Review and requirement specification of telemedicine systems interoperability with common data exchange hub

Adamkó, Attila; Garai, Abel; Pentek, Istvan

doi:10.1109/sisy.2016.7601474

Cited by 9 publications

(25 citation statements)

References 4 publications

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“…The e ciency of the CDSS solution was enhanced by using FASTO ontology [20]. Communication between eRecords developed on diverse platforms was addressed through the Common Object Request Broker Architecture (CORBA) and the Distributed Component Object Model (DCOM) [18]. Of interest, none of these papers discussed legal concerns such as the storage of patient sensitive information on servers in other countries, or access and ownership of data in non-State owned servers , associated with cloud-based services [18,20].…”

Section: Discussionmentioning

confidence: 99%

“…However, the Strategy does not address interoperability between mHealth devices and eRecords, despite the anticipated expanded use of mHealth [22]. Although limited in their scope and application, four frameworks were found from the literature review that addressed linking of mHealth to eRecords [18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…Different infrastructure supported linking of mHealth to eRecords. Cloud-based infrastructure presented several bene ts including exibility to choose from private, public, or hybrid services tailored to speci c user needs [18,20]. These cloud services used SaaS, PaaS and IaaS, and were e cient for multiple user access and easy acquisition of resources from multiple stakeholders [18].…”

Section: Discussionmentioning

confidence: 99%

“…Table 2. Framework, interoperability level, and thematic considerations for the review papers Adamko et al, [18] Rubio et al, [19] El-Sappagh et al, [20] Memon et al, [ Although brie y addressed, the eHealth Strategy recognises the potential of emerging technologies utilising mobile devices, IoT, machine learning, arti cial intelligence (AI), television white-spaces (TVWS) and sensors to populate health information systems with data. Moreover, capacity building and usability of all systems (user friendly interfaces, availability, performance capabilities) are emphasised.…”

Section: Methodsmentioning

confidence: 99%

“…Botswana should also leverage common open interoperability interface standards (OpenHIE and OpenHIM) which were similarly referred to in Botswana's eHealth strategy [17]. As supported by the literature, Botswana plans to have an eHealth/mHealth standards accreditation body [18]. Similar fora exist that might be exemplars (e.g., the…”

Section: Guidancementioning

confidence: 99%

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Interoperability frameworks linking mHealth applications to electronic record systems

Ndlovu

Mars

Scott

2020

Preprint

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Background: mHealth presents innovative approaches to enhance primary healthcare delivery in developing countries like Botswana. The impact of mHealth solutions can be improved if they are interoperable with eRecord systems such as electronic health records, electronic medical records and patient health records. eHealth interoperability frameworks exist but their availability and utility for linking mHealth solutions to eRecords in developing world settings like Botswana is unknown. The recently adopted eHealth Strategy for Botswana recognises interoperability as an issue and mHealth as a potential solution for some healthcare needs, but does not address linking the two.Aim: This study reviewed published reviews of eHealth interoperability frameworks for linking mHealth solutions with eRecords, and assessed their relevance to informing interoperability efforts with respect to Botswana’s eHealth Strategy.Methods: A structured literature review and analysis of published reviews of eHealth interoperability frameworks was performed to determine if any are relevant to linking mHealth with eRecords. The Botswanan eHealth Strategy was reviewed.Results: Four articles presented and reviewed eHealth interoperability frameworks that support linking of mHealth interventions to eRecords and associated implementation strategies. While the frameworks were developed for specific circumstances and therefore were based upon varying assumptions and perspectives, they entailed aspects that are relevant and could be drawn upon when developing an mHealth interoperability framework for Botswana. Common emerging themes of infrastructure, interoperability standards, data security and usability were identified and discussed; all of which are important in the developing world context such as in Botswana. The Botswana eHealth Strategy recognises interoperability, mHealth, and eRecords as distinct issues, but not linking of mHealth solutions with eRecords.Conclusion: Delivery of healthcare is shifting from hospital-based to patient-centered primary healthcare and community-based settings, using mHealth interventions. The impact of mHealth solutions can be improved if data generated from them are converted into digital information ready for transmission and incorporation into eRecord systems. The Botswana eHealth Strategy stresses the need to have interoperable eRecords, but mHealth solutions must not be left out. Literature insight about mHealth interoperability with eRecords can inform implementation strategies for Botswana and elsewhere.

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