Studies in Health Technology and Informatics

Background: Standards have become available to share semantically encoded vital parameters from medical devices, as required for example by personal healthcare records. Standardised sharing of biosignal data largely remains open. Objectives: The goal of this work is to explore available biosignal file format and data exchange standards and profiles, and to conceptualise end-To-end solutions. Methods: The authors reviewed and discussed available biosignal file format standards with other members of international standards development organisations (SDOs). Results: A raw concept for standards based acquisition, storage, archiving and sharing of biosignals was developed. The GDF format may serve for storing biosignals. Signals can then be shared using FHIR resources and may be stored on FHIR servers or in DICOM archives, with DICOM waveforms as one possible format. Conclusion: Currently a group of international SDOs (e.g. HL7, IHE, DICOM, IEEE) is engaged in intensive discussions. This discussion extends existing work that already was adopted by large implementer communities. The concept presented here only reports the current status of the discussion in Austria. The discussion will continue internationally, with results to be expected over the coming years

From Integration Profiles to Interoperability Testing for Smart Energy Systems at Connectathon Energy

The project Integrating the Energy System (IES) Austria recognises interoperability as key enabler for the deployment of smart energy systems. Interoperability is covered in the Strategic Energy Technology Plan (SET-Plan) activity A4-IA0-5 and provides an added value because it enables new business options for most stakeholders. The communication of smart energy components and systems shall be interoperable to enable smooth data exchange, and thereby, the on demand integration of heterogeneous systems, components and services. The approach developed and proposed by IES, adopts the holistic methodology from the consortium Integrating the Healthcare Enterprise (IHE), established by information technology (IT) vendors in the health sector and standardised in the draft technical report ISO DTR 28380-1, to foster interoperable smart energy systems. The paper outlines the adopted IES workflow in detail and reports on lesson learnt when trial Integration Profiles based on IEC 61850 were tested at the first Connectathon Energy instalment, organised in conjunction with the IHE Connectathon Europe 2018. The IES methodology is found perfectly applicable for smart energy systems and successfully enables peer-to-peer interoperability testing among vendors. The public specification of required Integration Profiles, to be tested at subsequent Connectathon Energy events, is encouraged

The adolescence of electronic health records: Status and perspectives for large scale implementation

Health informatics started to evolve decades ago with the intention to support healthcare using computers. Since then Electronic health records (EHRs) and personal health records (PHRs) have become available but widespread adoption was limited by lack of interoperability and security issues. This paper discusses the feasibility of interoperable standards based EHRs and PHRs drawing on experience from implementation projects. It outlines challenges and goals in education and implementation for the next years