295 research outputs found

    Ponder: Realising enterprise viewpoint concepts

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    This paper introduces the Ponder language for speciing distributed object enterprise concepts. Ponder, is a declarative language, which permits the specification of policies in terms of obligations, permissions and prohibitions and provides the means for defining roles, relationships and their configurations in nested communities. Ponder provides a concrete representation of most of the concepts of the Enterprise Viewpoint. The design of the language incorporates lessons drawn from several years of research on policy for security and distributed systems management as well as policy conflict analysis. The various language constructs are presented through a scenario for the operation, administration and maintenance of a mobile telecommunication network

    Security and management policy specification

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    Accepted versio

    Requirements traceability in model-driven development: Applying model and transformation conformance

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    The variety of design artifacts (models) produced in a model-driven design process results in an intricate relationship between requirements and the various models. This paper proposes a methodological framework that simplifies management of this relationship, which helps in assessing the quality of models, realizations and transformation specifications. Our framework is a basis for understanding requirements traceability in model-driven development, as well as for the design of tools that support requirements traceability in model-driven development processes. We propose a notion of conformance between application models which reduces the effort needed for assessment activities. We discuss how this notion of conformance can be integrated with model transformations

    A Two-Level Identity Model To Support Interoperability of Identity Information in Electronic Health Record Systems.

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    The sharing and retrieval of health information for an electronic health record (EHR) across distributed systems involves a range of identified entities that are possible subjects of documentation (e.g., specimen, clinical analyser). Contemporary EHR specifications limit the types of entities that can be the subject of a record to health professionals and patients, thus limiting the use of two level models in healthcare information systems that contribute information to the EHR. The literature describes several information modelling approaches for EHRs, including so called “two level models”. These models differ in the amount of structure imposed on the information to be recorded, but they generally require the health documentation process for the EHR to focus exclusively on the patient as the subject of care and this definition is often a fixed one. In this thesis, the author introduces a new identity modelling approach to create a generalised reference model for sharing archetype-constrained identity information between diverse identity domains, models and services, while permitting reuse of published standard-based archetypes. The author evaluates its use for expressing the major types of existing demographic reference models in an extensible way, and show its application for standards-compliant two-level modelling alongside heterogeneous demographics models. This thesis demonstrates how the two-level modelling approach that is used for EHRs could be adapted and reapplied to provide a highly-flexible and expressive means for representing subjects of information in allied health settings that support the healthcare process, such as the laboratory domain. By relying on the two level modelling approach for representing identity, the proposed design facilitates cross-referencing and disambiguation of certain demographics standards and information models. The work also demonstrates how it can also be used to represent additional clinical identified entities such as specimen and order as subjects of clinical documentation

    A Mobile ECG Monitoring System with Context Collection

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    An objective of a health process is one where patients can stay healthy with the support of expert medical advice when they need it, at any location and any time. An associated aim would be the development of a system which places increased emphasis on preventative measures as a first point of contact with the patient. This research is a step along the road towards this type of preventative healthcare for cardiac patients. It seeks to develop a smart mobile ECG monitoring system that requests and records context information about what is happening around the subject when an arrhythmia event occurs. Context information about the subject’s activities of daily living will, it is hoped, provide an enriched data set for clinicians and so improve clinical decision making. As a first step towards a mobile cardiac wellness guidelines system, the focus of this work is to develop a system that can receive bio-signals wirelessly, analyzing and storing the bio-signal in a handheld device and can collect context information when there are significant changes in bio-signs. For this purpose the author will use a low cost development environment to program a state of the art wireless prototype on a handheld computer that detects and responds to changes in the heart rate as calculated form the interval between successive heart beats. Although the general approach take in this work could be applied to a wide range of bio-signals, the research will focus on ECG signals. The pieces of the system are, A wireless receiver, data collection and storage module An efficient real time ECG beat detection algorithm A rule based (Event-Condition-Action) interactive system A simple user interface, which can request additional information form the user. A selection of real-time ECG detection algorithms have been investigated and one algorithm was implemented in MATLAB [110] and then in Java [142] for this project. In order to collect ECG signals (and in principle any signals) the generalised data collection architecture has also been developed utilizing Java [142] and Bluetooth [5] technology. This architecture uses an implementation of the abstract factory pattern [91] to ensure that the communication channel can be changed conveniently. Another core part of this project is a “wellness” guideline based on Event-Condition-Action (E-C-A) [68] production rule approach that originated in active databases. The work also focuses on design of a guideline based expert system which an E-C-A based implementation will be fully event driven using the Java programming language. Based on the author’s experience and the literature review, some important issues in mobile healthcare along with the corresponding reasons, consequences and possible solutions will be presented

