A design strategy for health information systems to address care process management

Author(s):  
Aladdin Baarah ◽  
Craig E. Kuziemsky ◽  
Austin Chamney ◽  
Jaspreet Bindra ◽  
Liam Peyton
2006 ◽  
Vol 48 (1) ◽  
Author(s):  
Hans-Ulrich Prokosch ◽  
Thomas Ganslandt ◽  
Roxana Corina Dumitru ◽  
Frank Ückert

SummaryIn this paper two major tasks of health telematics are identified: telemedicine to support the physicians and collaborative health information systems additionally incorporating the patient. In the field of telemedicine, exemplary scenarios of teleconsultation/teletherapy but also the creation of joint electronic patient records by several healthcare providers are described in detail and analysed. Those are teleradiology, telepathology, and telesurgery. On the other side, collaborative health information systems provide several means to actively incorporate the empowered patient in the care process. We illustrate the approach of sharing a patient's electronic medical record with the patient and distinguish it from alternative approaches, such as email communications between patients and doctors or patient empowerment through web-based information services. For all such applications, recent trends in research and implementation are analysed and the technological as well as legal requirements are discussed.


2006 ◽  
Vol 15 (01) ◽  
pp. 43-52 ◽  
Author(s):  
S. H. R. Wurst ◽  
O. J. Bott ◽  
D. A. Giuse ◽  
K. A. Kuhn

SummaryTo identify current challenges and developments in health information systems.Reports on HIS, eHealth and process support were analyzed, core problems and challenges were identified.Health information systems are extending their scope towards regional networks and health IT infrastructures. Integration, interoperability and interaction design are still today’s core problems. Additional problems arise through the integration of genetic information into the health care process. There are noticeable trends towards solutions for these problems.


2001 ◽  
Vol 40 (04) ◽  
pp. 275-287 ◽  
Author(s):  
D. A. Giuse ◽  
K. A. Kuhn

Summary Objectives: Hospital information systems are evolving towards health information systems. This article aims at identifying both proven benefits and critical issues, and at discussing problems and possible solutions. Methods: Reports on HIS successes and failures were analyzed, and core challenges were identified. These challenges are discussed against state of the art solutions. Results: In spite of demonstrated benefits, there are more severe problems than reports on successes suggest. Among today’s core problems are integration, human-computer interaction, socio-technical issues, and support of processes. Conclusions: Significant efforts of all parties involved in the health care process are needed to improve, implement, and evaluate the concepts described.


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.


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.


Sign in / Sign up

Export Citation Format

Share Document