Integrated Medical System Using DICOM and HL7 Standards

Orza, Bogdan; Cordos, Alin; Vlaicu, Aurel; Meza, Serban

doi:10.5772/9420

Cited by 8 publications

(5 citation statements)

References 1 publication

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“…The HL7 standard provides a comprehensive framework for the sharing of electronic health information supporting clinical practice [ 24 ]. It allows for the transmission of clinical and administrative information based on a common format message [ 27 ]. An HL7 message is the minimum unit of data exchange, which follows a hierarchical structure.…”

Section: Methodsmentioning

confidence: 99%

An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

Soguero-Ruíz

Mora-Jiménez

Ramos-López

et al. 2018

IJERPH

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Many indices have been proposed for cardiovascular risk stratification from electrocardiogram signal processing, still with limited use in clinical practice. We created a system integrating the clinical definition of cardiac risk subdomains from ECGs and the use of diverse signal processing techniques. Three subdomains were defined from the joint analysis of the technical and clinical viewpoints. One subdomain was devoted to demographic and clinical data. The other two subdomains were intended to obtain widely defined risk indices from ECG monitoring: a simple-domain (heart rate turbulence (HRT)), and a complex-domain (heart rate variability (HRV)). Data provided by the three subdomains allowed for the generation of alerts with different intensity and nature, as well as for the grouping and scrutinization of patients according to the established processing and risk-thresholding criteria. The implemented system was tested by connecting data from real-world in-hospital electronic health records and ECG monitoring by considering standards for syntactic (HL7 messages) and semantic interoperability (archetypes based on CEN/ISO EN13606 and SNOMED-CT). The system was able to provide risk indices and to generate alerts in the health records to support decision-making. Overall, the system allows for the agile interaction of research and clinical practice in the Holter-ECG-based cardiac risk domain.

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Section: Methodsmentioning

confidence: 99%

An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

Soguero-Ruíz

Mora-Jiménez

Ramos-López

et al. 2018

IJERPH

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“…Information technology reduces the processing time and standardization of protocols to integrate and exchange data. That's why there is a need to have fast, secure, reliable methods and tools for clinical data transmission within medical informational systems [21]. Various EMR solutions are available in the market (e.g., Epic [22], Cerner [23].…”

Section: Integration and Health Level Seven (Hl7)mentioning

confidence: 99%

“…HL7 standards are messaging standards where "Level Seven" represents the seventh level which is "applicationlevel" in the seven-layer communications model for Open Systems Interconnection (OSI) in the International Organization for Standardization (ISO). HL7 protocols provide a beneficial standardization for communication interfaces, especially if we consider various applications, different data formats, and the need to transfer and exchange data [21]. HL7 standards are implemented in the healthcare domain and simply work as an application protocol to exchange electronic data.…”

Section: Integration and Health Level Seven (Hl7)mentioning

confidence: 99%

“…HL7 standards arguably are the most widely implemented and used standards with HL7 V2 and V3 standards. HL7 V2.x is more popular as it is implemented in 35 countries worldwide, within 95% of the healthcare organizations in the USA, and it was accredited in 1994 [21] by the American National Standards Institute [29]. The standards are being supported by more than 1600 corporate members in 50 different countries with 500+ members who represent government authorities, pharmaceutical corporations, healthcare providers, and consulting firms [28].…”

Section: Integration and Health Level Seven (Hl7)mentioning

confidence: 99%

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Medical data integration using HL7 standards for patient’s early identification

2021

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Integration between information systems is critical, especially in the healthcare domain, since interoperability requirements are related to patients’ data confidentiality, safety, and satisfaction. The goal of this study is to propose a solution based on the integration between queue management solution (QMS) and the electronic medical records (EMR), using Health Level Seven (HL7) protocols and Extensible Markup Language (XML). The proposed solution facilitates the patient’s self-check-in within a healthcare organization in UAE. The solution aims to help in minimizing the waiting times within the outpatient department through early identification of patients who hold the Emirates national ID cards, i.e., whether an Emirati or expatriates. The integration components, solution design, and the custom-designed XML and HL7 messages were clarified in this paper. In addition, the study includes a simulation experiment through control and intervention weeks with 517 valid appointments. The experiment goal was to evaluate the patient’s total journey and each related clinical stage by comparing the “routine-based identification” with the “patient’s self-check-in” processes in case of booked appointments. As a key finding, the proposed solution is efficient and could reduce the “patient’s journey time” by more than 14 minutes and “time to identify” patients by 10 minutes. There was also a significant drop in the waiting time to triage and the time to finish the triage process. In conclusion, the proposed solution is considered innovative and can provide a positive added value for the patient’s whole journey.

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“…Com o desenvolvimento dos sistemas de saúde, como Electronic Health Records (EHR) e Sistemas de Informação Hospitalar, a necessidade de interoperabilidade torna-se um problema mais evidente (Bendale and Sunder, 2009;Bogdan et al, 2010) …”

Section: Interoperabilidade E Padrõesunclassified

TICE.Healthy: Integração de soluções TIC para a "Saúde e Qualidade de Vida"

Felizardo

Sousa

Oliveira

et al. 2014

RISTI

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Resumo: Este artigo descreve o projeto português TICE.Healthy, que possui como principal meta a integração de soluções de Tecnologias de Informação e Comunicação (TIC) para a "Saúde e Qualidade de Vida". Este projeto integra oito sub-projetos que visam a disponibilização de aplicações numa plataforma web, denominada eVida, permitindo a partilha e troca de informação e dados médicos, utilizando formatos padrão. Cada um dos sub-projetos possui dados de natureza diferente e, por este motivo, para que a sua integração seja eficiente, foram desenvolvidas diferentes estratégias de definição, uso e integração de informação. Este artigo aborda com mais detalhe um destes sub-projetos, o Metabolic.Care, sendo apresentadas as estratégias adotadas, as melhores práticas encontradas para resolver os problemas, as oportunidades e os riscos, e as dificuldades encontradas.Palavras-chave: TICE.Healthy; Metabolic.Care; eSaúde; qualidade de vida; interoperabilidade. TICE.Healthy: Integration of ICT solutions for "Health and Quality of Life"Abstract: This paper describes a portuguese project, TICE.Healthy, which has as main goal the integration of ICT solutions for "Health and Quality of Life". This project includes eight sub-projects aimed at providing applications in a web platform named eVida, allowing for sharing and exchange of information and medical data using standards. Each of the sub-projects has data from different nature and, for this reason, strategies are being developed for an efficient integration. This paper discusses in greater detail the sub-project Metabolic.Care, the strategies that were adopted, the found best practices, opportunities and risks, and presented difficulties.

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Integrated Medical System Using DICOM and HL7 Standards

Cited by 8 publications

References 1 publication

An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

Medical data integration using HL7 standards for patient’s early identification

TICE.Healthy: Integração de soluções TIC para a "Saúde e Qualidade de Vida"

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