Cross-institutional data exchange using the clinical document architecture (CDA)

Müller, Marcel Lucas; Ückert, Frank; Bürkle, Thomas; Prokosch, Hans‐Ulrich

doi:10.1016/j.ijmedinf.2004.09.005

Cited by 61 publications

(40 citation statements)

References 11 publications

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“…Interoperability and lack of accepted standards are ongoing problems, but as demonstrated in [11] solutions based on standards are feasible and can convey patient empowerment through giving the patient access to HIS data via an EHR system. Medical and technical progress e.g.…”

Section: Discussionmentioning

confidence: 99%

“…The Clinical Document Architecture (CDA) of HL7 [18] is a prominent candidate for the international standardization of electronic document exchange in health care. The paper of Marcel Lucas Müller et al [11] presents experiences with using the CDA for the electronic transfer of discharge letters from a hospital to general practitioners and for the integration of clinical data such as discharge and referral letters or laboratory results in a patient's lifelong electronic health record. Both the discharge letter exchange and the EHR integration of clinical documents have been introduced into clinical routine and were evaluated.…”

Section: J Biomed Inform 2004 Jun;37(3):179-92mentioning

confidence: 99%

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Section 3: Health Information Systems: Health Information Systems: Between Shared Care and Body Area Networks

Bott¹

2006

Yearb Med Inform

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SummaryObjectives: To summarize current excellent research in the field of health information systems (HIS). Methods: Synopsis of the articles selected for the IMIA Yearbook 2006. Results: Current research in the field of HIS is focused on supporting transinstitutional health care processes including health record systems, integration of new data types and knowledge based decision support, patient empowerment, the utilization of new technologies like wearable systems or ubiquitous computing in home and personal care, and methods and tools for the analysis, development, management, and evaluation of HIS. Conclusions: The best paper selection of articles on HIS comprises examples of excellent research on integration of HIS based on standards for electronic health records, methods and tools for HIS oriented change management, the use of wearable systems for telemedical surveillance of chronically ill patients, technology driven home care concepts for the elderly and physically disabled, and data privacy issues arising from the emergence of new clinical data types in the context of biomedicine. Besides successful research concerning important aspects of HIS, achieving interoperability and integration of health information subsystems and technology remains an important field of work.

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Section: Discussionmentioning

confidence: 99%

Section: J Biomed Inform 2004 Jun;37(3):179-92mentioning

confidence: 99%

Section 3: Health Information Systems: Health Information Systems: Between Shared Care and Body Area Networks

Bott¹

2006

Yearb Med Inform

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“…Some of the disadvantages with this work are, the system is not portable since it is implemented and integrated in Single Language. 4 Recently one patient received care from several hospitals at around the same time. When the patient visited a new hospital, the new hospital's physician tried to get patient information the previous hospital.…”

Section: IImentioning

confidence: 99%

Security Enhancement to Exchange Health Information on Cloud

Hemalatha¹

2017

IJRASET

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The Electronic Health Record deployment at hospitals helps to improve patient safety and quality of care, but it has the prerequisite of interoperability between Health Information Exchange at different hospitals. The Clinical Document Architecture (CDA) document generation and integration Open API service based on cloud computing, through which hospitals are enabled to conveniently generate CDA documents without having to purchase proprietary software. CDA document integration system integrates multiple CDA documents per patient into a single CDA document and physicians and patients can browse the clinical data in chronological order. Along with achieving the interoperability, security is also a major concern. The proposed system provides security to the CDA document by making use of advanced encryption standard algorithm, RSA an asymmetric encryption algorithm and given to the patients for avoiding the interchanging and duplication of medical reports. Every detail in CDA Document is Encrypted and stored in Database. The proof for the efficient working of the proposed approach shall be given by ensuring reasonable quality of service even with multiple users logged on the system at the same time.

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“…The HL7 Clinical Document Architecture (CDA) [11], [12] in particular is already in use by several countries [13], [14], since it provides for a common representation of clinical documents, enables the clinical document exchange and facilitates document management [15]. HL7-CDA contributes significantly to semantic interoperability, by allowing the structured use of controlled terminologies and promotes the sharing understanding of both the structure and the semantics of clinical documents that are created by diverse information systems.…”

Section: The Semantically Annotated Web Servicementioning

confidence: 99%

Supporting the Continuity of Home Care and the Bidirectional Exchange of Data among Various Points of Care by Semantically Annotated Web Services

Botsivaly¹,

Spyropoulos²

2008

Polibits

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Abstract-In this paper we report, first, the conceptualization and initial design of a system that creates a structured subset of data, concerning the most relevant facts about a patient's healthcare, organized and transportable, in order to be employed during the post-discharge homecare period, enabling simultaneously the planning and the optimal documentation of the provided homecare. Second, we present the actual development and implementation of the system according to the ASTM Continuity of Care Record (CCR) Specification. Finally, we present the implementation of a semantic-web-based system, which aims to facilitate the exchange of Clinical Information among various points of care, and we also present a solution that provides for the shared understanding of Medical Data between diverge information systems, and overcomes, both, the problems of incompatible formats in messages and of the use of diverse vocabularies.Index Terms-Home care, continuity of care record, semantically annotated Web services, data exchange among various points of care.

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Cross-institutional data exchange using the clinical document architecture (CDA)

Cited by 61 publications

References 11 publications

Section 3: Health Information Systems: Health Information Systems: Between Shared Care and Body Area Networks

Section 3: Health Information Systems: Health Information Systems: Between Shared Care and Body Area Networks

Security Enhancement to Exchange Health Information on Cloud

Supporting the Continuity of Home Care and the Bidirectional Exchange of Data among Various Points of Care by Semantically Annotated Web Services

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