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

Doğaç, Asuman; Yüksel, Muhammed; Avci, Ayça; Ceyhan, Berrin; Hülür, Ünal; Eryilmaz, Z.; Mollahaliloglu, Sabahattin Aydin Salih; Atbakan, E.; Akdağ, Recep

doi:10.3414/me10-01-0022

Cited by 21 publications

(9 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NHIS-T is a national level health information infrastructure that has a centralized service-oriented architecture in order to produce and share medical records among stakeholders [ 12 , 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the serialization process, the TDS are mapped to HL7 CDA to create the “transmission schema”. Each transmission schema is wrapped with a root element named after the main dataset in the transmission [ 12 , 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…Incoming messages are validated regarding syntax and semantics, and the appropriate messages are stored in the NHIS-T central repositories. Patient and medical professional identifiers are acquired and validated from the Central Civil Registration System and Doctor Data Bank, respectively ( Figure 1 shows the NHIS-T) [ 13 , 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…But, the legal regulations have to be completed before both types of access—authorized or self—are available. Then, the establishment of a PHR system will be allowed [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Incorporation of Personal Single Nucleotide Polymorphism (SNP) Data into a National Level Electronic Health Record for Disease Risk Assessment, Part 2: The Incorporation of SNP into the National Health Information System of Turkey

Beyan

2014

JMIR Med Inform

View full text Add to dashboard Cite

BackgroundA personalized medicine approach provides opportunities for predictive and preventive medicine. Using genomic, clinical, environmental, and behavioral data, the tracking and management of individual wellness is possible. A prolific way to carry this personalized approach into routine practices can be accomplished by integrating clinical interpretations of genomic variations into electronic medical record (EMR)s/electronic health record (EHR)s systems. Today, various central EHR infrastructures have been constituted in many countries of the world, including Turkey.ObjectiveAs an initial attempt to develop a sophisticated infrastructure, we have concentrated on incorporating the personal single nucleotide polymorphism (SNP) data into the National Health Information System of Turkey (NHIS-T) for disease risk assessment, and evaluated the performance of various predictive models for prostate cancer cases. We present our work as a miniseries containing three parts: (1) an overview of requirements, (2) the incorporation of SNP into the NHIS-T, and (3) an evaluation of SNP data incorporated into the NHIS-T for prostate cancer.MethodsFor the second article of this miniseries, we have analyzed the existing NHIS-T and proposed the possible extensional architectures. In light of the literature survey and characteristics of NHIS-T, we have proposed and argued opportunities and obstacles for a SNP incorporated NHIS-T. A prototype with complementary capabilities (knowledge base and end-user applications) for these architectures has been designed and developed.ResultsIn the proposed architectures, the clinically relevant personal SNP (CR-SNP) and clinicogenomic associations are shared between central repositories and end-users via the NHIS-T infrastructure. To produce these files, we need to develop a national level clinicogenomic knowledge base. Regarding clinicogenomic decision support, we planned to complete interpretation of these associations on the end-user applications. This approach gives us the flexibility to add/update envirobehavioral parameters and family health history that will be monitored or collected by end users.ConclusionsOur results emphasized that even though the existing NHIS-T messaging infrastructure supports the integration of SNP data and clinicogenomic association, it is critical to develop a national level, accredited knowledge base and better end-user systems for the interpretation of genomic, clinical, and envirobehavioral parameters.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…But, the legal regulations have to be completed before both types of access—authorized or self—are available. Then, the establishment of a PHR system will be allowed [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Incorporation of Personal Single Nucleotide Polymorphism (SNP) Data into a National Level Electronic Health Record for Disease Risk Assessment, Part 2: The Incorporation of SNP into the National Health Information System of Turkey

Beyan

2014

JMIR Med Inform

View full text Add to dashboard Cite

show abstract

“…In recent years many regional and national healthcare networks based on Electronic Health Records (EHRs) have been established all over Europe. An example is the National Health Information System of Turkey (NHIS-T) [2] which is a nation-wide infrastructure for sharing patients electronic health records (EHRs). Currently, 98% of the public hospitals and 60% of the private and university hospitals are connected to NHIS-T with daily feeds of their patients EHRs.…”

Section: Ehr Interoperabiltymentioning

confidence: 99%

Interoperability in eHealth systems

Doğaç

2012

Proc. VLDB Endow.

View full text Add to dashboard Cite

Interoperability in eHealth systems is important for delivering quality healthcare and reducing healthcare costs. Some of the important use cases include coordinating the care of chronic patients by enabling the co-operation of many different eHealth systems such as Electronic Health Record Systems (EHRs), Personal Health Record Systems (PHRs) and wireless medical sensor devices; enabling secondary use of EHRs for clinical research; being able to share life long EHRs among different healthcare providers. Although achieving eHealth interoperability is quite a challenge both because there are competing standards and clinical information itself is very complex, there have been a number of successful industry initiatives such as Integrating the Healthcare Enterprise (IHE) Profiles, as well as large scale deployments such as the National Health Information System of Turkey and the epSOS initiative for sharing Electronic Health Records and ePrescriptions in Europe.This article briefly describes the subjects discussed in the VLDB 2012 tutorial to provide an overview of the issues in eHealth interoperability describing the key technologies and standards, identifying important use cases and the associated research challenges and also describing some of the large scale deployments. The aim is to foster further interest in this area.

show abstract

Could neutrophil-to-lymphocyte ratio predict mortality in community-dwelling older people with delirium superimposed on dementia?

Katipoğlu

Naharci

2022

Aging Clin Exp Res

View full text Add to dashboard Cite

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

Cited by 21 publications

References 2 publications

Incorporation of Personal Single Nucleotide Polymorphism (SNP) Data into a National Level Electronic Health Record for Disease Risk Assessment, Part 2: The Incorporation of SNP into the National Health Information System of Turkey

Incorporation of Personal Single Nucleotide Polymorphism (SNP) Data into a National Level Electronic Health Record for Disease Risk Assessment, Part 2: The Incorporation of SNP into the National Health Information System of Turkey

Interoperability in eHealth systems

Could neutrophil-to-lymphocyte ratio predict mortality in community-dwelling older people with delirium superimposed on dementia?

Contact Info

Product

Resources

About