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.

An Architectural Solution for Health Information Exchange

2016 ◽  
Vol 6 (1) ◽  
pp. 65-103
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Mohammed Baihan ◽  
Thomas Agresta
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Service Oriented Architecture ◽  
Health Information Exchange ◽  
Clinical Findings ◽  
Software Architectures ◽  
Medical Providers ◽  
Science Field ◽  
Healthcare Data ◽  
Architectural Styles

Health information technology (HIT) systems including electronic health records (EHRs) have a market saturation nearing 92% at individual institutions but are still unsuited for cross-institutional collaboration of stakeholders (e.g., medical providers such as physicians, hospitals, clinics, labs, etc.) in support of health information exchange (HIE) of different HIT systems in geographically separate locations. In the computer science field, software architectures such as service-oriented architecture, grid computing, publish/subscribe paradigm, and data warehousing are well-established approaches for interoperation. However, the application of these software architectures to support HIE has not been significantly explored. To address this issue, this paper proposes an architectural solution for HIE that leverages established software architectural styles in conjunction with the emergent HL7 standard Fast Healthcare Interoperability Resources (FHIR). FHIR models healthcare data with XML or JSON schemas using a set of 93 resources to track a patient's clinical findings, problems, allergies, adverse events, history, suggested physician orders, care planning, etc. For each resource, a FHIR CRUD RESTful Application Program Interface (API) is defined to share data in a common format for each of the HITs that can then be easily accessible by mobile applications. This paper details an architectural solution for HIE using software architectural styles in conjunction with FHIR to allow HIT systems of stakeholders to be integrated to facilitate collaboration among medical providers. To demonstrate the feasibility and utility of HHIEA, a realistic regional healthcare scenario is introduced that illustrates the interactions of stakeholders across an integrated collection of HIT systems.

An Architectural Solution for Health Information Exchange

2020 ◽  
pp. 283-327
Author(s):  
Timoteus B. Ziminski ◽  
Steven A. Demurjian ◽  
Eugene Sanzi ◽  
Mohammed S. Baihan ◽  
Thomas Agresta
Keyword(s):  
Health Information ◽  
Information Exchange ◽  
Service Oriented Architecture ◽  
Health Information Exchange ◽  
Clinical Findings ◽  
Software Architectures ◽  
Medical Providers ◽  
Healthcare Data ◽  
Architectural Styles ◽  
Share Data

Health information technology (HIT) systems including electronic health records (EHRs) have a market saturation nearing 92% at individual institutions but are still unsuited for cross-institutional collaboration of stakeholders (e.g., medical providers such as physicians, hospitals, clinics, labs, etc.) in support of health information exchange (HIE) of different HIT systems in geographically separate locations. In the computer science field, software architectures such as service-oriented architecture, grid computing, publish/subscribe paradigm, and data warehousing are well-established approaches for interoperation. However, the application of these software architectures to support HIE has not been significantly explored. To address this issue, this paper proposes an architectural solution for HIE that leverages established software architectural styles in conjunction with the emergent HL7 standard Fast Healthcare Interoperability Resources (FHIR). FHIR models healthcare data with XML or JSON schemas using a set of 93 resources to track a patient's clinical findings, problems, allergies, adverse events, history, suggested physician orders, care planning, etc. For each resource, a FHIR CRUD RESTful Application Program Interface (API) is defined to share data in a common format for each of the HITs that can then be easily accessible by mobile applications. This paper details an architectural solution for HIE using software architectural styles in conjunction with FHIR to allow HIT systems of stakeholders to be integrated to facilitate collaboration among medical providers. To demonstrate the feasibility and utility of HHIEA, a realistic regional healthcare scenario is introduced that illustrates the interactions of stakeholders across an integrated collection of HIT systems.

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.

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.

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 A TEMPLATE-DRIVEN APPROACH FOR MAINTAINABLE SERVICE-ORIENTED INFORMATION SYSTEMS INTEGRATION

2009 ◽  
Vol 19 (07) ◽  
pp. 889-912 ◽  
Author(s):  
CLAUS PAHL ◽  
YAOLING ZHU ◽  
VERONICA GACITUA-DECAR
Keyword(s):  
Information Systems ◽  
Web Services ◽  
Service Oriented Architecture ◽  
Integration Framework ◽  
Business Information Systems ◽  
Information Systems Integration ◽  
Transformation Rules ◽  
Architectural Styles ◽  
Integration Architecture ◽  
Service Oriented

Service-oriented architecture (SOA) is currently the predominant software integration framework. Web services provide the predominant platform for SOA. SOA as an integration architecture solution supports a range of application scenarios. We present a solution for the integration of business information systems based on SOA and Web services. We discuss maintainability requirements in relation to information-specific integration and architecture aspects. A template-based approach based on modular and declarative transformation rules and architectural styles and patterns defines our solution to the maintainability problem of integration architectures.

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