DocumentCode :
1076899
Title :
A Semantically Enriched Clinical Guideline Model Enabling Deployment in Heterogeneous Healthcare Environments
Author :
Laleci, Gokce B. ; Dogac, Asuman
Author_Institution :
Dept. of Comput. Eng., Middle East Tech. Univ., Ankara
Volume :
13
Issue :
2
fYear :
2009
fDate :
3/1/2009 12:00:00 AM
Firstpage :
263
Lastpage :
273
Abstract :
Clinical guidelines are developed to assist healthcare practitioners to make decisions on patient´s medical problems, and as such they communicate with external applications to retrieve patient data to initiate medical actions through clinical workflows, and transmit information to alert/reminder systems. The interoperability problems in the healthcare information technology domain prevent wider deployment of clinical guidelines because each deployment requires a tedious custom adaptation phase. In this paper, we provide machine-processable mechanisms that express the semantics of clinical guideline interfaces so that automated processes can be used to access the clinical resources for guideline deployment and execution. To be able to deploy the semantically extended guidelines to healthcare settings semiautomatically, the underlying application´s semantics must also be available. We describe how this can be achieved based on two prominent implementation technologies in use in the eHealth domain: integrating healthcare enterprise cross-enterprise document sharing integration profile for discovering and exchanging electronic healthcare records and Web service technology for interacting with the clinical workflows and wireless medical sensor devices. The system described in this paper is realized within the scope of the SAPHIRE Project.
Keywords :
Web services; biomedical telemetry; health care; medical information systems; SAPHIRE project; Web service technology; alert system; clinical guideline interface; clinical workflow; cross-enterprise document sharing; eHealth domain; electronic healthcare record; healthcare information technology; heterogeneous healthcare environment; information transmission; integrating healthcare enterprise; machine-processable mechanism; patient medical problem; reminder system; semantically enriched clinical guideline model; wireless medical sensor device; Semantic mediation; semantically enriched clinical guidelines; semiautomatic deployment and execution of guidelines; Health Services; Humans; Internet; Medical Records Systems, Computerized; Practice Guidelines as Topic; Semantics;
fLanguage :
English
Journal_Title :
Information Technology in Biomedicine, IEEE Transactions on
Publisher :
ieee
ISSN :
1089-7771
Type :
jour
DOI :
10.1109/TITB.2008.2010542
Filename :
4757275
Link To Document :
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