scholarly journals Providing ART-DECOR ValueSets via FHIR Terminology Servers – A Technical Report

2021 ◽  
Author(s):  
Joshua Wiedekopf ◽  
Cora Drenkhahn ◽  
Hannes Ulrich ◽  
Ann-Kristin Kock-Schoppenhauer ◽  
Josef Ingenerf
Keyword(s):  
Healthcare Systems ◽  
Semantic Interoperability ◽  
Fundamental Importance ◽  
Current Version ◽  
Coding Schemes ◽  
Technical Report ◽  
Hl7 Fhir ◽  
Software Interfaces ◽  
Value Sets ◽  
The Way

To ensure semantic interoperability within healthcare systems, using common, curated terminological systems to identify relevant concepts is of fundamental importance. The HL7 FHIR standard specifies means of modelling terminological systems and appropriate ways of accessing and querying these artefacts within a terminology server. Hence, initiatives towards healthcare interoperability like IHE specify not only software interfaces, but also common codes in the form of value sets and code systems. The way in which these coding tables are provided is not necessarily compatible to the current version of the HL7 FHIR specification and therefore cannot be used with current HL7 FHIR-based terminology servers. This work demonstrates a conversion of terminological resources specified by the Integrating the Healthcare Initiative in the ART-DECOR platform, partly available in HL7 FHIR, to ensure that they can be used within a HL7 FHIR-based terminological server. The approach itself can be used for other terminological resources specified within ART-DECOR but can also be used as the basis for other code-driven conversions of proprietary coding schemes.

scholarly journals Building Eminence through Evidence

2017 ◽  
Vol 2 (Suppl. 1) ◽  
pp. 1-9 ◽  
Author(s):  
Denis Horgan
Keyword(s):  
Healthcare Professionals ◽  
Personalised Medicine ◽  
Healthcare Systems ◽  
Fake News ◽  
Front Line ◽  
New Developments ◽  
New Methods ◽  
The Right ◽  
Do So ◽  
The Way

With modern-day medicine going the way it is - new developments, great science, the advent of personalised medicine and more - there's little doubt that healthcare can move in the right direction if everything is put in place to allow it to do so. But in many areas progress is being halted. Or at the very least slowed. Like it or not, many front-line healthcare professionals still do things the way they did things three decades ago, and are reluctant to adapt to new methods (assuming they are aware of them). Evidence exists that today's rapidly developing new medicines and treatments can positively influence healthcare in modern-day Europe, but a gap in education (also applying to patients and politicians), often exacerbated by “fake news” on the internet, is hampering uptake of new and often better methods, while even causing doubts about vaccines. More understanding at every level will inevitably lead to swifter integration of innovation into the healthcare systems of Europe. The time to look, listen and learn has come.

Semantic Interoperability Issue of Standardizing Medical Vocabularies

2010 ◽  
pp. 19-42
Author(s):  
W. Ed Hammond
Keyword(s):  
Semantic Interoperability ◽  
Care Process ◽  
Basic Unit ◽  
Quality Healthcare ◽  
Data Interchange ◽  
Worthy Goal ◽  
Improved Performance ◽  
Value Sets ◽  
The Many ◽  
Data Elements

Semantic interoperability is the key to achieving global interoperability in healthcare information technology. The benefits are tremendous – the sharing of clinical data for multiple uses including patient care, research, reimbursement, audit and analyses, education, health surveillance, and many other uses. Patient safety, higher quality healthcare, more effective and efficient healthcare, increased outcomes, and potentially improved performance, higher quality of life and longer lifetimes are potential results. Decision support and the immediate linking of knowledge to the care process become easier. Semantic interoperability is a worthy goal. There are many barriers to achieving semantic interoperability. Key among these is the resolution of the many issues relating to the terminologies used in defining, describing and documenting health care. Each of these controlled terminologies has a reason for being and a following. The terminologies conflict and overlap; the granularity is not sufficiently rich for direct clinical use; there are gaps that prevent an exhaustive set; there are major variances in cost and accessibility; and no one appears eager or willing to make the ultimate decisions required to solve the problem. This chapter defines and describes the purpose and characteristics of the major terminologies in use in healthcare today. Terminology sets are compared in purpose, form and content. Finally, a proposed solution is presented based on a global master metadictionary of data elements with a rich set of attributes including names that may come from existing controlled terminologies, precise definitions to remove ambiguity in use, and complete value sets of possible values. The focus is on data elements because data elements are the basic unit of data interchange.

