Towards Interoperability of eHealth System Networked Components

Soceanu, Alexandru; Egner, Alexandru; Moldoveanu, Florica

doi:10.1109/cscs.2013.69

Cited by 13 publications

(6 citation statements)

References 2 publications

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“…Additionally, a subset of standard functional components in HL7 EHR-S FM [ 23 , 24 ] was adopted in this study to ensure the quality of interoperability and EHR implementation standards ( Table 1 ). The HL7 EHR-S FM standard provides a well-defined functional profile for healthcare systems.…”

Section: Methodsmentioning

confidence: 99%

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Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

et al. 2023

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This paper introduces a prototype for clinical research documentation using the structured information model HL7 CDA and clinical terminology (SNOMED CT). The proposed solution was integrated with the current electronic health record system (EHR-S) and aimed to implement interoperability and structure information, and to create a collaborative platform between clinical and research teams. The framework also aims to overcome the limitations imposed by classical documentation strategies in real-time healthcare encounters that may require fast access to complex information. The solution was developed in the pediatric hospital (HP) of the University Hospital Center of Coimbra (CHUC), a national reference for neurodevelopmental disorders, particularly for autism spectrum disorder (ASD), which is very demanding in terms of longitudinal and cross-sectional data throughput. The platform uses a three-layer approach to reduce components’ dependencies and facilitate maintenance, scalability, and security. The system was validated in a real-life context of the neurodevelopmental and autism unit (UNDA) in the HP and assessed based on the functionalities model of EHR-S (EHR-S FM) regarding their successful implementation and comparison with state-of-the-art alternative platforms. A global approach to the clinical history of neurodevelopmental disorders was worked out, providing transparent healthcare data coding and structuring while preserving information quality. Thus, the platform enabled the development of user-defined structured templates and the creation of structured documents with standardized clinical terminology that can be used in many healthcare contexts. Moreover, storing structured data associated with healthcare encounters supports a longitudinal view of the patient’s healthcare data and health status over time, which is critical in routine and pediatric research contexts. Additionally, it enables queries on population statistics that are key to supporting the definition of local and global policies, whose importance was recently emphasized by the COVID pandemic.

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Section: Methodsmentioning

confidence: 99%

“…As a complex and highly interdisciplinary use case, we applied and developed the framework in close collaboration with UNDA. We assessed our approach following the main functionalities proposed in [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

et al. 2023

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“…All these components have to be interoperable in order to reach a fully operational eHealth system. The interoperability is very difficult to achieve considering that the majority of components are designed and developed by various stakeholders as per their specific requirements (Soceanu et al. , 2013).…”

Section: Interoperabilitymentioning

confidence: 99%

Integrated care with digital health innovation: pressing challenges

Pant

Bhatia

Pant³

2022

JICA

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PurposeDigital health care has emerged as one of the most important means to deliver integrated care by care providers in recent years. As the use of digital health increases, there are some pressing issues such as interoperability of data across different healthcare information systems, regulatory environment and security and privacy of patient’s information which need to be discussed and addressed in order to reduce information silos and to ensure efficient and seamless use of digital health technologies. The purpose of this paper is to address these issues.Design/methodology/approachIn this paper the authors outline the key concepts of interoperability, key challenges pertaining in achieving interoperability and concepts of security and privacy in context of digital health models of integrated care.FindingsThe study suggests that standardization of digital health information systems and connecting existing systems to health network, addressing privacy and security related issues through a comprehensive but supportive regulatory environment and educating citizens and healthcare providers are some of the ways to achieve effective use of digital health in models of integrated care.Originality/valueAlthough the concepts of privacy and interoperability are not new, however, as per best of the authors’ knowledge, this is the first attempt to discuss the challenges and possible actions to meet the objective of achieving integrated care through digital innovation.

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“…radiology, external medical offices, community pharmacies, personal medical devices, etc.) [17]. In order to evaluate the applicability of having authorization systems to regulate access to patient data we defined a scenario where a patient restricts the access to his sensitive clinical data stored as a PHR using an external adaptable authorization service.…”

Section: Standard Guidelines For Access Control On Ehr and Phrmentioning

confidence: 99%

Managing the Privacy and Security of eHealth Data

Soceanu

Vаsylenko

Egner

et al. 2015

2015 20th International Conference on Control Systems and Computer Science

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The large scale adoption of mobile medicine, supported by an increasing number of medical devices and remote access to health services, correlated with the continuous involvement of the patients in their own healthcare, led to the emergence of tremendous amounts of clinical data. They need to be securely transferred, archived and accessed. This paper refers to a new approach for protecting the privacy and security of clinical data through the use of a state of the art encryption scheme and attribute-based access control authorization framework. As personal medical records are often used by different entities (e.g. doctors, pharmacists, nurses, etc.), there is a need for different degrees of authorization access for specific parts of the personal dossier. Appropriate cryptographic tools are presented for allowing partial visibility and valid protection on authorized parts for hierarchical privacy protection of eHealth data. The encryption process relies on ARCANA, a security platform developed at ERISCS research laboratory from University Aix-Marseille. It provides the appropriate cryptographic tools for secure hierarchical access to healthcare data. This ensures that the access of various entities to the healthcare data is accurately and hierarchically controlled. The access control framework used in this research is based on XACML, a standard access control decision model specified by OASIS. The applicability and feasibility of XACML-based policies to regulate the access to patient data are demonstrated through SAFAX. SAFAX is a new public authorization framework developed by the Eindhoven University of Technology tested among others on eHealth case studies, in cooperation with Munich University of Applied Sciences. It is envisioned that the usage of data encryption and public authorization solutions to regulate access control on patients clinical data will have a big impact on the patient's trust in electronic healthcare systems and will speed up their large scale adoption.

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Towards Interoperability of eHealth System Networked Components

Cited by 13 publications

References 2 publications

Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

Design and Implementation of a Collaborative Clinical Practice and Research Documentation System Using SNOMED-CT and HL7-CDA in the Context of a Pediatric Neurodevelopmental Unit

Integrated care with digital health innovation: pressing challenges

Managing the Privacy and Security of eHealth Data

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