scholarly journals Health Information Systems - Technology and Acceptance

2007 ◽  
Vol 16 (01) ◽  
pp. 61-65
Author(s):  
O. J. Bott ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
User Interfaces ◽  
New Technologies ◽  
Data Entry ◽  
Health Information Systems ◽  
Point Of View ◽  
System Architectures ◽  
Important Research Topic ◽  
Electronic Prescriptions

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.

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
Keyword(s):  
Information Systems ◽  
Software Engineering ◽  
Health Information ◽  
Rapid Development ◽  
Heterogeneous Systems ◽  
Health Information Systems ◽  
Semantic Interoperability ◽  
Point Of View ◽  
Current State ◽  
Engineering Environment

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.

Towards New Scopes: Sensor-enhanced Regional Health Information Systems

2007 ◽  
Vol 46 (04) ◽  
pp. 476-483 ◽  
Author(s):  
M. Marschollek ◽  
K.-H. Wolf ◽  
R. Haux ◽  
O. J. Bott
Keyword(s):  
Information Systems ◽  
Home Care ◽  
Health Information ◽  
User Interfaces ◽  
Ad Hoc ◽  
Transmission Rate ◽  
Health Information Systems ◽  
Sensor Technology ◽  
Regional Health ◽  
Tele Monitoring

Summary Objectives: To analyze utilization of sensor technology in telemonitoring and home care and to discuss concepts and challenges of sensor-enhanced regional health information systems (rHIS). Methods: The study is based upon experience in sensor-based telemedicine and rHIS projects, and on an analysis of HIS-related journal publications from 2003 to 2005 conducted in the context of publishing the IMIA Yearbook of Medical Informatics. Results: Health-related parameters that are subject to sensor-based measurement in home care and tele-monitoring are identified. Publications related to tele-monitoring, home care and smart houses are analyzed concerning scope and utilization of sensor technology. Current approaches for integrating sensor technology in rHIS based on a corresponding eHealth infrastructure are identified. Based on a coarse architecture of home care and telemonitoring systems ten challenges for sensor-enhanced rHIS are identified and discussed: integration of home and health telematic platforms towards a sensor-enhanced telematic platform, transmission rate guarantees, ad hoc connectivity, cascading data analysis, remote configuration, message and alert logistic, sophisticated user interfaces, unobtrusiveness, data safety and security, and electronic health record integration. Conclusions: Utilization of sensor technology in health care is an active field of research. Currently few research projects and standardization initiatives focus on general architectural considerations towards suitable telematic platforms for establishing sensor-enhanced rHIS. Further research finalized by corresponding standardization is needed. Part 2 of this paperwill present experiences with a research prototype for a sensor-enhanced rHIS telematic platform.

Towards Multi-Agent Health Information Systems

2015 ◽  
Vol 6 (4) ◽  
pp. 20-38 ◽  
Author(s):  
Andrea Claudi ◽  
Paolo Sernani ◽  
Aldo Franco Dragoni
Keyword(s):  
Information Systems ◽  
Health Information ◽  
New Technologies ◽  
Health Information System ◽  
Emergency Situation ◽  
Health Information Systems ◽  
International Standards ◽  
Radiology Workflow ◽  
Healthcare Sector ◽  
Multi Agent

One of the key challenges in the healthcare sector is to adapt Health Information Systems to requirements coming from changing societies. In recent years, governments and international healthcare organizations defined a series of requirements for new generation Health Information Systems: they have to preserve past investments on legacy systems, but must also integrate new technologies, include the patient among their users, and ensure that clinical information are available at all times, even in places far from where information are physically stored. This paper proposes a multi agent-oriented architecture for Health Information Systems, which uses international standards for communication and management of clinical documents. The architecture tries to effectively model a generic healthcare organization, and aims at being easily extensible and adaptable to the particularities of specific healthcare systems. The authors present two experimental scenarios to test the proposed multi-agent health information system. In the first, they show how to model a specific use case, a radiology workflow, using agents and well-known standards; in the second one the authors demonstrate how a mobile application can use the services provided by the agents to support the medical staff in an emergency situation.

