Local EHR Management Based on openEHR and EN13606

Abstract

This article describes handling medical data in a healthcare system based on electronic healthcare records. At a medical unit level, data storage requires both accurate collecting and high security. The proposed information model complies with EN 13606, which is a European health data communication standard approved by the European Committee for Standardization (CEN) and partly approved by the International Organization for Standardization (ISO).

Why democratise bioinformatics?

“…Once standardised, the data transferred can seamlessly integrate into a recipients' Electronic Health Record (EHR). The Open EHR vision for UK healthcare aims to create life-long interoperable patient EHRs, a key-stone component of which is semantic interoperability16 made possible through the CEN/ISO EN13606—a European norm for semantic interoperability in the EHR communication, approved by the European Committee for Standardization (CEN) and by the International Organization for Standardization (ISO) 17. Open EHR and NHS health cloud technologies have major research ramifications—long-tail research instruments will be able to piggy-back onto this broader, evolving national infrastructure, permitting flexible spin up of resources as and when needed (‘power-by-the-hour’) and self-provisioning (studies can be containerised and rapidly deployed and reused).…”

Experience in Developing an FHIR Medical Data Management Platform to Provide Clinical Decision Support

“…One of the ways to connect different information systems is to build a platform that processes standard-based medical data and provides unified interfaces. Using clinical data exchange standards such as openEHR [15], CEN/ISO EN13606 [16][17][18], HL7 CDA [19], and fast healthcare interoperability resources (FHIR) [14] can provide data-level interoperability. These standards specify common electronic health record (EHR) data structures [20] and are widely used in clinical decision support systems [21,22].…”

Modelling digital and value flows in e-health

“…Mensink and Birrer (2010) discussed the case of the Dutch Electronic Health Record, the progress of which they found to be slow, one of the reasons being the strategic considerations of the various players involved. Paun et al (2011) recognized the significance of both local and global interoperability of EHRs, as health data must be accessible to patients anytime and anywhere, and advocated an openEHR. The scope of their study was limited to a technical modelling of the openEHR for the Romanian healthcare system, without much discussion on business model arrangements within the ecosystem.…”

“…A healthcare system that only addressed episodic care was considered as falling short of this key requirement. This paradigm shift set the direction for the healthcare systems of the future -it became imperative for healthcare systems to be interoperable so as to facilitate a sharing of patient data both within and outside the provider setting, thus paving the way for all health data pertaining to a patient to be captured in a longitudinal record (Paun et al, 2011).…”

“…It may not be an exaggeration to say that the present study has succeeded in highlighting such crucial facets with a thoroughness not seen in earlier studies. Since 2000 when the term e-health was coined, a fairly large number of studies have emerged: some focusing largely on the relevance of health e-commerce for e-health business models Aggrawal & Travers, 2001;; some examining the potential values that HIEs could create in healthcare by functioning as intermediaries (deBrantes, Emery, Overhage, Glaser & Marchibroda, 2007); and some others highlighting the technical design aspects of the EHR Paun et al, 2011). No doubt these studies were significant but the fact remains that they all centred around specific facets of e-health, without broaching the significant issue of a business model that could perpetuate significant values in the ecosystem.…”