scholarly journals Knowledge Representation and Management: Towards Interoperable Medical Terminologies

2009 ◽  
Vol 18 (01) ◽  
pp. 99-102
Author(s):  
A.-M. Rassinoux ◽  
Keyword(s):  
Information Systems ◽  
Knowledge Representation ◽  
Electronic Health Record ◽  
Health Information ◽  
Expressive Language ◽  
Health Information Systems ◽  
Health Record ◽  
Strategic Role ◽  
Clinical Systems ◽  
Logical Formalism

Summary Objective To summarize current outstanding research in the field of knowledge representation and management. Methods Synopsis of the articles selected for the IMIA Yearbook 2009. Results Four excellent papers have been selected for the section knowledge representation and management. All these papers are concerned with terminological systems whether it is to detect equivalent concept definitions, to structure narratives, to compare existing lay and professional terms or to reformulate the SNOMED’s logical formalism towards a more expressive language. Conclusion The ability of one computer system to access and use the resources of another system becomes crucial in a world where the amount of electronically stored data increases continuously. The selected papers for the section knowledge representation and management corroborate that interoperable medical terminologies play a growing and strategic role in Electronic Health Record (EHR) systems. Indeed, they allow data in clinical systems to be defined in a more uniform and granular manner, thus leading to flexible, semantically interoperable and trust-worthy health information systems.

scholarly journals Data Incompleteness Preventing Information Communication from Hospital Information Systems to the Iranian National Electronic Health Record (SEPAS)

2021 ◽  
Vol 10 (1) ◽  
pp. 97
Author(s):  
Reza Abbasi ◽  
Reza Khajouei ◽  
Monireh Sadeghi Jabali ◽  
Moghadameh Mirzaei
Keyword(s):  
Information System ◽  
Information Systems ◽  
Electronic Health Record ◽  
Health Information ◽  
Information Quality ◽  
Clinical Information ◽  
Health Information Systems ◽  
Hospital Information Systems ◽  
Health Record ◽  
Electronic Health

Introduction: One of the well-known problems related to the information quality is the information incompleteness in health information systems. The purpose of this study was to investigate the completeness rate of patients’ information recorded in the hospital information system, sending information from which to Iranian electronic health record system (SEPAS) seemed to be unsuccessful.Methods: This study was conducted in six hospitals associated with Kerman University of Medical Sciences (KUMS) in Iran. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and the data were collected using a checklist. Data were analyzed using the descriptive and inferential statistics with SPSS.18.Results: A total of 18758 demographic and clinical information elements were examined. The rate of completeness was 55%. The highest completeness rate of demographic information was related to name, surname, gender, nationality, date of birth, father's name, marital status, place of residence, telephone number (79-100%), and in clinical information it was related to the final diagnosis (74%). The completeness rate of some information elements was significantly different among the hospitals (p <0.05). The completeness rate of information communicated to the Iranian national electronic health record was at a moderate level.Conclusion: This study showed that completeness rate is different among hospitals using the same hospital information system. The results of this study can help the health policymakers and developers of the national electronic health record in developing countries to improve completeness rate and also information quality in health information systems.

Engineering Dependable Health Information Systems

2005 ◽  
pp. 91-109 ◽  
Author(s):  
Khin Than Win ◽  
Peter Croll
Keyword(s):  
Information System ◽  
Knowledge Management ◽  
Information Systems ◽  
Electronic Health Record ◽  
Health Information ◽  
Health Information System ◽  
Health Information Systems ◽  
Health Record ◽  
The Relationship

Effective and appropriate implementation of health information systems assists with an organization’s knowledge management. To enhance a user’s trustworthiness and full adoption, a health information system needs to be dependable. This chapter reviews the different development methodologies available for engineering dependable solutions and their application by citing two case studies as an example. Health information systems cover a diverse set of applications. The focus in this chapter is on the development of electronic health record systems, the importance of dependability, and the relationship between dependability and data quality of the health record systems.

scholarly journals Health Information Systems Training for a Countrywide Implementation in Uruguay

2009 ◽  
Vol 18 (01) ◽  
pp. 153-157
Author(s):  
A. Vero ◽  
L. Bessonart ◽  
A. Barbiel ◽  
M. Ferla ◽  
A. Margolis
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Health Informatics ◽  
Health Information Systems ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Active Involvement ◽  
Systems Implementation ◽  
Informatics Training ◽  
Clinical Systems

Summary Objectives Health Information systems training is one of the bottlenecks in clinical systems implementation. In this article, a strategy to massively create and train interdisciplinary coordinating teams is described for a project in Uruguay at FEMI, a non-academic setting which includes 23 health care institutions across the country and a tertiary referral center in Montevideo. Methods A series of educational activities were designed for the local coordinating teams. They included both onsite and online formats, site visits, integrated with some of the project tasks. Results In total, 128 professionals from all the Institutions participated in one or more of the training sessions (onsite and online) and 87 of them accomplished one of the forms of training. Conclusions Massive basic health informatics training was possible in Uruguay through collaboration with academic institutions at the country and regional level. Next steps include an active involvement of nurses in the educational events and planning of massive training of end users.

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.

Data Security in Health Information Systems by Applying Software Techniques

1979 ◽  
Vol 18 (04) ◽  
pp. 214-222
Author(s):  
K. Sauter
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Data Security ◽  
Health Information Systems ◽  
Database Systems ◽  
Modern Computer ◽  
Proper Design ◽  
Software Construction ◽  
Organizational Procedures ◽  
Software Measures

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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