Pharmacist’s age affect information provided for pharmacy clients about generic substitution

2017 ◽  
Vol 86 (2) ◽  
pp. 163
Author(s):  
Pawel Lewek ◽  
Janusz Śmigielski ◽  
Izabela Banaś ◽  
Przemyslaw Kardas
Keyword(s):  
Correlation Analysis ◽  
Generic Substitution ◽  
Generic Drugs ◽  
Healthcare Systems ◽  
Scientific Data ◽  
Factors Affecting ◽  
The World ◽  
The Moment ◽  
The Way

Introduction. According to WHO, increase in usage of generic drugs may be one of the ways to reduce costs of healthcare systems around the world. However, according to scientific data, physicians and pharmacists doubt in their effectiveness – the reason for that is not well known. Due to this fact an evidence of factors affecting their opinion is being searched for. Aim. The aim of this study was to assess whether correlation exist between the age of pharmacist and the way information about generic drugs is provided.Material and Methods. This was a questionnaire‑based study. Especially prepared questionnaire was made available to pharmacists of Lodzkie province. Survey was conducted in Lodz (81.8%) and other towns of lodzkie province.Results. One hundred and forty eight pharmacists working in Lodzkie province have answered the questionnaire (84.5% women and 13.5% men, aged 23–59, working mainly in private pharmacies – 89.1%). Most of pharmacists (47; 31.8%) younger than 35 years provided information about generic drugs, after being asked about it. Most of pharmacists older than 35 years had given information before patients asked them about it. Correlation analysis revealed that strong statistically significant correlation between pharmacist’s age and the moment when he provides an information about generic drugs exist (P < 0.05).Conclusions. Age of pharmacists affect their commitment to provide information about generic drugs for pharmacy clients.

scholarly journals Estimation and Planning Differential Drive Robot Simultaneously - Technical Report

2019 ◽  
Author(s):  
Tai Hoang
Keyword(s):  
Autonomous Navigation ◽  
Lower Cost ◽  
Vertical Direction ◽  
Ground Truth ◽  
Estimation Algorithm ◽  
Vital Role ◽  
Current Version ◽  
Differential Drive ◽  
Technical Report ◽  
Differential Drive Robot

Estimation and planning play a vital role in the construction of an autonomous navigation framework. However, these problems are often considered separately, while planning gives robot a free-collision path towards the desired goal, estimation algorithm presents the executed trajectory in the sense that it has to be closed to the ground truth path as much as possible. Recently, a unified probabilistic framework, which supports solving these problems simultaneously, dubbed STEAP has been proposed. Nevertheless, its current version is only designated for an omni wheels robot, which allows robot to move and turn in vertical direction. Differential drive robot, on the other hand, though limited to move along only one direction, has been used in various situations due to its flexibility and lower cost in hardware designing. Thus, in this extension, our aim is to control a differential drive robot via STEAP. Moreover, in a more complicated environment such as labyrinth or maze, the original STEAP sometimes fails to find a path. Indeed, this problem is mainly caused by the poor initialization and the non-linearity in optimizer constraints. In our implementation, instead of dealing with these constraints, we employ a global planner algorithm such as Dijkstra or RRT to treat STEAP as an effective local planner module that focus on following the global path. Consequently, the experimental results show that the extended STEAP not only able to navigate a differential drive robot but also in a more complicated and unstructured environment.

scholarly journals The Loss of Innocence: Catullan Intertexts in Vergil’s Eclogue 8 and the Camilla Episode of the Aeneid

2020 ◽  
Vol 1 (1) ◽  
pp. 121-139
Author(s):  
Péter Somfai
Keyword(s):  
Fundamental Importance ◽  
Ancient Rome ◽  
Intertextual Connections ◽  
The Way

In ancient Rome, some elements of the wedding ritual (e.g. the raptio or the defloration) could be associated with aggression and death. In Catullus 62 and 66 – two poems dealing with the topic of marriage –, these connotations get a special emphasis, in part due to the motif of cutting symbolizing violence and changing. In this paper, I examine the way the above mentioned poems constitute the background for the allusion to Medea in Vergil’s Eclogue 8 and the depiction of Camilla in Book 11 of the Aeneid. It will be of fundamental importance to observe the way aggressiveness – being a traditional characteristic of men – gets transferred to women, by means of intertextual connections.

Automatic Creation of Machine Learning Workflows with Strongly Typed Genetic Programming

2017 ◽  
Vol 26 (05) ◽  
pp. 1760020 ◽  
Author(s):  
Tomáš Křen ◽  
Martin Pilát ◽  
Roman Neruda
Keyword(s):  
Machine Learning ◽  
Genetic Programming ◽  
Grid Search ◽  
Current Version ◽  
Learning Methods ◽  
Machine Learning Methods ◽  
Learning Ensembles ◽  
New Machine ◽  
The Way

