Design and Development of an EHR Platform Based on Medical Informatics Standards

Abstract

As the ARRA enacted recently in the United States, the interest in EHR systems have been increased in the field of medical industry. The passage of the ARRA presents a program that provides incentives to office-based physicians and hospitals adapting the EHR systems to guarantee interoperability with various medical standards. Thanks to the incentive program, a great number of EHR systems have been developed and lots of office-based physicians and hospitals have adapted the EHR systems certified by CCHIT. Keeping pace with the rapid changes in the market of healthcare, some enterprises try to push in to the United States healthcare market based on the experience acquired by developing EHR systems for hospitals in Korea. However, the developed system must be customized because of the different medical environment between Korea and the United States. In this paper, therefore, we design and develop an integrated EHR platform to guarantee the interoperability between different medical information systems based on medical standard technologies. In the developed platform, an integrated system has been composed by integrating various basic techniques such as data transmission standards and its methods, medical standard terminologies and its usage, and knowledge management for medical decision-making support. Moreover, medical data can be processed electronically by adapting an HL7 interface engine and the terminologies for exchanging medical information and the standardization of medical information. We develop SeniCare, an EHR system for supporting ambulatory care of the office-based physicians, based on the platform, and we verify the usability of the platform by confirming whether SeniCare satisfies the criteria of "meaningful use" issued by CMS or not.Key Words : electronic health record system, medical information standard, meaningful use, interoperability

Current Status of the Adoption, Utilization and Helpfulness of Health Information Systems in Korea

“…Besides that, there are many studies related to the HISs as medical informatization spreads rapidly. Particularly, research in Korea has tended to focus on the technological aspects of HIS design and realization [21,22,23,24,25,26,27], privacy protection and system security [26,28,29,30,31], system standardization [32,33,34] and, more recently, the integration of HISs [22,35,36,37,38,39]. Though there are many forms of relevant research, few studies related to the users’ attitudes towards or perceptions of the HISs have been conducted.…”

Common data model for decision support system of adverse drug reaction to extract knowledge from multi-center database

“…Furthermore, hospitals have heterogeneous EMR database structures and different terminologies, except for diagnosis codes, and it is difficult to integrate information. This heterogeneity makes it difficult to analyze information consistently [14].…”

Knowledge Extractions, Visualizations, and Inference from the big Data in Healthcare and Medical

“…In the area of KM, a lot of researches explored its concept, nature, tools, methodologies, frameworks, architectures, and the real world implementations [1][2][3][4][5][6][7][8][9][10]. Recently, however, the focus of the related studies was shifted into the practical approaches finding better ways to manage the organizational knowledge [11][12].…”

“…From this view, the medical system could be considered as an emerging market where the human expert knowledge is used as an important organizational resource [6] [8]. Basically, the knowledge in the field of healthcare and medical is not strictly factual, but is mainly based on the experience and judgment of the human experts [13].…”