    Domain architecture a design framework for system development and integration

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    The ever growing complexity of software systems has revealed many short-comings in existing software engineering practices and has raised interest in architecture-driven software development. A system\u27s architecture provides a model of the system that suppresses implementation detail, allowing the architects to concentrate on the analysis and decisions that are most critical to structuring the system to satisfy its requirements. Recently, interests of researchers and practi-tioners have shifted from individual system architectures to architectures for classes of software systems which provide more general, reusable solutions to the issues of overall system organization, interoperability, and allocation of services to system components. These generic architectures, such as product line architectures and domain architectures, promote reuse and interoperability, and create a basis for cost effective construction of high-quality systems. Our focus in this dissertation is on domain architectures as a means of development and integration of large-scale, domain-specific business software systems. Business imperatives, including flexibility, productivity, quality, and ability to adapt to changes, have fostered demands for flexible, coherent and enterprise--wide integrated business systems. The components of such systems, developed separately or purchased off the shelf, need to cohesively form an overall compu-tational environment for the business. The inevitable complexity of such integrated solutions and the highly-demanding process of their construction, management, and evolution support require new software engineering methodologies and tools. Domain architectures, prescribing the organization of software systems in a business domain, hold a promise to serve as a foundation on which such integrated business systems can be effectively constructed. To meet the above expectations, software architectures must be properly defined, represented, and applied, which requires suitable methodologies as well as process and tool support. Despite research efforts, however, state-of-the-art methods and tools for architecture-based system development do not yet meet the practical needs of system developers. The primary focus of this dissertation is on developing methods and tools to support domain architecture engineering and on leveraging architectures to achieve improved system development and integration in presence of increased complexity. In particular, the thesis explores issues related to the following three aspects of software technology: system complexity and software architectures as tools to alleviate complexity; domain architectures as frameworks for construction of large scale, flexible, enterprise-wide software systems; and architectural models and representation techniques as a basis for good” design. The thesis presents an archi-tectural taxonomy to help categorize and better understand architectural efforts. Furthermore, it clarifies the purpose of domain architectures and characterizes them in detail. To support the definition and application of domain architectures we have developed a method for domain architecture engineering and representation: GARM-ASPECT. GARM, the Generic Architecture Reference Model, underlying the method, is a system of modeling abstractions, relations and recommendations for building representations of reference software architectures. The model\u27s focus on reference and domain architectures determines its main distinguishing features: multiple views of architectural elements, a separate rule system to express constraints on architecture element types, and annotations such as “libraries” of patterns and “logs” of guidelines. ASPECT is an architecture description language based on GARM. It provides a normalized vocabulary for representing the skeleton of an architecture, its structural view, and establishes a framework for capturing archi-tectural constraints. It also allows extensions of the structural view with auxiliary information, such as behavior or quality specifications. In this respect, ASPECT provides facilities for establishing relationships among different specifications and gluing them together within an overall architectural description. This design allows flexibility and adaptability of the methodology to the specifics of a domain or a family of systems. ASPECT supports the representation of reference architectures as well as individual system architectures. The practical applicability of this method has been tested through a case study in an industrial setting. The approach to architecture engineering and representation, presented in this dissertation, is pragmatic and oriented towards software practitioners. GARM-ASPECT, as well as the taxonomy of architectures are of use to architects, system planners and system engineers. Beyond these practical contributions, this thesis also creates a more solid basis for expbring the applicability of architectural abstractions, the practicality of representation approaches, and the changes required to the devel-opment process in order to achieve the benefits from an architecture-driven software technology

    Clinical foundations and information architecture for the implementation of a federated health record service

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    Clinical care increasingly requires healthcare professionals to access patient record information that may be distributed across multiple sites, held in a variety of paper and electronic formats, and represented as mixtures of narrative, structured, coded and multi-media entries. A longitudinal person-centred electronic health record (EHR) is a much-anticipated solution to this problem, but its realisation is proving to be a long and complex journey. This Thesis explores the history and evolution of clinical information systems, and establishes a set of clinical and ethico-legal requirements for a generic EHR server. A federation approach (FHR) to harmonising distributed heterogeneous electronic clinical databases is advocated as the basis for meeting these requirements. A set of information models and middleware services, needed to implement a Federated Health Record server, are then described, thereby supporting access by clinical applications to a distributed set of feeder systems holding patient record information. The overall information architecture thus defined provides a generic means of combining such feeder system data to create a virtual electronic health record. Active collaboration in a wide range of clinical contexts, across the whole of Europe, has been central to the evolution of the approach taken. A federated health record server based on this architecture has been implemented by the author and colleagues and deployed in a live clinical environment in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. This implementation experience has fed back into the conceptual development of the approach and has provided "proof-of-concept" verification of its completeness and practical utility. This research has benefited from collaboration with a wide range of healthcare sites, informatics organisations and industry across Europe though several EU Health Telematics projects: GEHR, Synapses, EHCR-SupA, SynEx, Medicate and 6WINIT. The information models published here have been placed in the public domain and have substantially contributed to two generations of CEN health informatics standards, including CEN TC/251 ENV 13606
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