Towards a Conceptual Framework for Persistent Use: A Technical Plan to Achieve Semantic Interoperability within Electronic Health Record Systems

Blackman-Lees, Shellon M.

doi:10.24251/hicss.2017.566

Cited by 6 publications

(7 citation statements)

References 40 publications

(65 reference statements)

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“…A centralized architecture design would not be convenient due to the lack of interoperability of most healthcare information systems. Currently, there are no policies for healthcare data standardization and normalization for proper data governance; it is also determined that there is no existing single data standardization structure that can effectively share and interpret patient data within heterogeneous systems [18,19].…”

Section: Research Problemmentioning

confidence: 99%

Privacy-Aware Cloud Architecture for Collaborative Use of Patients’ Health Information

Alhaddadin¹,

Gutiérrez

2023

Applied Sciences

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Cloud computing appears to be the dreamed-of vision of the healthcare industry; it refers to means of storing and accessing data and programs over the Internet instead of the computer’s hard drive. However, the adoption of cloud computing requires solving several issues, and information privacy is a major one. This work proposes a cloud architecture design for the healthcare information system. The proposed architecture enables storing and sharing information in a privacy-preserving manner. Patients’ information in the proposed architecture is divided into four categories identified in the case study data analysis. User identity management protocol (U-IDM) is employed for controlling access to patients’ information, and patients have means of control over who can access their information. A scenario-based instantiation validated the proposed architecture’s privacy-preserving patient data exchange. The instantiation proved that the proposed architecture allows sharing healthcare information without violating the privacy of patients.

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Section: Research Problemmentioning

confidence: 99%

Privacy-Aware Cloud Architecture for Collaborative Use of Patients’ Health Information

Alhaddadin¹,

Gutiérrez

2023

Applied Sciences

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“…HIPPA restrictions, which minimize data sharing, may create interoperability issuesespecially with patient data. Blackman [1] has proposed a plan to achieve interoperability through a technical fix within different EHR systems. One known medical group which houses more than 20 physicians, 200 employees, and various practices, uses GE Centricity for the medical practices, e-ClinicalWorks for revenue management, and a third party system to manage patient check-in [12].…”

Section: Barriers In Implementing Hermentioning

confidence: 99%

“…The functional specification of the design will capture the flow of data from the EHR systems (data input) to the clinical repository (transformed data output). The process design specification will demonstrate the flow of data from the EHRs to the integration engine to the mapping and translation model [1].…”

Section: Barriers In Implementing Hermentioning

confidence: 99%

A Workaround of EHR - A Logistics/Reporting System Development

Hsu

Dick

2018

Proceedings of the 51st Hawaii International Conference on System Sciences

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This project presents a use case-The Lab (TL) services multiple hospitals, medical centers, and physicians' offices in the southern area of the United States. Applying systematic methods of business process management, the project manager and development team clarify requirements, analyze the processes, develop logistics and create a reporting system for TL. The system must be designed to retrieve data with limited time and costs for an inundated EHR system. In this project, the authors try to define the logistic requirements of TL and the needs an electronic form for an information management system. For example, automate processes and eliminate waste. Besides the EHR software, the goal of this project is to improve web-based logistics and reporting system while maintaining HIPAA compliant controls. The project achieves the goals, but the workaround system is still cumbersome yet workable.

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“…On the other hand, clear relationships between the data used by different systems facilitate their integration. Presently, systems integration can be a very hard task, mainly due to the multiple overlapping standards available, to systems developed based on different standards and to the lack of agreement regarding common standards to be used (Blackman, 2017;, and semantic interoperability can make this easier.…”

Section: Benefitsmentioning

confidence: 99%

“…In the case of the health sector, for example, locating and integrating clinical data across heterogeneous health care systems remains difficult (Sonsilphong et al, 2016). This reality damages the performance of the systems and hampers optimal patient care and experience (Blackman, 2017;Hufnagel, 2009).…”