The Future of Medical Informatics

2009 ◽  
Vol 48 (01) ◽  
pp. 62-65 ◽  
Author(s):  
A. Winter
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Information Management ◽  
Medical Informatics ◽  
Service Management ◽  
Health Information Systems ◽  
Point Of View ◽  
Health Care Need ◽  
Research Education

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.

scholarly journals Robotic Systems in Operating Theaters: New Forms of Team–Machine Interaction in Health Care

2019 ◽  
Vol 58 (S 01) ◽  
pp. e14-e25 ◽  
Author(s):  
Jochen Steil ◽  
Dominique Finas ◽  
Susanne Beck ◽  
Arne Manzeschke ◽  
Reinhold Haux
Keyword(s):  
Health Care ◽  
Information Systems ◽  
Health Information ◽  
Health Care Professionals ◽  
New Technologies ◽  
Health Information Systems ◽  
Robotic Systems ◽  
Intelligent Machines ◽  
Wide Range ◽  
Machine Interaction

Background Health information systems have developed rapidly and considerably during the last decades, taking advantage of many new technologies. Robots used in operating theaters represent an exceptional example of this trend. Yet, the more these systems are designed to act autonomously and intelligently, the more complex and ethical questions arise about serious implications of how future hybrid clinical team–machine interactions ought to be envisioned, in situations where actions and their decision-making are continuously shared between humans and machines. Objectives To discuss the many different viewpoints—from surgery, robotics, medical informatics, law, and ethics—that the challenges of novel team–machine interactions raise, together with potential consequences for health information systems, in particular on how to adequately consider what hybrid actions can be specified, and in which sense these do imply a sharing of autonomous decisions between (teams of) humans and machines, with robotic systems in operating theaters as an example. Results Team–machine interaction and hybrid action of humans and intelligent machines, as is now becoming feasible, will lead to fundamental changes in a wide range of applications, not only in the context of robotic systems in surgical operating theaters. Collaboration of surgical teams in operating theaters as well as the roles, competencies, and responsibilities of humans (health care professionals) and machines (robotic systems) need to be reconsidered. Hospital information systems will in future not only have humans as users, but also provide the ground for actions of intelligent machines. Conclusions The expected significant changes in the relationship of humans and machines can only be appropriately analyzed and considered by inter- and multidisciplinary collaboration. Fundamentally new approaches are needed to construct the reasonable concepts surrounding hybrid action that will take into account the ascription of responsibility to the radically different types of human versus nonhuman intelligent agents involved.

scholarly journals Section 3: Health Information Systems: Health Information Systems: Between Shared Care and Body Area Networks

2006 ◽  
Vol 15 (01) ◽  
pp. 53-56
Author(s):  
O. J. Bott ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Data Privacy ◽  
New Technologies ◽  
Patient Empowerment ◽  
Chronically Ill ◽  
Health Information Systems ◽  
Data Types ◽  
Wearable Systems ◽  
Excellent Research

SummaryTo summarize current excellent research in the field of health information systems (HIS).Synopsis of the articles selected for the IMIA Yearbook 2006.Current research in the field of HIS is focused on supporting transinstitutional health care processes including health record systems, integration of new data types and knowledge based decision support, patient empowerment, the utilization of new technologies like wearable systems or ubiquitous computing in home and personal care, and methods and tools for the analysis, development, management, and evaluation of HIS.The best paper selection of articles on HIS comprises examples of excellent research on integration of HIS based on standards for electronic health records, methods and tools for HIS oriented change management, the use of wearable systems for telemedical surveillance of chronically ill patients, technology driven home care concepts for the elderly and physically disabled, and data privacy issues arising from the emergence of new clinical data types in the context of biomedicine. Besides successful research concerning important aspects of HIS, achieving interoperability and integration of health information subsystems and technology remains an important field of work.

Integrating Genomics into Health Information Systems

2002 ◽  
Vol 41 (01) ◽  
pp. 25-30 ◽  
Author(s):  
V. Maojo ◽  
G. Lopez-Campos ◽  
F. Martin-Sanchez
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Genome Project ◽  
Point Of View ◽  
Molecular Medicine ◽  
Future Research ◽  
Therapeutic Tools ◽  
The Impact

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.

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