Sharing electronic healthcare records across country borders

Download
index.pdf
2008
Yüksel, Mustafa
Show full item record
216
views
97
downloads
Today, the application of information and communication technologies to healthcare is on the agenda of many countries. The main aim is to make Electronic Healthcare Records (EHR) of a patient accessible anywhere at any time to all authorized users. This is even valid in the cross-border case; the European Commission has published eHealth interoperability recommendations to the EU Member States, in which the RIDE Project contributed, for the purpose of an interoperable European Health Network. Interoperable cross-border clinical data exchange is an ambitious goal with some challenges, the most obvious one being the variety of standards. This issue gets more complicated with the locally developed standards and coding systems. Each country has its own set of standards and it is not reasonable to make all possible combinations of mappings among them during multi-party EHR exchange. Instead, what needs to be done is keeping the legacy infrastructures of the participants and agreeing on a set of common EHR standards and coding systems. Then, each country shall develop "Adapters" transforming local EHR instances to the commonly agreed formats which will most probably be based on widely accepted standards such as HL7 CDA. This approach enables the structure level interoperability. As the second step, in order to achieve semantic interoperability, coded terms from locally defined coding systems shall be translated to international counterparts. In this thesis, our methodology is confirmed on Turkey's National Health Information System. "Transmission Schemas" are automatically transformed to HL7 v3 CDA R2 and CEN EN 13606 standard formats. The local coded terms are translated by developing a mapping platform based on Unified Medical Language System (UMLS).
Computer engineering., Computer software.
http://etd.lib.metu.edu.tr/upload/12609851/index.pdf
https://hdl.handle.net/11511/18196
Graduate School of Natural and Applied Sciences, Thesis

Suggestions

An agent-based alert distribution system for intelligent healthcare monitoring
Akçay, Buğrahan; Doğaç, Asuman; Department of Computer Engineering (2006)
With the high-level developments in the information technologies, there is a big movement in the e-health area both to give better healthcare services and to reduce cost. Monitoring the patients from their home location is one of the important branches of e-health with the aging societies. In this work, an agentbased alert system is introduced which analyzes the alert message requests and sends the alert messages within the appropriate structure and communication channel to the related healthcare user. A gu...
Achieving electronic healthcare record (ehr) interoperability across healthcare information systems
Kılıç, Özgür; Doğaç, Asuman; Department of Computer Engineering (2008)
Providing an interoperability infrastructure for Electronic Healthcare Records (EHRs) is on the agenda of many national and regional eHealth initiatives. Two important integration profiles have been specified for this purpose: the "IHE Cross-enterprise Document Sharing (XDS)" and the "IHE Cross Community Access (XCA)". XDS describes how to share EHRs in a community of healthcare enterprises and XCA describes how EHRs are shared across communities. However, currently no solution addresses some of the importa...
Unification of it process models into a simple framework supplemented by Turkish web based application
Aygün, Betül; Arifoğlu, Ali; Yılal, Elif; Department of Information Systems (2010)
Information technology usage has become compulsory for all organizations whether government or private organizations to achieve visibility, compete rivals and execute their missions better. To get desired result from usage of information technology, IT of organization has to be managed well. Up till now, various frameworks are developed to manage it well. Best examples for this kind of frameworks are COBIT and ITIL, containing all processes which can be handled in IT management and becoming widespread throu...
A proposed model for Turkish land forces command software intensive systems acquisition process
Bilir, Nevzat; Bilgen, Semih; Department of Information Systems (2002)
Turkish Land Forces Command uses information technology opportunities to satisfy its needs arising from the obligation for being a strong army.One of the main difficulties in using information technologies is the acquisition of these systems. This thesis reviews the fundamentals of software intensive systems acquisition process and then proposes a new model for Turkish Land Forces Command.Software acquisition process models are discussed and compared with each other.The current Turkish Land Forces Com...
A web service based trust and reputation system for transitory collaboration formation in supply chains
Taşyurt, İbrahim; Doğaç, Asuman; Department of Computer Engineering (2009)
Today, advancements in the information technologies increased the significance of electronic business in the world. Besides the numerous advantages provided by these advancements, competition has also increased for the enterprises. In this competitive environment, companies have to access information faster and response to the changes quickly. In a supply chain, it is a highly possible that one of the partners may defect in providing its services. When these exceptional cases occur, the pending parties have...
Citation Formats
M. Yüksel, “Sharing electronic healthcare records across country borders,” M.S. - Master of Science, Middle East Technical University, 2008.
METU IIS - Integrated Information Service open@metu.edu.tr