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11
February, 2012
Saturday

Semantic

EHR Charting in Another Language

John, EMR and HIPAA

“I recently started to think about some of the implications associated with multiple languages in an EHR. One of my readers asked me how EHR vendors correlated data from those charting in Spanish and those charting in English. My first response to this question was, “How many doctors chart in Spanish?” Yes, this was a very US centric response since obviously I know that almost all of the doctors in Latin America and other Spanish speaking countries chart in Spanish, but I wonder how many doctors in the US chart in Spanish. I expect the answer is A LOT more than I realize.
[ More ]

16 January 2012 | 1 Comment »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Ontology, Semantic

Towards Semantic Interoperability of Electronic Health Records

Berges I et al, IEEE Transactions on Information Technology in Biomedicine, 99

Although the goal of achieving semantic interoperability of Electronic Health Records (EHRs) is pursued by many researchers, it has not been accomplished yet. In this paper we present a proposal that smoothes out the way towards the achievement of that goal. In particular our work focuses on medical diagnoses statements. In summary the main contributions of our ontology-based proposal are the following: First, it includes a canonical ontology whose EHR-related terms focus on semantic aspects.
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8 January 2012 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Interoperability, Ontology, Semantic

Interoperability in health care information systems: it’s about patient care

Dennis Giokas, Infoway Connects

“Interoperability. It’s a term we use a lot when we talk about electronic health records (EHRs), but what does it really mean?
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15 December 2011 | No Comments »
Categories: News | Country: Canada | Tag(s): health-information-system, Interoperability, Semantic

Using the ResearchEHR platform to facilitate the practical application of the EHR standards

Maldonado JA et al, Journal of Biomedical Informatics, 2011

Possibly the most important requirement to support co-operative work among health professionals and institutions is the ability of sharing EHRs in a meaningful way, and it is widely acknowledged that standardization of data and concepts is a prerequisite to achieve semantic interoperability in any domain. Different international organizations are working on the definition of EHR architectures but the lack of tools that implement them hinders their broad adoption. In this paper we present ResearchEHR, a software platform whose objective is to facilitate the practical application of EHR standards as a way of reaching the desired semantic interoperability.
[ More ]

29 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR | Tag(s): Archetypes, Interoperability, Ontology, Semantic, Standards

Policy makers should support electronic health records

Maria Chappelle-Nadal, St. Louis American

“Throughout all of the debates and disagreements associated with healthcare reform, one idea is universal throughout the political field – each side wants to improve the quality of medicine and decrease the associated costs. Missouri is no different.
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24 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic, Sustainability, Transparency

Three Steps to US Semantic Interop

Wes Rishel, Gartner

“Nothing warms a blogger’s heart more than to get meaningful comments to a post. In Semantic Interop, the C32 and the Consolidated CDA I described the results of the biggest U.S. experience to date to achieve semantic interoperability among EHRs with different data architectures.
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21 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic

EHR technology must be standardized

Maria Chappelle-Nadal, Joplin Independent

“Throughout all of the debates and disagreements associated with healthcare reform, one idea is universal throughout the political field – each side wants to improve the quality of medicine and decrease the associated costs. Missouri is no different. One way to improve the quality of medicine is through new technology, such as electronic health records (EHR). Already in Missouri, the use of EHR is becoming more widespread through the Missouri Office of Health Information Technology (MO-HITECH) initiative.
[ More ]

18 November 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Data Sharing, Interoperability, portability, Security, Semantic

Vocabulary Recommendation, A Step Towards Semantic Interoperability

Rob Brull, HL7 Standards

“On September 9, the Health IT Policy Committee submitted a letter to the National Coordinator for Health IT, Dr. Farzad Mostashari, with recommendations for vocabulary standards.
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30 September 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic, Standards, Terminology

Can Consumer Friendly Terms Ever be Standardized?

Wes Rishel, Gartner

“Some involved in the search for an Entity Level Provider Directory are advocating for an approach that relies on search engines like Google and Bing and a modest approach to standardizing data using microdata while others are arguing for a more structured and rigorous approach based on a highly federated use of LDAP.
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12 September 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Data Aggregation, Interoperability, Semantic, Standards, Taxonomy

The Relationship between CEN 13606, HL7, and OpenEHR

Schloeffel P et al, HIC 2006 and HINZ 2006: Proceedings, 2006

With the recent release of the NEHTA report on standards for Shared EHRs, there has been much interest and some confusion over the report’s discussion and recommendations for standards. This paper gives an overview of the roles of the main interoperability standards and specifications discussed in the NEHTA report. It begins with a brief section on the practical importance of interoperability for clinicians and consumers in the increasingly common shared-care environment.
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12 September 2011 | No Comments »
Categories: Science | Country: Australia | EHR: EHR, EHR Austria | Tag(s): Interoperability, openEHR, Semantic, Standards

