Enhancing inter-operability and data sharing in medical information systems
Abstract
Clinical care generates an immense amount of patient data that has been archived and manipulated by computer-based information systems. Such computer-based medical record systems improved the accessibility of clinical information and made several studies of such information possible. Unfortunately, the care provider's task of retrieving, integrating, and interpreting only those portions of the patient's record that are relevant to a specific clinical problem is actually becoming increasingly difficult. This difficulty can be attributed primarily to the large variety of minimum data sets, the heterogeneous formats used to store the data, the heterogeneous data access methods and procedures, the varying granularity of access to data, the different rigid views of the data, and the lack of inter-operability among the information repositories of such data sets. Recognizing the aforementioned issues, we are engaged in a project to build a multi-database environment tailored for the interoperability of medical information systems. The main building blocks of such a system are a multi-disciplinary minimum data set and a catalogue for the support of interoperability and customization functions. In this paper, we report on the design approach used and describe the general architecture of the system.
References
[1]
Hutchinson, A., "Designing European Minimum Data Sets for Ambulatory Care", Med. lnfo. Vol 16 No. I, 1991.
[2]
Medical Computing CommiRe* E31, "A Review of Published Standards and Current Projects", Feb (1992), ASTM.
[3]
Institute of Medicine, "The Computer-Based Patient Record: An essential technology for health care", Washington, DC, National Academy Press (1991).
[4]
Bradbury, A., "Computerized Medical Records: Defining a Standard Without The Computer", Med. Info. Vol 16 No 3, 1991.
[5]
Hankcn, Mary Alice and Forrey Arden, "Construction of a Common Clinical Data Catalogue", Journal of AHIMA Vol 63, No 8, Aug 1992.
[6]
Gretchen, M., "Patient Information Standards Development: A Progress Rcl#rt from ASTM", Journal of AHIMA, Vol 63 No. 8, Aug 1992.
[7]
Frissc, Mark, "The Health of The Computer-based Patient Record", Medical Academia, Vol 67 No. 7, July 92.
[8]
Muranghan, J., H., "Long Term Care Data", Medical Care, Vol 14 No. 5, Supplement 1976.
[9]
The Health Standards Quality Bureau, "The Uniform Clinical Data Set", Journal of AMRA, Vol 62 No. 7, July 1991.
[10]
Choudhury, M. and Shah, M., "PC-Based Research Oriented Clinical Information System", Med. Info. Vol 16 No. 4, 1991.
[11]
Zwctsloo-Schonk, J., ctal., "How to Approach a hospital information System as Sampling Frame", Med. Info. Vol 16 No 3, 1991.
[12]
McDonald, C., Blcvins, L., Ticmcy, W., and Martin, D., "The Rcgebstricf Medical Records", MD Comput. Vol 5 No 34, 1988.
[13]
Barnett, G. et al., "COSTAR System", Information Systoms for Patient Care (Blum, B. editor). Springcr-Vcrlag, New York, 1984.
[14]
Coira, E., "Incorporating User and Dialog Model into the Interface Design of an lntelllgcnt Patient Monitor", Med. Info. Vol 16 No 4, 1991.
[15]
Sheth, A., I,arson, J., "Federated Distributed Database Systems for Managing Distribute#, Heterogeneous, and Autonomous Systems". ACM Computing Surveys, Vol 22 No 3 (1990).
[16]
Litwin, W., Leo, M., and Roussopoulos, N., " Interopcrability of Multiple Autonomous Databases". ACM Computing Surveys, Vol 22 No 3, (1990).
[17]
Elmagarmid, A.K. ct.al, "Transaction Specification in Multidatabasc Systems Based on Parallel Logic Programming," International Workshop on Intcropcrability in Multidatabasc Systems, Kyoto, Japan, 1991.
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- Enhancing inter-operability and data sharing in medical information systems
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Published In
June 1, 1993
558 pages
ISSN:0163-5808
DOI:10.1145/170036
- Editors:
- Peter Buneman,
- Sushil Jajodia,
- Won Kim
Copyright © 1993 ACM.
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Association for Computing Machinery
New York, NY, United States
Publication History
Published: 01 June 1993
Published in SIGMOD Volume 22, Issue 2
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