Providing Interoperability of eHealth Communities Through Peer-to-Peer Networks

Kilic, Ozgur; Doğaç, Asuman; Eichelberg, Marco

doi:10.1109/titb.2010.2041029

Cited by 16 publications

(7 citation statements)

References 4 publications

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“…Scalability on a dynamic network of health communities can be achieved by overlaying a Peer to Peer (P2P) network (Androutsellis-Theotokis and Spinellis, 2004) to link the heterogeneous health organisation's systems as peers (Kilic et al, 2010). The P2P allows communities to interact on top of existing network configurations without a central dependency.…”

Section: Discussionmentioning

confidence: 99%

The Present and Future of Dynamic e-Health Interoperability in Switzerland - Results of an Online Questionnaire

Urovi

Schumacher

2014

Proceedings of the International Conference on Health Informatics

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The research in the medical health care systems is shifting towards solutions that enable dynamic data exchange. To achieve this shift, interoperable solutions have been proposed by initiatives such as the integrating Healthcare Enterprise (IHE). IHE focuses on defining interoperable solution by specifying recommendations that foster standard based integration between healthcare systems. Using the results of an online questionnaire, in this work we study the current use of standards in the health care systems of Switzerland. The questionnaire identifies four dynamic data exchange scenarios that enhance the interoperability and the integration between different healthcare systems. The novelty of this work is that the identified scenarios are currently not addressed by the IHE recommendations and, they can improve the current interoperability solutions. The questionnaire confirms that those scenarios are useful and we suggest some technical solutions that may help to achieve them.

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Section: Discussionmentioning

confidence: 99%

The Present and Future of Dynamic e-Health Interoperability in Switzerland - Results of an Online Questionnaire

Urovi

Schumacher

2014

Proceedings of the International Conference on Health Informatics

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“…[12] relates electronic health records and patient safety. Some other works [16] [19] discuss Peer-to-Peer (P2P) networks to support medical data sharing. A research [21] studies the data exchange between patients and healthcare facilities.…”

Section: A Literature Reviewmentioning

confidence: 99%

MedShare: Medical Resource Sharing among Autonomous Healthcare Providers

Yang,

Li,

Qamar

et al. 2018

Preprint

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Legacy Electronic Health Records (EHRs) systems were not developed with the level of connectivity expected from them nowadays. Therefore, interoperability weakness inherent in the legacy systems can result in poor patient care and waste of financial resources. Large hospitals are less likely to share their data with external hospitals due to economic and political reasons. Motivated by these facts, we aim to provide a set of software implementation guidelines, i.e., MedShare to deal with interoperability issues among disconnected healthcare systems. The proposed integrated architecture includes: 1) a data extractor to fetch legacy medical data from a hemodialysis center, 2) converting it to a common data model, 3) indexing patient information using the HashMap technique, and 4) a set of services and tools that can be installed as a coherent environment on top of stand-alone EHRs systems. Our work enabled three cooperating but autonomous hospitals to mutually exchange medical data and helped them develop a common reference architecture. It lets stakeholders retain control over their patient data, winning the trust and confidence much needed towards a successful deployment of MedShare. Security concerns were effectively addressed that also included patient consent in the data exchange process. Thereby, the implemented toolset offered a collaborative environment to share EHRs by the healthcare providers.

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“…In [11] a peer-to-peer network for sharing EPRs among multiple e-Health communities has been proposed. A superpeer is used to represent an e-Health center, which is responsible for routing messages and adapting different meta data vocabularies used by different communities.…”

Section: Related Workmentioning

confidence: 99%

Peer-to-peer data discovery in health centers

Mirto

Cafaro

Aloisio

2013

Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems

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The sharing and integration of health care data such as medical history, pathology, therapy, radiology images, etc., is a key requirement for improving the patient diagnosis and in general the patient care. Today, many EPR (Electronic Patient Record) systems are present both in the same or different health centers and record a huge amount of data regarding a patient. In most cases the care treatment of a patient involves different healthcare facilities, including the cares provided by the family doctors. Managing these data, typically petabytes or terabytes in size, and optimizing the applications (image analysis, data mining, etc.) for these architectures is one of the challenges that must be tackled. Therefore, there is a clear need for the design and implementation of new scalable approaches to deal with the associated information overload and cognitive complexity issues. A possible solution involves considering a simplification of data coming from different EPRs, in a structured schema, typically called a meta-EPR. Owing to the security of patient data, each health center manages its own meta-EPR whereas a framework integrates these data among different sites. This work addresses the issue of sharing and integrating health care data, proposing a meta-EPR, based on Peer-to-peer (P2P) technology for data fusion. We describe an implementation of a distributed information service, that shares meta-EPRs and provides aggregation of relevant clinical information about patients based on a structured P2P overlay.

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Providing Interoperability of eHealth Communities Through Peer-to-Peer Networks

Cited by 16 publications

References 4 publications

The Present and Future of Dynamic e-Health Interoperability in Switzerland - Results of an Online Questionnaire

The Present and Future of Dynamic e-Health Interoperability in Switzerland - Results of an Online Questionnaire

MedShare: Medical Resource Sharing among Autonomous Healthcare Providers

Peer-to-peer data discovery in health centers

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