1,329 research outputs found

    Comparison of openEHR and HL7 FHIR standards

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    Health informatics is characterized by the need tosecurely store, process and transmit large amounts of sensitivemedical data while ensuring interoperability with other systems.Among many standards used in such systems there are two whichhave gained interest in recent years and cover most of thoseneeds: openEHR and HL7 FHIR. In this paper, both standardsare discussed and compared with each other. The architecture ofboth systems, the similarities and differences, methods of datamodeling and ensuring interoperability were presented

    Inclusive Educational Review of Software Architectural Styles and Patterns for the Students of the College of Information and Computing Sciences of Cagayan State University

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    A good architectural design has a high contribution to the success of a system. In addition, this architectural design is useful for the Information Technology (IT) students as their basis of their software development of their capstone project. The utilization of inappropriate architecture can lead to disastrous consequences for IT student researchers. A detailed understanding of software architecture styles is very useful to analyze distributed and complex systems which is the trend of capstone projects. This paper explores the quality attributes of three architecture styles namely shared-nothing, broker, and representational state transfer, which are perceived as beneficial to distributed system architecture that serve as guide to student researchers. This is to provide a picture of the said three key software architecture styles which could be helpful not only for student researchers but also for the software developers by adding references to minimize the uncertainty while selecting the appropriate architectural style for their specific needs. An architectural style must be chosen correctly to obtain all its benefits in the system. In this paper, the three architectural styles are compared on the foundation of various quality attributes derived from ISO 9126-1 standard such as functionality, reliability, usability, efficiency, maintainability, and portability. The results of the study are useful to guide the student researchers in their capstone project and to reduce the number of unsuccessful attempts of software development component of their capstone project

    Design and Implementation of an Archetype Based Interoperable Knowledge Eco-system for Data Buoys

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    This paper describes the ongoing work of the authors in translating two-level system design techniques used in Health Informatics to the Earth Systems Science domain. Health informaticians have developed a sophisticated two-level systems design approach for electronic health documentation over many years, and with the use of archetypes, have shown how knowledge interoperability among heterogeneous systems can be achieved. Translating two-level modelling techniques to a new domain is a complex task. A proof-of-concept archetype enabled data buoy eco-system is presented. The concept of operational templates-as-a service is proposed. Design recommendations and implementation experiences of re-working the proposed architecture to run on ultra-resource constrained data buoy platforms using templates-as-service are described

