scholarly journals DITAS: An Integrated Gateway to E-health Communications

2021 ◽  
Author(s):  
Ehsan Bitaraf ◽  
Fatemeh Sarani Rad ◽  
Maryam Jafarpour ◽  
Vajiheh Jami ◽  
Ebrahim Keshavarz Safari ◽  
...  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Information Exchange ◽  
Improve Treatment ◽  
Treatment Processes ◽  
Communication Processes ◽  
Health Related ◽  
Demand For Health

Today, the demand for health-oriented systems to facilitate and improve treatment processes is growing. For different information systems with different structures and technologies to be able to communicate with each other, a single gateway is required. The gateway acts as an interface between information systems and unifies protocols, rules, and standards related to communication processes. Health-related systems need a unique regulator that explains data models, coding, and data exchange structures. Moreover, the gateway has control over information systems and the data transmitted between them. In this paper, we explain an integrated gateway of health information exchange named DITAS which is a bridging point between health-related systems.

scholarly journals Maturity assessment of Kenya’s health information system interoperability readiness

2021 ◽  
Vol 28 (1) ◽  
pp. e100241
Author(s):  
Job Nyangena ◽  
Rohini Rajgopal ◽  
Elizabeth Adhiambo Ombech ◽  
Enock Oloo ◽  
Humphrey Luchetu ◽  
...  
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Working Group ◽  
Data Exchange ◽  
Enterprise Architecture ◽  
Health Information Exchange ◽  
Digital Health ◽  
Health Information System ◽  
Maturity Level ◽  
Technical Standards

BackgroundThe use of digital technology in healthcare promises to improve quality of care and reduce costs over time. This promise will be difficult to attain without interoperability: facilitating seamless health information exchange between the deployed digital health information systems (HIS).ObjectiveTo determine the maturity readiness of the interoperability capacity of Kenya’s HIS.MethodsWe used the HIS Interoperability Maturity Toolkit, developed by MEASURE Evaluation and the Health Data Collaborative’s Digital Health and Interoperability Working Group. The assessment was undertaken by eHealth stakeholder representatives primarily from the Ministry of Health’s Digital Health Technical Working Group. The toolkit focused on three major domains: leadership and governance, human resources and technology.ResultsMost domains are at the lowest two levels of maturity: nascent or emerging. At the nascent level, HIS activities happen by chance or represent isolated, ad hoc efforts. An emerging maturity level characterises a system with defined HIS processes and structures. However, such processes are not systematically documented and lack ongoing monitoring mechanisms.ConclusionNone of the domains had a maturity level greater than level 2 (emerging). The subdomains of governance structures for HIS, defined national enterprise architecture for HIS, defined technical standards for data exchange, nationwide communication network infrastructure, and capacity for operations and maintenance of hardware attained higher maturity levels. These findings are similar to those from interoperability maturity assessments done in Ghana and Uganda.

scholarly journals Clinical Information Systems – Seen through the Ethics Lens

2020 ◽  
Vol 29 (01) ◽  
pp. 104-114
Author(s):  
Ursula H. Hübner ◽  
Nicole Egbert ◽  
Georg Schulte
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Ethics Education ◽  
Health Information Exchange ◽  
Evaluation Studies ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Smart Systems

Objective: The more people there are who use clinical information systems (CIS) beyond their traditional intramural confines, the more promising the benefits are, and the more daunting the risks will be. This review thus explores the areas of ethical debates prompted by CIS conceptualized as smart systems reaching out to patients and citizens. Furthermore, it investigates the ethical competencies and education needed to use these systems appropriately. Methods: A literature review covering ethics topics in combination with clinical and health information systems, clinical decision support, health information exchange, and various mobile devices and media was performed searching the MEDLINE database for articles from 2016 to 2019 with a focus on 2018 and 2019. A second search combined these keywords with education. Results: By far, most of the discourses were dominated by privacy, confidentiality, and informed consent issues. Intertwined with confidentiality and clear boundaries, the provider-patient relationship has gained much attention. The opacity of algorithms and the lack of explicability of the results pose a further challenge. The necessity of sociotechnical ethics education was underpinned in many studies including advocating education for providers and patients alike. However, only a few publications expanded on ethical competencies. In the publications found, empirical research designs were employed to capture the stakeholders’ attitudes, but not to evaluate specific implementations. Conclusion: Despite the broad discourses, ethical values have not yet found their firm place in empirically rigorous health technology evaluation studies. Similarly, sociotechnical ethics competencies obviously need detailed specifications. These two gaps set the stage for further research at the junction of clinical information systems and ethics.

scholarly journals Health Information Systems

2012 ◽  
Vol 21 (01) ◽  
pp. 79-82
Author(s):  
C. Bréant ◽  
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Health It ◽  
It Impacts

SummarySummarize excellent current research in the field of Health Information Systems.Synopsis of the articles selected for the IMIA Yearbook 2012.Three papers from international peer reviewed journals have been selected for the section on health information systems.The selected articles illustrate current research regarding health IT impacts and evaluation and the latest developments in health information exchange.