Collective Health Intelligence: A Tool for Public Health

Marsh AJ et al, Future Visions on Biomedicine and Bioinformatics 1, 2011

Web 3.0 is fast approaching. The European Union Future Internet Assembly, the roadmap for the Web heading towards semantic interoperability and building on the UK’s adoption of the Internet and social media are accelerating this development. A number of health portals are opening, some with facilities for the capture of Patient Based Records. Collective Intelligence will be generated that, applied to health, has potential to support Public Health policy. By using the Internet, millions of people in the course of their daily activities contribute to uncertified data stores, some explicitly collaborating to create collective knowledge bases, some contributing implicitly through the patterns of their choices and actions.
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4 September 2011 | No Comments »
Categories: Science | Country: UK | Tag(s): Health Information, Internet, Public Health, Semantic, social-network, Web 2.0

HIT advisory committee backs standardized EHR terminologies

Ken Terry, FierceEMR

“One of the biggest obstacles to true interoperability among clinical information systems is the multiplicity of medical terms used to describe the same concept. In an effort to promote “semantic interoperability” among systems, the Health IT Standards Committee, a governmental advisory body, has endorsed the use of certain standard vocabularies in electronic health records (EHRs).
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25 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Interoperability, Semantic, Standards, Terminology

Archetype Sub-Ontology: Improving Constraint-based Clinical Knowledge Model in Electronic Health Records

Sari AK et al, Knowledge-Based Systems, 2011

The global effort in the standardization of electronic health records has driven the need for a model to allow medical practitioners to interact with the newly standardized medical information system by focusing on the actual medical concepts/processes rather than the underlying data representations. An archetype has been introduced as a model that represents functional health concepts or processes such as admission record, which enables capturing all information relevant to the processes transparently to the users. However, it is necessary to ensure that the archetypes capture accurately all information relevant to the archetype concepts. Therefore, a semantic backbone is required for each of the archetype.
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21 August 2011 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Archetypes, Clinical Information Systems, Ontology, Semantic, SNOMED

Documents vs. Data

Keith W. Boone, Healthcare IT News

“In “The XML Consensus is breaking down” Grahame Grieve distinguishes three camps, heavy engineering crowd, the internet mob, and the data dictionary crowd. He discusses how XML seems to be failing to bring these crowds together.
I’ve worked with structured documents and natural language processing for a long time, probably twice as long as I’ve been in healthcare. What I find interesting in healthcare is the nature of the information being used. Just for fun, I’m going to look at it from a document oriented perspective, since that’s what I’ve spent most of my life working with.”

Article
Keith W. Boone, Healthcare IT News, 17 August 2011

18 August 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Semantic, Terminology, XML

HL7 and IHTSDO expand collaborative efforts

Diana Manos, Healthcare IT News

“Health Level Seven (HL7) and the International Health Terminology Standards Development Organisation (IHTSDO) announced Thursday that they have expanded collaborative efforts.
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8 July 2011 | No Comments »
Categories: News | Country: United States | Tag(s): HL7, Interoperability, Semantic, SNOMED, Standards

Let’s Think Different

Tom Caruso, T.P. Caruso & Associates

“I wonder whether the author of the Healthcare Technology News blog post called “Think Differently – the sequel” thinks that the ONC and their PCAST Workgroup is actually “Thinking Differently”? Though it was a good summary of the PCAST HIT Report and the PCAST Workgroup Report released in mid-April, the blog suggested this was thinking differently. Would Steve Jobs (Mr. Think Differently) say that they are thinking differently? I think not.
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1 July 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Genomics, Health Information Exchange, Semantic

Ontologies, Knowledge Representation, Artificial Intelligence – Hype or Prerequisites for International pHealth Interoperability?

Blobel B. e-Health Across Borders Without Boundaries, 2011

Nowadays, eHealth and pHealth solutions have to meet advanced interoperability challenges. Enabling pervasive computing and even autonomic computing, pHealth system architectures cover many domains, scientifically managed by specialized disciplines using their specific ontologies.
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23 June 2011 | No Comments »
Categories: Science | Tag(s): Interoperability, Ontology, pHealth, Semantic

IT ’set to revolutionise radiology’

Linda Davidson, e-Health Insider Acute

“We have only just scratched the surface in developing information technology to optimise radiology practice, this week’s UKRC conference in Manchester has been told.
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7 June 2011 | No Comments »
Categories: News | Country: UK | Tag(s): Information Technology, Radiology, Search, Semantic

IOM report: Meaningful use just the start of health IT revolution

Don Fluckinger, SearchHealthIT

“Earlier this month at a New England health IT conference, former U.S. health IT coordinator Dr. David Blumenthal said that he is reasonably confident the HITECH Act’s push for EHR adoption would be successful, and we’d see that happen. The part about nationwide health information exchange (HIE) happening? Confident, yes. By 2015? Probably not.
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26 May 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Adoption, Health Information Exchange, Health Information Technology, Interoperability, Meaningful Use, Semantic

What needs fixing in e-health?

Thomas Beale, Woland's Cat

“Grahame Grieve’s recent blog entry on the HL7 Fresh Look Task Force seems a good excuse for me to have another big picture look at e-health. The fact that HL7 is doing this indicates two things at least: that it thinks something is wrong in the HL7 organisation, and that it thinks something is not going right in e-health in general. That’s good to see. HL7 has been the single most influential standards body in e-health for at least 15 years. It has spent massive effort in the last decade on an effort called HL7v3, or ‘version 3′.
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2 May 2011 | No Comments »
Categories: News | Tag(s): e-Health, HL7, Interoperability, Semantic

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