Rationale and Design Considerations for a Semantic Mediator in Health Information Systems

1998 ◽  
Vol 37 (04/05) ◽  
pp. 518-526 ◽  
Author(s):  
D. Sauquet ◽  
M.-C. Jaulent ◽  
E. Zapletal ◽  
M. Lavril ◽  
P. Degoulet

AbstractRapid development of community health information networks raises the issue of semantic interoperability between distributed and heterogeneous systems. Indeed, operational health information systems originate from heterogeneous teams of independent developers and have to cooperate in order to exchange data and services. A good cooperation is based on a good understanding of the messages exchanged between the systems. The main issue of semantic interoperability is to ensure that the exchange is not only possible but also meaningful. The main objective of this paper is to analyze semantic interoperability from a software engineering point of view. It describes the principles for the design of a semantic mediator (SM) in the framework of a distributed object manager (DOM). The mediator is itself a component that should allow the exchange of messages independently of languages and platforms. The functional architecture of such a SM is detailed. These principles have been partly applied in the context of the HEllOS object-oriented software engineering environment. The resulting service components are presented with their current state of achievement.

2009 ◽  
Vol 48 (01) ◽  
pp. 62-65 ◽  
Author(s):  
A. Winter

Summary Objectives: Presenting the author’s point of view on chances and challenges of medical informatics in research, education, and practice of information management, especially in the field of regional as well as institutional health information systems. Method: Collecting and interpreting current issues concerning (health) information systems and their management from selected references. Results: There are challenging research topics concerning information management, IT service management in small health care units, reference models, trustworthy architectures, service-oriented architectures. Medical informatics requires multidisciplinarity. Conclusions: Medicine and health care need medical informatics as a scientific, researching discipline.


2007 ◽  
Vol 16 (01) ◽  
pp. 61-65
Author(s):  
O. J. Bott ◽  

SummaryTo summarize current outstanding research in the field of health information systems (HIS).Synopsis of the articles selected for the IMIA Yearbook 2007.Five articles from three international peer reviewed journals were selected for the HIS section of the IMIA Yearbook 2007. They represent outstanding research on new user interfaces for mobile data entry, smart card based approaches for national eHealth projects, generic system architectures for telemedicine services, new approaches for electronic prescriptions based on ubiquitous computing, and telemedical systems for chronic care in COPD.In the field of health information systems, evaluation and general architectural aspects of telemedical platforms respectively eHealth infrastructures currently is an important research topic as well as establishing acceptance of new technologies from the users and the organizations point of view.


2002 ◽  
Vol 41 (01) ◽  
pp. 25-30 ◽  
Author(s):  
V. Maojo ◽  
G. Lopez-Campos ◽  
F. Martin-Sanchez

Summary Objective: To outline the main issues related to the impact of the data generated by the Human Genome Project on health information systems. A major challenge for medical informatics is identified, consisting of adapting traditional systems to new genetic-based diagnostic and therapeutic tools. Methods: Reviewing and analysing the different health information levels from an organisational complexity point of view. A model is proposed to explain the interactions between health informatics, bioinformatics and molecular medicine. Results: We suggest a new framework that integrates genetic data into health information systems. Using this model, new topics for future research and development are identified. Conclusions: We are witnessing the birth of a new era (post-genomics). In this era technological advancements in genomics offer new opportunities for clinical applications. Medical informaticians should play an important role in this new endeavour.


2015 ◽  
Vol 14 (11) ◽  
pp. 6219-6228
Author(s):  
Sanae Mazouz ◽  
Ouçamah Mohammed Cherkaoui Malki ◽  
El Habib Nfaoui

Exchanging and integrating medical information in the healthcare domain is a challenge. Indeed, the diversity of databases and the different representations of information sources make this exchange a very difficult task. Divers standards, (e.g. HL7: Health Level Seven; DICOM: Digital Imaging and Communication in Medicine), are created to enable the exchange and make health information systems interoperable. However, applying standardization requires changing the structure of existing healthcare systems. Our main purpose is to create a health document for exchanging health information between heterogeneous systems without applying changes on the internal structure of systems. The document uses the XML language to allow a structured and flexible exchange of healthcare data. The proposed health document can make the exchange of healthcare data among heterogeneous health information systems simpler and efficient. This document addresses the problem of interoperability between health information systems. The paper summarizes standards used to support interoperability in healthcare domain and propose a health document to enable the exchange of medical information across heterogeneous and distributed health information systems without requirements or adjustment on their systems.


1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter

The problems encountered in achieving data security within computer-supported information systems increased with the development of modern computer systems. The threats are manifold and have to be met by an appropriate set of hardware precautions, organizational procedures and software measures which are the topic of this paper. Design principles and software construction rules are treated first, since the security power of a system is considerably determined by its proper design. A number of software techniques presented may support security mechanisms ranging from user identification and authentication to access control, auditing and threat monitoring. Encryption is a powerful tool for protecting data during physical storage and transmission as well.Since an increasing number of health information systems with information-integrating functions are database-supported, the main issues and terms of database systems and their specific security aspects are summarized in the appendix.


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