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Pesquisa : N03.540.630.480 [Categoria DeCS]
Referências encontradas : 130 [refinar]
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[PMID]:28186039
[Au] Autor:Kuo JW; Kuo AM
[Ad] Endereço:Provincial Health Services Authority (PHSA), BC, Canada.
[Ti] Título:Integration of Health Information Systems Using HL7: A Case Study.
[So] Source:Stud Health Technol Inform;234:188-194, 2017.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Interoperability is a prerequisite for health information systems (HIS) that will reduce waste of unnecessary costs, errors, delays, and futile repetition. Many previous studies had proposed different approaches in the attempt to solve interoperability challenges. In this paper, we report our experiences in using Health Level 7 (HL7) standard and adopting the Common Gateway Model for exchanging heath data. The benefits and challenges of using standards for data interoperability are also described.
[Mh] Termos MeSH primário: Sistemas de Informação em Saúde/organização & administração
Bancos de Leite/organização & administração
Estudos de Casos Organizacionais
[Mh] Termos MeSH secundário: Colúmbia Britânica
Registros Eletrônicos de Saúde
Feminino
Sistemas de Informação em Saúde/normas
Nível Sete de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE


  2 / 130 MEDLINE  
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[PMID]:28177109
[Au] Autor:Ahmadi M; Foozonkhah S; Shahmoradi L; Mahmodabadi AD
[Ad] Endereço:Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
[Ti] Título:Messaging standard requirements for electronic health records in Islamic Republic of Iran: a Delphi study.
[So] Source:East Mediterr Health J;22(11):794-801, 2017 Feb 01.
[Is] ISSN:1020-3397
[Cp] País de publicação:Egypt
[La] Idioma:eng
[Ab] Resumo:The present descriptive-comparative study was conducted to give an overview of the messaging standards that are necessary for interoperable electronic health records (EHRs). We designed a preliminary model after data collection and compared the messaging standards of Health Level Seven (HL7) and the International Organization for Standardization (ISO). The data were assessed with the Delphi technique. A comprehensive model for the messaging standards of EHRs in the Islamic Republic of Iran was presented in three pivots: structural characteristics (standard for all EHRs, XML-based and object-oriented messages, and dual model); model specifications (reference model, archetypes and classes of reference model), and general features (distinct ontology, mapping with other standards, and using reference archetypes for exchanging documents). In conclusion, we gave an overview of messaging standards for the interoperability of EHRs and experts selected ISO13606 as a suitable standard for the Islamic Republic of Iran.
[Mh] Termos MeSH primário: Comunicação
Registros Eletrônicos de Saúde/normas
[Mh] Termos MeSH secundário: Técnica Delfos
Nível Sete de Saúde
Irã (Geográfico)
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE


  3 / 130 MEDLINE  
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[PMID]:28118917
[Au] Autor:Bloomfield RA; Polo-Wood F; Mandel JC; Mandl KD
[Ad] Endereço:Duke Health Technology Solutions, 2424 Erwin Road, Suite 12053, Durham, NC 27705, USA. Electronic address: ricky.bloomfield@duke.edu.
[Ti] Título:Opening the Duke electronic health record to apps: Implementing SMART on FHIR.
[So] Source:Int J Med Inform;99:1-10, 2017 03.
[Is] ISSN:1872-8243
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Recognizing a need for our EHR to be highly interoperable, our team at Duke Health enabled our Epic-based electronic health record to be compatible with the Boston Children's project called Substitutable Medical Apps and Reusable Technologies (SMART), which employed Health Level Seven International's (HL7) Fast Healthcare Interoperability Resources (FHIR), commonly known as SMART on FHIR. METHODS: We created a custom SMART on FHIR-compatible server infrastructure written in Node.js that served two primary functions. First, it handled API management activities such rate-limiting, authorization, auditing, logging, and analytics. Second, it retrieved the EHR data and made it available in a FHIR-compatible format. Finally, we made required changes to the EHR user interface to allow us to integrate several compatible apps into the provider- and patient-facing EHR workflows. RESULTS: After integrating SMART on FHIR into our Epic-based EHR, we demonstrated several types of apps running on the infrastructure. This included both provider- and patient-facing apps as well as apps that are closed source, open source and internally-developed. We integrated the apps into the testing environment of our desktop EHR as well as our patient portal. We also demonstrated the integration of a native iOS app. CONCLUSION: In this paper, we demonstrate the successful implementation of the SMART and FHIR technologies on our Epic-based EHR and subsequent integration of several compatible provider- and patient-facing apps.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/organização & administração
Registros Eletrônicos de Saúde/normas
Troca de Informação em Saúde/normas
Nível Sete de Saúde/normas
Aplicativos Móveis
Software
[Mh] Termos MeSH secundário: Boston
Seres Humanos
Integração de Sistemas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171119
[Lr] Data última revisão:
171119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE


  4 / 130 MEDLINE  
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[PMID]:28269964
[Au] Autor:Wan YJ; Staes CJ
[Ad] Endereço:Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
[Ti] Título:Melinda - A custom search engine that provides access to locally-developed content using the HL7 Infobutton standard.
[So] Source:AMIA Annu Symp Proc;2016:2043-2052, 2016.
[Is] ISSN:1942-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Healthcare organizations use care pathways to standardize care, but once developed, adoption rates often remain low. One challenge for usage concerns clinicians' difficulty in accessing guidance when it is most needed. Although the HL7 'Infobutton Standard' allows clinicians easier access to external references, access to locally-developed resources often requires clinicians to deviate from their normal electronic health record (EHR) workflow to use another application. To address this gap between internal and external resources, we reviewed the literature and existing practices at the University of Utah Health Care. We identify the requirements to meet the needs of a healthcare enterprise and clinicians, describe the design and development of a prototype to aggregate both internal and external resources from within or outside the EHR, and evaluated strengths and limitations of the prototype. The system is functional but not implemented in a live EHR environment. We suggest next steps and enhancements.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Armazenamento e Recuperação da Informação/métodos
Ferramenta de Busca
[Mh] Termos MeSH secundário: Procedimentos Clínicos
Sistemas de Apoio a Decisões Clínicas
Nível Sete de Saúde
Internet
Integração de Sistemas
Fluxo de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE


  5 / 130 MEDLINE  
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[PMID]:28269944
[Au] Autor:Khalifa A; Del Fiol G; Cummins MR
[Ad] Endereço:University of Utah, Salt Lake City, UT, USA.
[Ti] Título:Public Health Data for Individual Patient Care: Mapping Poison Control Center Data to the C-CDA Consultation Note.
[So] Source:AMIA Annu Symp Proc;2016:1850-1859, 2016.
[Is] ISSN:1942-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We are developing a new process of health information exchange supported collaboration that leverages the HL7 consolidated CDA standard through four document types (consultation note, history and physical, progress note and discharge summary). The focus of the present study is the C-CDA consultation note template that will be submitted from poison control centers (PCC)s to emergency departments (EDs) with treatment recommendations. Specifically, we aimed to (i) create computable mappings between a poison control center database and the C-CDA consultation note template; and (ii) assess the extent and nature of information types that successfully map to discrete data elements in a poison control center database. The resulting template and mappings can be used to implement standards-based health information exchange between PCCs and EDs in the U.S. This is a part of the first formal effort to leverage health information exchange standards to support PCC-ED collaboration.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Troca de Informação em Saúde
Centros de Controle de Intoxicações
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Registros Eletrônicos de Saúde/organização & administração
Registros Eletrônicos de Saúde/normas
Nível Sete de Saúde
Seres Humanos
Assistência ao Paciente
Encaminhamento e Consulta
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE


  6 / 130 MEDLINE  
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[PMID]:28269871
[Au] Autor:Lee J; Hulse NC; Wood GM; Oniki TA; Huff SM
[Ad] Endereço:Intermountain Healthcare, Murray, UT.
[Ti] Título:Profiling Fast Healthcare Interoperability Resources (FHIR) of Family Health History based on the Clinical Element Models.
[So] Source:AMIA Annu Symp Proc;2016:753-762, 2016.
[Is] ISSN:1942-597X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this study we developed a Fast Healthcare Interoperability Resources (FHIR) profile to support exchanging a full pedigree based family health history (FHH) information across multiple systems and applications used by clinicians, patients, and researchers. We used previously developed clinical element models (CEMs) that are capable of representing the FHH information, and derived essential data elements including attributes, constraints, and value sets. We analyzed gaps between the FHH CEM elements and existing FHIR resources. Based on the analysis, we developed a profile that consists of 1) FHIR resources for essential FHH data elements, 2) extensions for additional elements that were not covered by the resources, and 3) a structured definition to integrate patient and family member information in a FHIR message. We implemented the profile using an open-source based FHIR framework and validated it using patient-entered FHH data that was captured through a locally developed FHH tool.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Saúde da Família
Anamnese/métodos
Sistemas Computadorizados de Registros Médicos/organização & administração
[Mh] Termos MeSH secundário: Nível Sete de Saúde
Seres Humanos
Internet
Linhagem
Software
Integração de Sistemas
Utah
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE


  7 / 130 MEDLINE  
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[PMID]:27577424
[Au] Autor:Doods J; Neuhaus P; Dugas M
[Ad] Endereço:Institute of Medical Informatics, University of Münster.
[Ti] Título:Converting ODM Metadata to FHIR Questionnaire Resources.
[So] Source:Stud Health Technol Inform;228:456-60, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Interoperability between systems and data sharing between domains is becoming more and more important. The portal medical-data-models.org offers more than 5.300 UMLS annotated forms in CDISC ODM format in order to support interoperability, but several additional export formats are available. CDISC's ODM and HL7's framework FHIR Questionnaire resource were analyzed, a mapping between elements created and a converter implemented. The developed converter was integrated into the portal with FHIR Questionnaire XML or JSON download options. New FHIR applications can now use this large library of forms.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Nível Sete de Saúde/normas
Metadados
[Mh] Termos MeSH secundário: Registro Médico Coordenado
Semântica
Inquéritos e Questionários
Integração de Sistemas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


