Achieving Clinical Statement Interoperability Using R-MIM and Archetype-Based Semantic Transformations

Effective use of electronic healthcare records (EHRs) has the potential to positively influence both the quality and the cost of health care. Consequently, sharing patient's EHRs is becoming a global priority in the healthcare information technology domain. This paper addresses the interoperability of EHR structure and content. It describes how two different EHR standards derived from the same reference information model (RIM) can be mapped to each other by using archetypes, refined message information model (R-MIM) derivations, and semantic tools. It is also demonstrated that well-defined R-MINI derivation rules help tracing the class properties back to their origins when the R-MIMs of two EHR standards are derived from the same RIM. Using well-defined rules also enable finding equivalences in the properties of the source and target EHRs. Yet an R-NUM still defines the concepts at the generic level. Archetypes (or templates), on the other hand, constrain an R-MINI to domain-specific concepts, and hence, provide finer granularity semantics. Therefore, while mapping clinical statements between EHRs, we also make use of the archetype semantics. Derivation statements are inferred from the Web Ontology Language definitions of the RIM, the R-MIMs, and the archetypes. Finally, we show how to transform Health Level Seven clinical statement instances to EHRcom clinical statement instances and vice versa by using the generated mapping definitions.


Providing Interoperability of eHealth Communities Through Peer-to-Peer Networks
Kılıç, Özgün Ozan; Eichelberg, Marco (2010-05-01)
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, namely, the "Integrating the Healthcare Enterprise (IHE) Cross-enterprise Document Sharing (XDS)" and the "IHE Cross Community Access (XCA)." IHE XDS describes how to share EHRs in a community of healthcare enterprises and IHE XCA describes how EHRs are shared across communities. Howe...
A Secure Semantic Interoperability Infrastructure for Inter-Enterprise Sharing of Electronic Healthcare Records
Boniface, Mike; Watkins, E. Rowland; Saleh, Ahmed; Doğaç, Asuman; Eichelberg, Marco (2006-06-09)
Healthcare professionals need access to accurate and complete healthcare records for effective assessment, diagnosis and treatment of patients. The non-interoperability of healthcare information systems means that inter-enterprise access to a patient's history over many distributed encounters is difficult to achieve. The ARTEMIS project has developed a secure semantic web service infrastructure for the interoperability of healthcare information systems. Healthcare professionals share services and medical in...
Adopting Software Quality Measures for Healthcare Processes
Yildiz, Ozkan; Demirörs, Onur (2009-09-02)
In this study, we investigated the adoptability of software quality measures for healthcare process measurement. Quality measures of ISO/IEC 9126 are redefined from a process perspective to build a generic healthcare process quality measurement model. Case study research method is used, and the model is applied to a public hospital's Entry to Care process. After the application, weak and strong aspects of the process can be easily observed. Access audibility, fault removal, completeness of documentation, an...
Wireless Healthcare Monitoring with RFID-Enhanced Video Sensor Networks
Alemdar, Hande; Ersoy, Cem (SAGE Publications, 2010-01-01)
In pervasive healthcare systems, WSNs provide rich contextual information and alerting mechanisms against odd conditions with continuous monitoring. Furthermore, they minimize the need for caregivers and help the chronically ill and elderly to survive an independent life. In this paper, we propose an outdoor monitoring environment and evaluate the capabilities of video sensor networks for healthcare monitoring in an outdoor setting. The results exhibit that their capabilities are limited. For this reason, w...
Providing Semantic Interoperability Between Clinical Care and Clinical Research Domains
Laleci, Gokce Banu; Yuksel, Mustafa; Doğaç, Asuman (2013-03-01)
Improving the efficiency with which clinical research studies are conducted can lead to faster medication innovation and decreased time to market for new drugs. To increase this efficiency, the parties involved in a regulated clinical research study, namely, the sponsor, the clinical investigator and the regulatory body, each with their own software applications, need to exchange data seamlessly. However, currently, the clinical research and the clinical care domains are quite disconnected because each use ...
Citation Formats
Ö. O. Kılıç, “Achieving Clinical Statement Interoperability Using R-MIM and Archetype-Based Semantic Transformations,” IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, pp. 467–477, 2009, Accessed: 00, 2020. [Online]. Available: