180,893 research outputs found
Information architecture for a federated health record server
This paper describes the information models that have been used to implement a federated health record server and to deploy it in a live clinical setting. The authors, working at the Centre for Health Informatics and Multiprofessional Education (University College London), have built up over a decade of experience within Europe on the requirements and information models that are needed to underpin comprehensive multi-professional electronic health records. This work has involved collaboration with a wide range of health care and informatics organisations and partners in the healthcare computing industry across Europe though the EU Health Telematics projects GEHR, Synapses, EHCR-SupA, SynEx and Medicate. The resulting architecture models have fed into recent European standardisation work in this area, such as CEN TC/251 ENV 13606. UCL has implemented a federated health record server based on these models which is now running in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. The information models described in this paper reflect a refinement based on this implementation experience
On the Use of XML in Medical Imaging Web-Based Applications
The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the Extensible Markup Language (XML) language in web-based applications that aid in diagnosis or treatment of patients, considering how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applicationsPeer ReviewedPostprint (author's final draft
Implementing Operations Support Systems in E-Health Based Systems
Information and communication technologies have been introduced in different dimensions
of the health care. e-Health is the use of advanced communications technologies such as
the Internet, portable, wireless and other sophisticated devices to support health care
delivery and education. It has the potentials of improving the efficiency of health care
delivery globally.
With the increasing demand for information at the point of care, health care providers
could explore the advances provided by mobile technologies and the increasing
capabilities, compactness and pervasiveness of computing devices to adopt operations
supports systems (OSS) in e-Health based systems in order to provide efficient services and
enhance their performances.
In this paper, we present, the development and implementation of operations supports in e-
Health based systems. The system promises to deliver greater productivity for health care
practitioner
Single Point of Entry Long-Term Living Resource System Team Report
Pursuant to House File 451 the Single Point of Entry Long-Term Living Resources System Team, involving several state agencies as well as interested associations, submitted a report to the legislature on recommendations to establish a single point of entry system
London SynEx Demonstrator Site: Impact Assessment Report
The key ingredients of the SynEx-UCL software components are:
1. A comprehensive and federated electronic healthcare record that can be used to
reference or to store all of the necessary healthcare information acquired from a
diverse range of clinical databases and patient-held devices.
2. A directory service component to provide a core persons demographic database to
search for and authenticate staff users of the system and to anchor patient
identification and connection to their federated healthcare record.
3. A clinical record schema management tool (Object Dictionary Client) that enables
clinicians or engineers to define and export the data sets mapping to individual
feeder systems.
4. An expansible set of clinical management algorithms that provide prompts to the
patient or clinician to assist in the management of patient care.
CHIME has built up over a decade of experience within Europe on the requirements
and information models that are needed to underpin comprehensive multiprofessional
electronic healthcare records. The resulting architecture models have
influenced new European standards in this area, and CHIME has designed and built
prototype EHCR components based on these models. The demonstrator systems
described here utilise a directory service and object-oriented engineering approach,
and support the secure, mobile and distributed access to federated healthcare
records via web-based services.
The design and implementation of these software components has been founded on
a thorough analysis of the clinical, technical and ethico-legal requirements for
comprehensive EHCR systems, published through previous project deliverables and
in future planned papers.
The clinical demonstrator site described in this report has provided the solid basis
from which to establish "proof of concept" verification of the design approach, and a
valuable opportunity to install, test and evaluate the results of the component
engineering undertaken during the EC funded project. Inevitably, a number of
practical implementation and deployment obstacles have been overcome through
this journey, each of those having contributed to the time taken to deliver the
components but also to the richness of the end products.
UCL is fortunate that the Whittington Hospital, and the department of cardiovascular
medicine in particular, is committed to a long-term vision built around this work. That
vision, outlined within this report, is shared by the Camden and Islington Health
Authority and by many other purchaser and provider organisations in the area, and
by a number of industrial parties. They are collectively determined to support the
Demonstrator Site as an ongoing project well beyond the life of the EC SynEx
Project.
This report, although a final report as far as the EC project is concerned, is really a
description of the first phase in establishing a centre of healthcare excellence. New
EC Fifth Framework project funding has already been approved to enable new and
innovative technology solutions to be added to the work already established in north
London
Reporting an Experience on Design and Implementation of e-Health Systems on Azure Cloud
Electronic Health (e-Health) technology has brought the world with
significant transformation from traditional paper-based medical practice to
Information and Communication Technologies (ICT)-based systems for automatic
management (storage, processing, and archiving) of information. Traditionally
e-Health systems have been designed to operate within stovepipes on dedicated
networks, physical computers, and locally managed software platforms that make
it susceptible to many serious limitations including: 1) lack of on-demand
scalability during critical situations; 2) high administrative overheads and
costs; and 3) in-efficient resource utilization and energy consumption due to
lack of automation. In this paper, we present an approach to migrate the ICT
systems in the e-Health sector from traditional in-house Client/Server (C/S)
architecture to the virtualised cloud computing environment. To this end, we
developed two cloud-based e-Health applications (Medical Practice Management
System and Telemedicine Practice System) for demonstrating how cloud services
can be leveraged for developing and deploying such applications. The Windows
Azure cloud computing platform is selected as an example public cloud platform
for our study. We conducted several performance evaluation experiments to
understand the Quality Service (QoS) tradeoffs of our applications under
variable workload on Azure.Comment: Submitted to third IEEE International Conference on Cloud and Green
Computing (CGC 2013
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