INTEROPERABILITY STANDARDS IN EHEALTH: REVIEW OF CURRENT METHODS AND FUTURE DIRECTIONS
pdf

Keywords

eHealth
interoperability
data store

Abstract

Since the 80’s and 90’s, the medical data exchange and storage represented a huge challenge in the evolution and interoperability between different hospitals and health organizations across the world. If in the early years the amount of data to be exchanged and stored was reasonable, nowadays in the heart of the globalization process we discuss about huge amounts of data to be shared from one location to another location, and sometimes across different continents. In this context, it is critical to have clear standards to enforce the format and semantics of the medical data and more than this, to leverage these standards and integrate them inside the latest IT solutions. This article reviews the importance of standards in the context of the interoperability between different medical systems and the way these standards are being developed and researched in EU-based projects such InteropEHRate.

https://doi.org/10.56051/tils.v1i1.10
pdf

References

Braunstein ML. Health Care in the Age of Interoperability: The Potential and Challenges. IEEE Pulse. 2018;9(5):34-6.

Roehrs A, Costa CAd, Righi RdR, Rigo SJ, Wichman MH. Toward a Model for Personal Health Record Interoperability. IEEE Journal of Biomedical and Health Informatics. 2019;23(2):867-73.

Schulz S, Stegwee R, Chronaki C. Standards in Healthcare Data. In: Kubben P, Dumontier M, Dekker A, editors. Fundamentals of Clinical Data Science. Cham: Springer International Publishing; 2019. p. 19-36.

Rita Suzana P Maciel JMND, Daniela Claro, Regina Braga. Full interoperability: Challenges and opportunities for future information systems: Sociedade Brasilieira de Computacao; 2017.

Lamine E, Guédria W, Rius Soler A, Ayza Graells J, Fontanili F, Janer-García L, et al. An Inventory of Interoperability in Healthcare Ecosystems: Characterization and Challenges. Enterprise Interoperability. 2017:167-98.

Dzale Yeumo E, Alaux M, Arnaud E, Aubin S, Baumann U, Buche P, et al. Developing data interoperability using standards: A wheat community use case [version 2; peer review: 2 approved]. F1000Research. 2017;6(1843).

Cano JC, Berrios V, Garcia B, Toh CK. Evolution of IoT: An Industry Perspective. IEEE Internet of Things Magazine. 2018;1(2):12-7.

Oemig F, Snelick R. Healthcare Interoperability Standards Compliance Handbook: Conformance and Testing of Healthcare Data Exchange Standards. Oemig F, Snelick R, editors. Cham: Springer International Publishing; 2016 2016//. 559-89 p.

Persaud N. A national electronic health record for primary care. Canadian Medical Association Journal. 2019;191(2):E28.

Zohner J, Marquardt K, Schneider H, Michel Backofen A. Challenges and Opportunities in Changing Data Structures of Clinical Document Archives from HL7-V2 to FHIR-Based Archive Solutions. Stud Health Technol Inform. 2019;264:492-5.

Oemig F. HL7 FHIR – Fast Healthcare Interoperability Resources: Eine Einführung. GMS MEDIZINISCHE INFORMATIK, BIOMETRIE UND EPIDEMIOLOGIE. 2021;17(2).

Snelick R. Advancing HL7 v2 to New Heights: A Platform for Developing Specifications, Test Plans, and Testing Tools. 17th International HL7 Interoperability Conference(IHIC 2017); Athens2017.

Olivero MA, Domínguez-Mayo FJ, Parra-Calderón CL, Escalona MJ, Martínez-García A. Facilitating the design of HL7 domain models through a model-driven solution. BMC Medical Informatics and Decision Making. 2020;20(1):96.

Benson T, Grieve G. HL7 v3. Principles of Health Interoperability: Springer; 2021.

Saripalle RK. Fast Health Interoperability Resources FHIR: Current Status in the Healthcare System. Int J E-Health Med Commun. 2019;10(1):76–93.

Ayaz M, Pasha MF, Alzahrani MY, Budiarto R, Stiawan D. The Fast Health Interoperability Resources (FHIR) Standard: Systematic Literature Review of Implementations, Applications, Challenges and Opportunities. JMIR Med Inform. 2021;9(7):e21929.

Saripalle R, Runyan C, Russell M. Using HL7 FHIR to achieve interoperability in patient health record. Journal of Biomedical Informatics. 2019;94:103188.

Moritz Lehne SL, Paulina Vom Felde Gennant Ambush, Sylvia Thun. The Use of FHIR in Digital Health a Review of the Scientific Literature: GMS; 2019.

Braunstein ML. Healthcare in the Age of Interoperability: The Promise of Fast Healthcare Interoperability Resources. IEEE Pulse. 2018;9(6):24-7.

InteropEHRate - D2.8 FHIR Profile for EHR interoperability - V2. 2020 18.12.2020.

Andaman7 : easier and faster clinical trials 2021 [Available from: https://www.andaman7.com/en].

InteropEHRate: @interopehrate; 2021 [Available from: https://www.interopehrate.eu/].

Pronovost P JM, Palmer S, et al. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Washington, DC: National Academy of Medicine; 2018.

Affleck E. Interoperability of electronic medical records requires more than just technical understanding. Canadian Medical Association Journal. 2019;191(19):E541.

Gansel X, Mary M, van Belkum A. Semantic data interoperability, digital medicine, and e-health in infectious disease management: a review. European Journal of Clinical Microbiology & Infectious Diseases. 2019;38(6):1023-34.

Arvanitis TN. Semantic interoperability in healthcare. Stud Health Technol Inform. 2014;202:5-8.

Mandel JC, Kreda DA, Mandl KD, Kohane IS, Ramoni RB. SMART on FHIR: a standards-based, interoperable apps platform for electronic health records. Journal of the American Medical Informatics Association. 2016;23(5):899-908.

Carter AB, de Baca ME, Luu HS, Campbell WS, Stram MN. Use of LOINC for interoperability between organisations poses a risk to safety. The Lancet Digital Health. 2020;2(11):e569.

McLaughlin SD, Wilson RL. A Tiered Framework for Organizing and Categorizing Medical Interoperability. Military Medicine. 2020;185(3-4):330-3.

Digital health data and services – the European health data space 2021 [Available from: https://ec.europa.eu/info/law/better-regulation/have-your-say/initiatives/12663-Digital-health-data-and-services-the-European-health-data-space_en.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.