    Combining ontologies and rules with clinical archetypes

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    Al igual que otros campos que dependen en gran medida de las funcionalidades ofrecidas por las tecnologías de la información y las comunicaciones (IT), la biomedicina y la salud necesitan cada vez más la implantación de normas y mecanismos ampliamente aceptados para el intercambio de datos, información y conocimiento. Dicha necesidad de compatibilidad e interoperabilidad va más allá de las cuestiones sintácticas y estructurales, pues la interoperabilidad semántica es también requerida. La interoperabilidad a nivel semántico es esencial para el soporte computarizado de alertas, flujos de trabajo y de la medicina basada en evidencia cuando contamos con la presencia de sistemas heterogéneos de Historia Clínica Electrónica (EHR). El modelo de arquetipos clínicos respaldado por el estándar CEN/ISO EN13606 y la fundación openEHR ofrece un mecanismo para expresar las estructuras de datos clínicos de manera compartida e interoperable. El modelo ha ido ganando aceptación en los últimos años por su capacidad para definir conceptos clínicos basados en un Modelo de Referencia común. Dicha separación a dos capas permite conservar la heterogeneidad de las implementaciones de almacenamiento a bajo nivel, presentes en los diferentes sistemas de EHR. Sin embargo, los lenguajes de arquetipos no soportan la representación de reglas clínicas ni el mapeo a ontologías formales, ambos elementos fundamentales para alcanzar la interoperabilidad semántica completa pues permiten llevar a cabo el razonamiento y la inferencia a partir del conocimiento clínico existente. Paralelamente, es reconocido el hecho de que la World Wide Web presenta requisitos análogos a los descritos anteriormente, lo cual ha fomentado el desarrollo de la Web Semántica. El progreso alcanzado en este terreno, con respecto a la representación del conocimiento y al razonamiento sobre el mismo, es combinado en esta tesis con los modelos de EHR con el objetivo de mejorar el enfoque de los arquetipos clínicos y ofrecer funcionalidades que se corresponden con nivel más alto de interoperabilidad semántica. Concretamente, la investigación que se describe a continuación presenta y evalúa un enfoque para traducir automáticamente las definiciones expresadas en el lenguaje de definición de arquetipos de openEHR (ADL) a una representación formal basada en lenguajes de ontologías. El método se implementa en la plataforma ArchOnt, que también es descrita. A continuación se estudia la integración de dichas representaciones formales con reglas clínicas, ofreciéndose un enfoque para reutilizar el razonamiento con instancias concretas de datos clínicos. Es importante ver como el acto de compartir el conocimiento clínico expresado a través de reglas es coherente con la filosofía de intercambio abierto fomentada por los arquetipos, a la vez que se extiende la reutilización a proposiciones de conocimiento declarativo como las utilizadas en las guías de práctica clínica. De esta manera, la tesis describe una técnica de mapeo de arquetipos a ontologías, para luego asociar reglas clínicas a la representación resultante. La traducción automática también permite la conexión formal de los elementos especificados en los arquetipos con conceptos clínicos equivalentes provenientes de otras fuentes como son las terminologías clínicas. Dichos enlaces fomentan la reutilización del conocimiento clínico ya representado, así como el razonamiento y la navegación a través de distintas ontologías clínicas. Otra contribución significativa de la tesis es la aplicación del enfoque mencionado en dos proyectos de investigación y desarrollo clínico, llevados a cabo en combinación con hospitales universitarios de Madrid. En la explicación se incluyen ejemplos de las aplicaciones más representativas del enfoque como es el caso del desarrollo de sistemas de alertas orientados a mejorar la seguridad del paciente. No obstante, la traducción automática de arquetipos clínicos a lenguajes de ontologías constituye una base común para la implementación de una amplia gama de actividades semánticas, razonamiento y validación, evitándose así la necesidad de aplicar distintos enfoques ad-hoc directamente sobre los arquetipos para poder satisfacer las condiciones de cada contexto

    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 Two-Level Information Modelling Translation Methodology and Framework to Achieve Semantic Interoperability in Constrained GeoObservational Sensor Systems

