Federated healthcare record server—the Synapses paradigm

Grimson, William; Berry, Damon; Grimson, Jane; Stephens, G. Arbour; Felton, E.; Given, Peter; O’Moore, R. R.

doi:10.1016/s1386-5056(98)00121-x

Cited by 41 publications

(19 citation statements)

References 5 publications

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“…Synapses concentrated on the specification of a Federated Healthcare Record (FHCR) server, which provides integrated access to a record's distributed components. 5,6 An Electronic Healthcare Record (EHCR) is a structured multimedia collection of health-care data about an individual patient. Extracts of individual patient records, obtained from a number of EHCR systems and brought together in a structured manner, results in a Federated Healthcare Record (FHCR).…”

Section: Synapses and Synex Illustrate A Generic Approach In Applyingmentioning

confidence: 99%

“…These building blocks -referred to as record components -have been described elsewhere, as have the aggregation rules. 5 Broadly speaking, record components are of two types: those that describe the FHCR structure and those that contain the data to be included in the FHCR. Record components that describe the structure are referred to as record item complexes (RICs); those that contain data, record items (RIs).…”

Section: Synapses Conceptsmentioning

confidence: 99%

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Sharing health-care records over the Internet

Grimson

Stephens²,

Jung³

et al. 2001

IEEE Internet Comput.

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Section: Synapses and Synex Illustrate A Generic Approach In Applyingmentioning

confidence: 99%

Section: Synapses Conceptsmentioning

confidence: 99%

Sharing health-care records over the Internet

Grimson

Stephens²,

Jung³

et al. 2001

IEEE Internet Comput.

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“…It is prevalent the utilization of a set of standard messages, mainly HL7 [11], which are used to exchange data among information system [12] [13]. A far smaller number of integration efforts have used the federation approach; some of them are ARCHIMED [14], IBHIS [1], Synapses [15] or Synex [16].…”

Section: Introductionmentioning

confidence: 99%

Non-invasive lightweight integration engine for building EHR from autonomous distributed systems

Angulo¹,

Crespo²,

Maldonado³

et al. 2007

International Journal of Medical Informatics

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In this paper we describe Pangea-LE, a message-oriented lightweight data integration engine that allows homogeneous and concurrent access to clinical information from disperse and heterogeneous data sources. The engine extracts the information and passes it to the requesting client applications in a flexible XML format. The XML response message can be formatted on demand by appropriate XSL (Extensible Stylesheet Language) transformations in order to meet the needs of client applications. We also present a real deployment in a hospital where Pangea-LE collects and generates an XML view of all the available patient clinical information. The information is presented to healthcare professionals in an EHR (Electronic Health Record) viewer Web application with patient search and EHR browsing capabilities. Implantation in a real setting has been a success due to the non-invasive nature of Pangea-LE which respects the existing information systems.3

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“…The complexity and diversity of the information recorded in patient records is one of the major issues with which contemporary research is concerned [3,4,5,6,7,8]. This is especially true in the domain of beta-thalassaemia, due to the inherent difficulties discussed above.…”

Section: Introductionmentioning

confidence: 99%

A Java-based Electronic Healthcare Record Software for Beta-thalassaemia

Deftereos¹,

Lambrinoudakis²,

Andriopoulos³

et al. 2001

J Med Internet Res

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BackgroundBeta-thalassaemia is a hereditary disease, the prevalence of which is high in persons of Mediterranean, African, and Southeast Asian ancestry. In Greece it constitutes an important public health problem. Beta-thalassaemia necessitates continuous and complicated health care procedures such as daily chelation; biweekly transfusions; and periodic cardiology, endocrinology, and hepatology evaluations. Typically, different care items are offered in different, often-distant, health care units, which leads to increased patient mobility. This is especially true in rural areas. Medical records of patients suffering from beta-thalassaemia are inevitably complex and grow in size very fast. They are currently paper-based, scattered over all units involved in the care process. This hinders communication of information between health care professionals and makes processing of the medical records difficult, thus impeding medical research.ObjectiveOur objective is to provide an electronic means for recording, communicating, and processing all data produced in the context of the care process of patients suffering from beta-thalassaemia.MethodsWe have developed - and we present in this paper - Java-based Electronic Healthcare Record (EHCR) software, called JAnaemia. JAnaemia is a general-purpose EHCR application, which can be customized for use in all medical specialties. Customization for beta-thalassaemia has been performed in collaboration with 4 Greek hospitals. To be capable of coping with patient record diversity, JAnaemia has been based on the EHCR architecture proposed in the ENV 13606:1999 standard, published by the CEN/TC251 committee. Compliance with the CEN architecture also ensures that several additional requirements are fulfilled in relation to clinical comprehensiveness; to record sharing and communication; and to ethical, medico-legal, and computational issues. Special care has been taken to provide a user-friendly, form-based interface for data entry and processing.ResultsThe experience gained through the use of JAnaemia in 4 Greek hospitals reveals a significant contribution towards (1) improvement of the quality of the data being recorded, since data entry is guided by appropriate forms, (2) easier cooperation between physicians, who share a common information repository, and (3) increased processing capabilities, which facilitate medical research.ConclusionsJAnaemia appears to be a useful tool, which can improve the quality of care offered to beta-thalassaemic patients in Greece.

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Federated healthcare record server—the Synapses paradigm

Cited by 41 publications

References 5 publications

Sharing health-care records over the Internet

Sharing health-care records over the Internet

Non-invasive lightweight integration engine for building EHR from autonomous distributed systems

A Java-based Electronic Healthcare Record Software for Beta-thalassaemia

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