Title :
yourEHRM: Standard-based management of your personal healthcare information
Author :
Cavero Barca, Carlos ; Lagunar, Carlos Marcos ; Rodriguez, J.M. ; Quintero, Adriana M. ; Ramos Maia Martins, Ivo ; Martinez, Israel ; Sanguino, Maria Angeles ; Pariente Lobo, Tomas
Author_Institution :
ATOS, ATOS Res. & Innovation (ARI), Madrid, Spain
Abstract :
The standardisation of the architecture of electronic healthcare records is essential for two reasons: i) the records are being used to support shared care among clinicians with different specializations; ii) the standardisation process eases the introduction of mobile technologies within and among countries between people who provide and receive healthcare. It is a common problem previously addressed in the literature that already existing EHR approaches often present interoperability issues that restrain their effective application, since the different system components do not share a common nomenclature, data types, message syntax and encoding rules. Hospitals cannot share the clinical information of the patient. yourEHRM architecture implements standards that enable the exchange of desired medical information. The solution is based on generic information models that conform to openEHR/EN13606 archetypes associated with concepts of well-known terminologies such as SNOMED-CT. Besides it offers the possibility to exchange information with other Hospital Information Systems (HIS) using Health Level 7 (HL7) Clinical Data Architecture (CDA), Continuity of Care Record (CCR), Continuity of Care Document (CCD) or virtual Medical Record (vMR) as the payload. The architecture also permits the integration of data coming from heterogeneous and fragmented healthcare information systems and devices into the EHR.
Keywords :
data integration; data structures; electronic data interchange; electronic health records; health care; medical computing; nomenclature; open systems; public domain software; standardisation; CCD; CCR; CDA; Continuity of Care Document; Continuity of Care Record; HIS; HL7; Health Level 7 Clinical Data Architecture; Hospital Information Systems; SNOMED-CT; architecture standardisation; data integration; data types; electronic healthcare records; encoding rules; fragmented healthcare information systems; generic information models; heterogeneous healthcare information systems; interoperability issues; medical information exchange; message syntax; mobile technologies; nomenclature; openEHR/EN13606 archetypes; patient clinical information; payload; personal healthcare information; shared care; standard-based management; standardisation process; vMR; virtual Medical Record; yourEHRM architecture; Data models; Database languages; Interoperability; Medical services; Middleware; Semantics; Terminology;
Conference_Titel :
Biomedical and Health Informatics (BHI), 2014 IEEE-EMBS International Conference on
Conference_Location :
Valencia
DOI :
10.1109/BHI.2014.6864311