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    As geographical observational data capture, storage and sharing technologies such as in situ remote monitoring systems and spatial data infrastructures evolve, the vision of a Digital Earth, first articulated by Al Gore in 1998 is getting ever closer. However, there are still many challenges and open research questions. For example, data quality, provenance and heterogeneity remain an issue due to the complexity of geo-spatial data and information representation. Observational data are often inadequately semantically enriched by geo-observational information systems or spatial data infrastructures and so they often do not fully capture the true meaning of the associated datasets. Furthermore, data models underpinning these information systems are typically too rigid in their data representation to allow for the ever-changing and evolving nature of geo-spatial domain concepts. This impoverished approach to observational data representation reduces the ability of multi-disciplinary practitioners to share information in an interoperable and computable way. The health domain experiences similar challenges with representing complex and evolving domain information concepts. Within any complex domain (such as Earth system science or health) two categories or levels of domain concepts exist. Those concepts that remain stable over a long period of time, and those concepts that are prone to change, as the domain knowledge evolves, and new discoveries are made. Health informaticians have developed a sophisticated two-level modelling systems design approach for electronic health documentation over many years, and with the use of archetypes, have shown how data, information, and knowledge interoperability among heterogenous systems can be achieved. This research investigates whether two-level modelling can be translated from the health domain to the geo-spatial domain and applied to observing scenarios to achieve semantic interoperability within and between spatial data infrastructures, beyond what is possible with current state-of-the-art approaches. A detailed review of state-of-the-art SDIs, geo-spatial standards and the two-level modelling methodology was performed. A cross-domain translation methodology was developed, and a proof-of-concept geo-spatial two-level modelling framework was defined and implemented. The Open Geospatial Consortium’s (OGC) Observations & Measurements (O&M) standard was re-profiled to aid investigation of the two-level information modelling approach. An evaluation of the method was undertaken using II specific use-case scenarios. Information modelling was performed using the two-level modelling method to show how existing historical ocean observing datasets can be expressed semantically and harmonized using two-level modelling. Also, the flexibility of the approach was investigated by applying the method to an air quality monitoring scenario using a technologically constrained monitoring sensor system. This work has demonstrated that two-level modelling can be translated to the geospatial domain and then further developed to be used within a constrained technological sensor system; using traditional wireless sensor networks, semantic web technologies and Internet of Things based technologies. Domain specific evaluation results show that twolevel modelling presents a viable approach to achieve semantic interoperability between constrained geo-observational sensor systems and spatial data infrastructures for ocean observing and city based air quality observing scenarios. This has been demonstrated through the re-purposing of selected, existing geospatial data models and standards. However, it was found that re-using existing standards requires careful ontological analysis per domain concept and so caution is recommended in assuming the wider applicability of the approach. While the benefits of adopting a two-level information modelling approach to geospatial information modelling are potentially great, it was found that translation to a new domain is complex. The complexity of the approach was found to be a barrier to adoption, especially in commercial based projects where standards implementation is low on implementation road maps and the perceived benefits of standards adherence are low. Arising from this work, a novel set of base software components, methods and fundamental geo-archetypes have been developed. However, during this work it was not possible to form the required rich community of supporters to fully validate geoarchetypes. Therefore, the findings of this work are not exhaustive, and the archetype models produced are only indicative. The findings of this work can be used as the basis to encourage further investigation and uptake of two-level modelling within the Earth system science and geo-spatial domain. Ultimately, the outcomes of this work are to recommend further development and evaluation of the approach, building on the positive results thus far, and the base software artefacts developed to support the approach

    Exporting data from an openEHR repository to standard formats

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    With the healthcare sector computerization, a large amount of data is produced from medical encounters, therapeutic outcomes and other aspects of healthcare provider’s organizations current activity. Decision support systems cover several methodologies and approaches that may be applied to the healthcare sector and, since that they store and analyze data in a tabular format, it becomes necessary to assure that data sources with different data representations can be used to feed these systems. The present work focuses on the development of a methodology to export data from an openEHR repository to standard formats through a software tool which adapts itself to different data sources for later exploration in statistical and decision support systems. From use case and requirements analysis to the efective development of the tool, several steps were performed to document progress and to ground conclusions regarding operational test data. Obtained results indicate that this data export is feasible, but also highlight the need to define parameters so that the tool may function.Com a informatização do sector da saúde, uma grande quantidade de dados é produzida a partir de encontros médicos, resultados terapêuticos e outros aspectos da actividade corrente dos prestadores de cuidados. Os sistemas de apoio à decisão englobam várias metodologias e abordagens que se podem aplicar ao sector da saúde e, sendo que esses sistemas armazenam e analisam dados em formato tabular, torna-se necessário assegurar que fontes de dados com diferentes representações de informação podem ser utilizadas para alimentar estes sistemas. O presente trabalho debruça-se no desenvolvimento de uma metodologia para a exportação de dados de um repositório openEHR para formatos standard através de uma ferramenta de software que se adapte às diferentes fontes de dados para posterior análise em sistemas estatísticos e de apoio à decisão. Desde a análise de casos de uso e requerimentos até ao efectivo desenvolvimento da ferramenta, vários passos foram dados para documentar o progresso e fundamentar conclusões respeitantes aos dados dos testes operacionais. Os resultados obtidos indicam que esta exportação é exequível, mas evidenciam também a necessidade de definir parâmetros para que a ferramenta possa funcionar
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