Section: Benefitsmentioning

confidence: 99%

Semantic interoperability assessment : iShare framework

Marques

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Interagency information sharing is widely acknowledged for increasing the efficiency and effectiveness of several domains with high societal impact such as security, cybersecurity and health. Therefore, it comes as no surprise that the development of interoperability among public services is a political priority in many countries around the world, and that, presently, several initiatives are ongoing with this purpose. The proper management of such initiatives demands adequate instruments to support the definition of the existing (as-is) and desired (to-be) situations, as well as the identification, prioritization, monitoring and control of the actions that are necessary to achieve the objectives defined for developing interoperability. Moreover, appropriate instruments are also required to support the justification and comparison of initiatives, for example in situations where they compete for funds. However, the existing practical solutions are scarce and do not fit well these requirements. Therefore, this research proposes a framework (iShare) for assessing the semantic interoperability - one of the facets of interoperability - of governmental agencies that use a common information model for exchanging information with each other. This assessment is made in two parts. The first part assesses how organizations are performing, in terms of semantic interoperability, and the second part assesses the relevance of that performance, considering a series of pre-defined factors. To develop the iShare framework we followed the Design Science Research Method. The framework itself is based on Process Performance Indicators, on the Delphi Method and on the Weighted Sums Model. Its validation was performed during the development of the Portuguese maritime surveillance information exchange system (NIPIMAR), which is based on the information model of the European Maritime Common Information Sharing Environment (CISE). The result of the validation was the assessment of the semantic interoperability of six public organizations participating in the project. In addition, some of the main ideas of the framework were immediately used within the project to assess the semantic interoperability of all organizations that were participating in it and to develop an action plan to improve their interoperability and information exchange. The iShare framework has thus proven to be an innovative, useful, relevant and more objective way of assessing semantic interoperability among various organizations, which tells us how much and how relevant that interoperability is. Hence, the iShare framework contributes to the body of knowledge in the field and opens new possibilities for assessing interoperability and information exchange, and thus to increase the efficiency and effectiveness of governmental agencies. Es un hecho reconocido que el intercambio de información entre organismos y agencias mejora la eficiencia y efectividad en dominios con alto impacto en la sociedad, tales como seguridad, ciberseguridad y salud pública. Por tanto, no es una sorpresa que el desarrollo de la interoperabilidad entre organismos públicos sea una prioridad política en muchos países y que, en la actualidad, se esté trabajando en diversas iniciativas con esta finalidad. La correcta gestión de tales iniciativas requiere instrumentos adecuados, que puedan soportar la definición de la situación existente y la deseada, así como la identificación, priorización, monitorización y control de las acciones que son necesarias para conseguir los objetivos definidos para alcanzar la interoperabilidad. Asimismo, son necesarios instrumentos que permitan justificar y comparar diferentes iniciativas, por ejemplo, en situaciones en las que compitan por financiación. Sin embargo, actualmente las soluciones que ofrecen instrumentos reutilizables para estos propósitos son escasas, y aquellas que existen no cubren bien todos los requisitos. En este contexto, esta tesis doctoral propone un nuevo marco teórico llamado iShare para evaluar la interoperabilidad semántica, uno de los aspectos de la interoperabilidad, de organismos gubernamentales y/o agencias que utilicen un modelo de información común para el intercambio de datos entre ellos. Con iShare, esta evaluación se realiza en dos etapas. En la primera, se evalúa el rendimiento de las organizaciones en términos de interoperabilidad semántica, mientras que en la segunda etapa se evalúa la relevancia de ese rendimiento medido, considerando una serie de factores predeterminados. Para el desarrollo del marco teórico iShare, se utilizó la metodología de investigación Design Science, basada en los indicadores de rendimiento de proceso, en el método Delphi y el modelo Weighted Sums Model. Para su validación, se aplicó el mismo al desarrollo del sistema de vigilancia marítima NIPIMAR en Portugal, el cual está orientado al intercambio de datos y utiliza el modelo de información del programa europeo Maritime CISE (Common Information Sharing Environment for Maritime Surveillance, entorno común de intercambio de datos para vigilancia marítima). El proceso de validación permitió evaluar la interoperabilidad semántica de seis organismos públicos que participaban en el proyecto. Asimismo, algunas de las ideas del marco teórico fueron directamente incorporadas al proyecto para evaluar la interoperabilidad semántica de todos los organismos públicos portugueses y para desarrollar un plan de acción que mejore su interoperabilidad y el intercambio de información entre ellas. Los resultados de esta investigación demuestran que el marco teórico iShare ofrece una solución innovadora, útil, relevante y más objetiva para la evaluación de la interoperabilidad semántica entre varias organizaciones. Por todo ello, el marco teórico iShare contribuye al cuerpo de conocimiento en este campo científico y abre nuevas posibilidades para evaluar la interoperabilidad y así aumentar la eficiencia y la eficacia de las agencias gubernamentales.

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Towards a Conceptual Framework for Persistent Use: A Technical Plan to Achieve Semantic Interoperability within Electronic Health Record Systems

Abstract: Abstract

Cited by 6 publications

References 40 publications

Privacy-Aware Cloud Architecture for Collaborative Use of Patients’ Health Information

Privacy-Aware Cloud Architecture for Collaborative Use of Patients’ Health Information

A Workaround of EHR - A Logistics/Reporting System Development

Semantic interoperability assessment : iShare framework

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