hData - A Simple XML Framework for Health Data Exchange

2009 ◽  
Author(s):  
Gerald Beuchelt ◽  
Harry Sleeper ◽  
Andrew Gregorowicz ◽  
Robert Dingwell
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Information Exchange ◽  
Health Data ◽  
Care Providers ◽  
Future Health ◽  
Data Interoperability ◽  
History Of ◽  
Electronic Health

Health data interoperability issues limit the expected benefits of Electronic Health Record (EHR) systems. Ideally, the medical history of a patient is recorded in a set of digital continuity of care documents which are securely available to the patient and their care providers on demand. The history of electronic health data standards includes multiple standards organizations, differing goals, and ongoing efforts to reconcile the various specifications. Existing standards define a format that is too complex for exchanging health data effectively. We propose hData, a simple XML-based framework to describe health information. hData addresses the complexities of the current HL7 Clinical Document Architecture (CDA). hData is an XML design that can be completely validated by modern XML editors and is explicitly designed for extensibility to address future health information exchange needs. hData applies established best practices for XML document architectures to the health domain, thereby facilitating interoperability, increasing software developer productivity, and thus reducing the cost for creating and maintaining EHR technologies.

scholarly journals What Affects Clinicians’ Usage of Health Information Exchange?

2011 ◽  
Vol 02 (03) ◽  
pp. 250-262 ◽  
Author(s):  
L. Volk ◽  
S. Simon ◽  
D. Bates ◽  
R. Rudin
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Information Exchange ◽  
Healthcare Providers ◽  
Care Quality ◽  
Time Savings ◽  
And Training ◽  
Exchange Health Information

SummaryBackground: The ability to electronically exchange health information among healthcare providers holds enormous promise to improve care coordination and reduce costs. Provider-to-provider data exchange is an explicit goal of the American Recovery and Reinvestment Act of 2009 and may be essential for the long-term success of the Affordable Care Act of 2010. However, little is known about what factors affect clinicians’ usage of health information exchange (HIE) functionality.Objective: To identify factors that affect clinicians’ HIE usage - in terms of frequency of contributing data to and accessing data from aggregate patient records - and suggest policies for fostering its usage.Methods: We performed a qualitative study using grounded theory by interviewing clinician-users and HIE staff of one operational HIE which supported aggregate patient record functionality. Fifteen clinicians were interviewed for one hour each about what factors affect their HIE usage. Five HIE staff were asked about technology and training issues to provide context. Interviews were recorded, transcribed and analyzed. Recruitment excluded clinicians with little or no familiarity with the HIE and was restricted to one community and a small number of specialties.Results: Clinicians were motivated to access the HIE by perceived improvements in care quality and time savings, but their motivation was moderated by an extensive list of factors including gaps in data, workflow issues and usability issues. HIE access intensities varied widely by clinician. Data contribution intensities to the HIE also varied widely and were affected by billing concerns and time constraints.Conclusions: Clinicians, EHR and HIE product vendors and trainers should work toward integrating HIE into clinical workflows. Policies should create incentives for HIE organizations to assist clinicians in using HIE, develop measures of HIE contributions and accesses, and create incentives for clinicians to contribute data to HIEs.

Toward Integrating Healthcare Data and Systems

2016 ◽  
pp. 270-304 ◽  
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Thomas Agresta
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Service Oriented Architecture ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Medical Providers ◽  
Healthcare Data ◽  
Architectural Styles ◽  
Service Oriented

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.

Toward Integrating Healthcare Data and Systems

2019 ◽  
pp. 740-773
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Thomas Agresta
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Service Oriented Architecture ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Medical Providers ◽  
Healthcare Data ◽  
Architectural Styles ◽  
Service Oriented

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.

scholarly journals Big Data and Smart Health Strategies: Findings from the Health Information Systems Perspective

2014 ◽  
Vol 23 (01) ◽  
pp. 125-127 ◽  
Author(s):  
M. Cuggia ◽  
L. Toubiana ◽  
Keyword(s):  
Information Technology ◽  
Big Data ◽  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
Systems Perspective ◽  
Smart Health ◽  
The Impact

Summary Objectives: To summarize excellent current research in the field of Health Information Systems. Method: Creation of a synopsis of the articles selected for the 2014 edition of the IMIA Yearbook. Results: Four papers from international peer reviewed journals were selected and are summarized. Conclusions: Selected articles illustrate current research regarding the impact and the evaluation of health information technology and the latest developments in health information exchange.

scholarly journals Health Information Systems

2013 ◽  
Vol 22 (01) ◽  
pp. 114-116
Author(s):  
M. Cuggia ◽  
L. Toubiana
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
It Impacts

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2013. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The selected articles illustrate current research regarding health information technology (IT) impacts and evaluation and the latest developments in health information exchange.

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