is essential to accurately describe the situation of a patient at all levels (from macroscopic [25] to molecular [26]) [27,28]. This kind of systems combines on the one hand the analytical nature of ontologies and on the other hand the systematic approach and rigor provided by standardized tools, such as the CTS2, to preserve the evolutionary history of the terminological systems.…”

Section: Discussionmentioning

confidence: 99%

CTS2 OWL: Mapping OWL Ontologies to CTS2 Terminology Resources

Mora

Blobel

Gazzarata³

2022

Studies in Health Technology and Informatics

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The advancement of healthcare towards P5 medicine requires communication and cooperation between all actors and institutions involved. Interoperability must go beyond integrating data from different sources and include the understanding of the meaning of the data in the context of concepts and contexts they represent for a specific use case. In other words, we have to advance from data sharing through sharing semantics up to sharing clinical and medical knowledge. According to the Good Modeling Best Practices, we have to start with describing the real-world business system by domain experts using Domain Ontologies before transforming it into an information and communication technology (ICT) system, thereafter specifying the informational components and then transforming the system into an implementable solution. Any representation style – in the system development process acc. to ISO 10746 called system view – is defined by a related ontology, to be distinguished from real-world domain ontologies representing the knowledge spaces of involved disciplines. The system enabling such representational transformation shall also support versioning as well as the management of historical evolutions. One of such systems is the Common Terminology Service Release 2 (CTS2), which is a standard that allows the complete management of terminological contents. The main objective of this work is to present the choices we made to transform an ontology, written in the standard Ontology Web Language (OWL), into the CTS2 objects. We tested our transformation approach with the Alzheimer’s Disease Ontology. We managed to map all the elements of the considered ontology to CTS2 terminological resources, except for a subset of elements such as the equivalentClass derived from restrictions on other classes.

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“…An informal study on the implemented system's effectiveness in two hospitals showed that EHRs improved patient management. Moreover, the software supporting HDL preparation, that is, the document summarising the hospitalisation and including indications for continuing treatment, was found to be the most appreciated functionality [63]. Other positive effects that translated into increasing engagement with the system were an increase in the usability of the base, with studies noting, among other things, increased prescription appropriateness, a reduction in overall nurse workload, and optimisation of medication inventory management.…”

Section: Case #3: Electronic Medical Record In Italian Academic Integ...mentioning

confidence: 99%

The Stakeholders’ Involvement in Healthcare 4.0 Services Provision: The Perspective of Co-Creation

Laurisz

Ćwiklicki

Żabiński

et al. 2023

IJERPH

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Literature research on cocreation in healthcare indicates the theoretical sophistication of research on collaboration between healthcare professionals and patients. Our research continues in the new area of Health 4.0. Cocreation has become an essential concept in the value creation process; by involving consumers in the creation process, better results are achieved regarding product quality and alignment with customer expectations and needs. In addition, consumer involvement in the creation process improves its efficiency. Cocreation allows for more efficient diagnosis and treatment of patients, as well as better and more effective use of the skills and experience of the health workforce. Our main objective is to determine the scope and depth of the cocreation of health services based on modern technological solutions (Health 4.0). We selected four cases involving Health 4.0 solutions, verified the scale and scope of cocreation using them as examples, and used the cocreation matrix. We used literature, case studies, and interviews in our research. Our analysis shows that patients can emerge as cocreators in the value creation process in Health 4.0. This can happen when they are genuinely involved in the process and when they feel responsible for the results. The article contributes to the existing theory of service cocreation by pointing out the limited scope of patient involvement in the service management process. For cocreation in Health 4.0 to increase the effectiveness of medical services, it is necessary to implement the full scope of cocreation and meaningfully empower the patient and medical workers in the creation process. This article verifies the theoretical analysis presented in our team’s previous article.

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An Interoperable Electronic Health Record System for Clinical Cardiology

Cited by 6 publications

References 42 publications

Towards interoperability in infection control: a standard data model for microbiology

Towards interoperability in infection control: a standard data model for microbiology

CTS2 OWL: Mapping OWL Ontologies to CTS2 Terminology Resources

The Stakeholders’ Involvement in Healthcare 4.0 Services Provision: The Perspective of Co-Creation

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