Manual creation of machine learning ensembles is a hard and tedious task which requires an expert and a lot of time. In this work we describe a new version of the GP-ML algorithm which uses genetic programming to create machine learning workows (combinations of preprocessing, classification, and ensembles) automatically, using strongly typed genetic programming and asynchronous evolution. The current version improves the way in which the individuals in the genetic programming are created and allows for much larger workows. Additionally, we added new machine learning methods. The algorithm is compared to the grid search of the base methods and to its previous versions on a set of problems from the UCI machine learning repository.

scholarly journals Bench to bedside: The technology adoption pathway in healthcare

2019 ◽  
Vol 10 (2) ◽  
pp. 537-545 ◽  
Author(s):  
Daniel Clark ◽  
Gerard Dean ◽  
Sarah Bolton ◽  
Beth Beeson
Keyword(s):  
Technology Adoption ◽  
Linear Model ◽  
Medical Device ◽  
New Technologies ◽  
Healthcare Systems ◽  
Patient Benefit ◽  
Real Patient ◽  
Health And Wellbeing ◽  
The Way

Abstract New technologies have the potential to revolutionize the way we manage health and wellbeing now and in the future. But often seen as expensive and difficult to implement, the challenge is to identify the best technology to deliver real patient benefit and support its rapid adoption to help address the funding difficulties faced by all modern healthcare systems. In this paper we consider the traditional linear model of the technology adoption pathway as it pertains to healthcare, look at common challenges faced traversing this path and suggest solutions. In so doing, we recognise the limitations of the linear model and describe our version of a more realistic, non-linear model. Throughout, we will be looking at the key role of the Clinical Engineer to successful healthcare technology adoption based on our experience of supporting medical device products through to adoption and present the key lessons we learnt along the way.

scholarly journals Fathers and Sons Catullan Echoes of Remembering and Forgetting in Vergil’s Aeneid

2020 ◽  
Vol 56 ◽  
pp. 247-258
Author(s):  
Péter Somfai
Keyword(s):  
Fundamental Importance ◽  
Native Land ◽  
Intertextual Connections ◽  
Fathers And Sons ◽  
The Way

In Vergil’s Aeneid the problematics of remembering and forgetting emerge as an issue of essential importance: the Trojans – somewhat paradoxically – have to bring about both of them in order to be able to found a new native land in Italy. The matter in question emphatically occurs in two speeches of fathers given to their sons in the epic: in that of the shade of Anchises given to Aeneas in Book 5 and in that of Aeneas given to Ascanius in Book 12. These passages both recall the speech of Aegeus to Theseus in Catullus 64, in which the father aims to ‘program’ his son’s mind to remember his instructions. It will be of fundamental importance to observe the way the Catullan text presenting the failure of this kind of ‘mnemotechnical’ remembering encodes forgetting into the Vergilian passages mentioned above, by means of intertextual connections.

Leading the Technological Innovation in Healthcare Systems

2013 ◽  
pp. 134-153
Author(s):  
Vincenzo Gullà
Keyword(s):  
Health Care ◽  
Structural Change ◽  
Medical Care ◽  
Health Care System ◽  
Technological Innovation ◽  
National Health ◽  
Healthcare Systems ◽  
New Paradigm ◽  
National Health Care ◽  
The Way

The adoption of Telematics medicine or Telemedicine marks an important structural change in the mode in which deployment of medical care is being routinely provided. It is not a matter of using more or less developed technologies but mainly a deep change to the way in which countries and governments decide to provide and manage their national health care system. There is definitely a new paradigm taking place. Thus, the telemedicine approach implies deeply changing the way healthcare is provided. The authors are aware that this will take time, as does any cultural revolution, but for the time being, we need to start adapting our mentality and our networks to integrate and allow the two methods to cohabit together. Technology is one of the leading tools to allow this to happen, and it is necessary to understand what requirements are needed to get the maximum success. Years of experience have dictated the main rules and guidelines exploited in detail in this chapter.

The challenge of integration

2017 ◽  
Author(s):  
Alan Cribb
Keyword(s):  
Health Policy ◽  
Health Systems ◽  
Social Care ◽  
Healthcare Systems ◽  
Division Of Labour ◽  
Health And Social Care ◽  
Care Systems ◽  
Central Device ◽  
The Way

This chapter analyses the increasingly influential idea that healthcare systems, or health and social care systems more broadly, need to be better integrated—that both services and the experiences of individuals need to be less ‘fractured’ and that this depends upon attending to the overall architecture of systems. In order to approach the integration agenda, it is worth acknowledging the ‘problem’ that gives rise to it. The agenda is closely bound up with divisions and boundaries that are both necessary and a source of difficulties. The way in which health systems seek to provide diverse goods is through a division of labour that structures both services and roles. Yet the necessary division of labour inevitably and notoriously creates problems. Perhaps the central device through which health policy addresses and manages this tension—between differentiated provision and consolidated needs—is by supporting both specialism and generalism.

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