Exchanging care records using HL7 V3 care provision messages

Goossen, William; Langford, Laura Heermann

doi:10.1136/amiajnl-2013-002264

Cited by 15 publications

(4 citation statements)

References 4 publications

(3 reference statements)

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“…The Health Level Seven (HL7) and Digital Imaging and Communications in Medicine (DICOM) are the two most common standards used in the communication of medical data and medical imaging. The HL7 () 29 is a standard for medical data exchange among different healthcare information systems. DICOM 30 is the standard for the encoding, the management and the exchange of medical imaging.…”

Section: Methodsmentioning

confidence: 99%

PCaGuard: A Software Platform to Support Optimal Management of Prostate Cancer

et al. 2022

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Background and Objective Prostate cancer (PCa) is a severe public health issue and the most common cancer worldwide in men. Early diagnosis can lead to early treatment and long-term survival. The addition of the multiparametric magnetic resonance imaging in combination with ultrasound (mpMRI-U/S fusion) biopsy to the existing diagnostic tools improved prostate cancer detection. Use of both tools gradually increases in every day urological practice. Furthermore, advances in the area of information technology and artificial intelligence have led to the development of software platforms able to support clinical diagnosis and decision-making using patient data from personalized medicine. Methods We investigated the current aspects of implementation, architecture, and design of a health care information system able to handle and store a large number of clinical examination data along with medical images, and produce a risk calculator in a seamless and secure manner complying with data security/accuracy and personal data protection directives and standards simultaneously. Furthermore, we took into account interoperability support and connectivity to legacy and other information management systems. The platform was implemented using open source, modern frameworks, and development tools. Results The application showed that software platforms supporting patient follow-up monitoring can be effective, productive, and of extreme value, while at the same time, aiding toward the betterment medicine clinical workflows. Furthermore, it removes access barriers and restrictions to specialized care, especially for rural areas, providing the exchange of medical images and patient data, among hospitals and physicians. Conclusion This platform handles data to estimate the risk of prostate cancer detection using current state-of-the-art in eHealth systems and services while fusing emerging multidisciplinary and intersectoral approaches. This work offers the research community an open architecture framework that encourages the broader adoption of more robust and comprehensive systems in standard clinical practice.

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Section: Methodsmentioning

confidence: 99%

PCaGuard: A Software Platform to Support Optimal Management of Prostate Cancer

et al. 2022

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“…Jest to nowsza wersja standardu HL7, która ma przyczynić się do zmiany modelu przekazywania wiadomości w systemie i jest głównie ukierunkowana na komunikację elektroniczną między różnymi systemami informatycznymi [Goossen, Langford 2014]. Wersja 3.0 nie jest kompatybilna z żadną wcześniejszą wersją HL7, co oznacza, że nie ma przepływu informacji między nimi.…”

Section: Health Level 7 (Hl7) Wersja 30unclassified

Wybrane standardy elektronicznej wymiany informacji w podmiotach leczniczych

Strzelecka¹

2018

Informatyka Ekonomiczna

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Streszczenie: Implementacja technologii informacyjno-komunikacyjnych w ochronie zdrowia oraz właściwe zarządzanie nimi jest postrzegane jako niezbędny element funkcjonowania podmiotów leczniczych. Jednakże brak standardów w ochronie zdrowa spowodował powstanie niewspółpracujących ze sobą lokalnych systemów informatycznych i baz danych. Świadczenie usług zdrowotnych na wysokim poziomie można m.in. osiągnąć dzięki wprowadzeniu standardów elektronicznej wymiany danych (EDI), co umożliwi lekarzowi podejmowanie decyzji o leczeniu pacjenta na podstawie bieżących informacji medycznych. Mając na uwadze to, że systemy EDI stwarzają możliwość ciągłego dostępu do dokumentacji medycznej, w artykule przedstawiono krótką charakterystykę wybranych standardów pozwalających na przesyłanie danych między placówkami leczniczymi. Poznanie tych standardów jest ważne, ponieważ systemy informacyjne tworzone na potrzeby zarządzania służbą zdrowia powinny odpowiadać aktualnym możliwościom rozwiązań technologicznych.

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“…Our work builds on similar efforts to leverage calls to poison control centers for surveillance [ 5 ]. These selected toxicology tests may be useful because they occur in a variety of settings where effects of changing opioid use may first become apparent, can be communicated in real time through health information technology standards such as Health Level 7 (HL7) [ 20 ] and Logical Observation Identifiers Names and Codes (LOINC) [ 21 , 22 ], can be integrated at an individual level using record linkage [ 23 ], and are required in many states' prescription drug monitoring programs and are recommended for monitoring patients on chronic opioid therapy [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Toxicology Test Results for Public Health Surveillance of the Opioid Epidemic: Retrospective Analysis

Schleyer,

Robinson,

Parmar

et al. 2023

Online J Public Health Inform

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Background Addressing the opioid epidemic requires timely insights into population-level factors, such as trends in prevalence of legal and illegal substances, overdoses, and deaths. Objective This study aimed to examine whether toxicology test results of living individuals from a variety of sources could be useful in surveilling the opioid epidemic. Methods A retrospective analysis standardized, merged, and linked toxicology results from 24 laboratories in Marion County, Indiana, United States, from September 1, 2018, to August 31, 2019. The data set consisted of 33,787 Marion County residents and their 746,681 results. We related the data to general Marion County demographics and compared alerts generated by toxicology results to opioid overdose–related emergency department visits. Nineteen domain experts helped prototype analytical visualizations. Main outcome measures included test positivity in the county and by ZIP code; selected demographics of individuals with toxicology results; and correlation of toxicology results with opioid overdose–related emergency department visits. Results Four percent of Marion County residents had at least 1 toxicology result. Test positivity rates ranged from 3% to 19% across ZIP codes. Males were underrepresented in the data set. Age distribution resembled that of Marion County. Alerts for opioid toxicology results were not correlated with opioid overdose–related emergency department visits. Conclusions Analyzing toxicology results at scale was impeded by varying data formats, completeness, and representativeness; changes in data feeds; and patient matching difficulties. In this study, toxicology results did not predict spikes in opioid overdoses. Larger, more rigorous and well-controlled studies are needed to assess the utility of toxicology tests in predicting opioid overdose spikes.

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Exchanging care records using HL7 V3 care provision messages

Abstract: The HL7 V3 Care Provision Domain differs from the HL7 CDA regarding support of the dynamics of care (eg, for continuity of care) as provided through a series of interactions and queries, but is similar with respect to the data and their organization.

Cited by 15 publications

References 4 publications

PCaGuard: A Software Platform to Support Optimal Management of Prostate Cancer

PCaGuard: A Software Platform to Support Optimal Management of Prostate Cancer

Wybrane standardy elektronicznej wymiany informacji w podmiotach leczniczych

Toxicology Test Results for Public Health Surveillance of the Opioid Epidemic: Retrospective Analysis

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