Secure healthcare data sharing among federated health information systems

Author(s):  
Mario Sicuranza ◽  
Mario Ciampi ◽  
Giuseppe De Pietro ◽  
Christian Esposito
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Thomas Agresta

The adoption of health information systems and the integration of healthcare data and systems into efficient cross-institutional collaboration workflows of stakeholders (e.g., medical providers such as physicians, hospitals, clinics, labs, etc.) is a challenging problem for the healthcare domain. This chapter studies the way that well-established software engineering concepts and architectural styles can be employed to satisfy requirements of the healthcare domain and ease health information exchange (HIE) between stakeholders. Towards this goal, this chapter proposes a hybrid HIE architecture (HHIEA) that leverages the studied styles that include service-oriented architecture, grid computing, publish/subscribe paradigm, and data warehousing to allow the health information systems of stakeholders to be integrated to facilitate collaboration among medical providers. To demonstrate the feasibility and utility of the HHIEA, a realistic regional healthcare scenario is introduced that illustrates the interactions of stakeholders across an integrated collection of health information systems.


2019 ◽  
pp. 740-773
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Thomas Agresta

The adoption of health information systems and the integration of healthcare data and systems into efficient cross-institutional collaboration workflows of stakeholders (e.g., medical providers such as physicians, hospitals, clinics, labs, etc.) is a challenging problem for the healthcare domain. This chapter studies the way that well-established software engineering concepts and architectural styles can be employed to satisfy requirements of the healthcare domain and ease health information exchange (HIE) between stakeholders. Towards this goal, this chapter proposes a hybrid HIE architecture (HHIEA) that leverages the studied styles that include service-oriented architecture, grid computing, publish/subscribe paradigm, and data warehousing to allow the health information systems of stakeholders to be integrated to facilitate collaboration among medical providers. To demonstrate the feasibility and utility of the HHIEA, a realistic regional healthcare scenario is introduced that illustrates the interactions of stakeholders across an integrated collection of health information systems.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Zenner

Abstract Despite significant efforts, for example within the EU/ EEA, there are currently only few Health information systems (HIS) which are standardized across international borders, and even within countries there can be significant variations. Modalities, technologies and terminologies differ. In the field of migration health, challenges and variations can be more significant. This talk will explore the specific challenges in migration health related HIS, provide an overview of the current HIS landscape pertaining to migration health and sketch out some potential solution to achieve greater harmonization and data sharing across countries.


Author(s):  
Soumya Purohit ◽  
Prasad Calyam ◽  
Mauro Lemus Alarcon ◽  
Naga Ramya Bhamidipati ◽  
Abu Mosa ◽  
...  

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.


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.


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