  8 / 130 MEDLINE  
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[PMID]:27577417
[Au] Autor:Soto-Rey I; Dugas M; Storck M
[Ad] Endereço:Institute of Medical Informatics, Universtity of Münster.
[Ti] Título:Implementation of an ODM and HL7 Compliant Electronic Patient-Reported Outcome System.
[So] Source:Stud Health Technol Inform;228:421-5, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Interoperability is one of the biggest issues in health informatics despite of the huge effort invested to solve it. Clinical Data Interchange Standards Consortium (CDISC) and Health Level 7 (HL7) are two of the most recognized institutions working on this field. Several systems are becoming compliant with their standards; however, the process to accomplish it is not always straightforward. In this manuscript, we present the successful implementation of the CDISC ODM and HL7 import and export functions for "MoPat", a web-based multi-language electronic patient-reported outcomes system. The system has been evaluated and tested and is currently being used for clinical study and routine data collection, including more than 10.000 patient encounters.
[Mh] Termos MeSH primário: Nível Sete de Saúde/normas
Medidas de Resultados Relatados pelo Paciente
[Mh] Termos MeSH secundário: Alemanha
Sistemas de Informação em Saúde/normas
Hospitais Universitários/normas
Seres Humanos
Sistemas Computadorizados de Registros Médicos/normas
Integração de Sistemas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


  9 / 130 MEDLINE  
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[PMID]:27577397
[Au] Autor:Giannini B; Gazzarata R; Sticchi L; Giacomini M
[Ad] Endereço:Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Via Opera Pia 13, 16145 Genoa, Italy.
[Ti] Título:A SOA-Based Solution to Monitor Vaccination Coverage Among HIV-Infected Patients in Liguria.
[So] Source:Stud Health Technol Inform;228:327-31, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Vaccination in HIV-infected patients constitutes an essential tool in the prevention of the most common infectious diseases. The Ligurian Vaccination in HIV Program is a proposed vaccination schedule specifically dedicated to this risk group. Selective strategies are proposed within this program, employing ICT (Information and Communication) tools to identify this susceptible target group, to monitor immunization coverage over time and to manage failures and defaulting. The proposal is to connect an immunization registry system to an existing regional platform that allows clinical data re-use among several medical structures, to completely manage the vaccination process. This architecture will adopt a Service Oriented Architecture (SOA) approach and standard HSSP (Health Services Specification Program) interfaces to support interoperability. According to the presented solution, vaccination administration information retrieved from the immunization registry will be structured according to the specifications within the immunization section of the HL7 (Health Level 7) CCD (Continuity of Care Document) document. Immunization coverage will be evaluated through the continuous monitoring of serology and antibody titers gathered from the hospital LIS (Laboratory Information System) structured into a HL7 Version 3 (v3) Clinical Document Architecture Release 2 (CDA R2).
[Mh] Termos MeSH primário: Infecções Oportunistas Relacionadas com a AIDS/prevenção & controle
Sistemas de Computação
Documentação
Infecções por HIV
Programas de Imunização
[Mh] Termos MeSH secundário: Nível Sete de Saúde
Itália
Estudos de Casos Organizacionais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE


  10 / 130 MEDLINE  
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[PMID]:27577395
[Au] Autor:Camacho Rodriguez JC; Stäubert S; Löbe M
[Ad] Endereço:Institute for Medical Informatics, Statistics and Epidemiology (IMISE) Leipzig University, Germany.
[Ti] Título:Automated Import of Clinical Data from HL7 Messages into OpenClinica and tranSMART Using Mirth Connect.
[So] Source:Stud Health Technol Inform;228:317-21, 2016.
[Is] ISSN:0926-9630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Electronic data capture (EDC) tools are designed to simplify data acquisition, improving data quality and managing clinical data electronically. Some data are collected from the laboratory information management system (LIMS), which is an important data source for a study. OpenClinica is an open source clinical data management system (CDMS) for web-based electronic data capture (EDC), which is used widely in academic clinical research. TranSMART is also an open source web-based platform used for the management and analysis of different data types common in clinical and translational research. Many LIMS use the Health Level 7 standard - Version 2.x (HL7) as a message exchange protocol. In this paper, we implement Mirth Connect as a Communication Server (CS) to convert these HL7 messages either to Operational Data Model (ODM) data for the automatic import in OpenClinica or tabular-delimited text format files, whose data is uploaded in tranSMART using the tMDataLoader tool.
[Mh] Termos MeSH primário: Processamento Automatizado de Dados
Pesquisa Biomédica
Sistemas de Computação
Nível Sete de Saúde
Armazenamento e Recuperação da Informação
[Mh] Termos MeSH secundário: Pesquisa Biomédica/organização & administração
Internet
Software
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE



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