Bridging the gap: a virtual health record for integrated home care
Identifieur interne : 000463 ( Pmc/Curation ); précédent : 000462; suivant : 000464Bridging the gap: a virtual health record for integrated home care
Auteurs : Maria H Gglund ; Isabella Scandurra ; Dennis Moström ; Sabine KochSource :
- International Journal of Integrated Care [ 1568-4156 ] ; 2007.
Abstract
The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular.
Physically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. A user centered system development approach is followed during design and development of the system.
A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database.
A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.
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PubMed: 17637872
PubMed Central: 1919412
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A user centered system development approach is followed during design and development of the system.</p></sec><sec id="st3" sec-type="results"><title>Results</title><p>A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database.</p></sec><sec id="st4"><title>Conclusions</title><p>A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hollander, M" uniqKey="Hollander M">M Hollander</name></author><author><name sortKey="Chappell, N" uniqKey="Chappell N">N Chappell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lind, L" uniqKey="Lind L">L Lind</name></author><author><name sortKey="Sundvall, E" uniqKey="Sundvall E">E Sundvall</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Integr Care</journal-id><journal-id journal-id-type="publisher-id">IJIC</journal-id><journal-title-group><journal-title>International Journal of Integrated Care</journal-title></journal-title-group><issn pub-type="epub">1568-4156</issn><publisher><publisher-name>Igitur, Utrecht Publishing & Archiving</publisher-name><publisher-loc>Utrecht, The Netherlands</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17637872</article-id><article-id pub-id-type="pmc">1919412</article-id><article-id pub-id-type="publisher-id">ijic200725</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research and Theory</subject></subj-group><series-title>Special issue: Infrastructures to support integrated care: connecting across institutional and professional boundaries</series-title></article-categories><title-group><article-title>Bridging the gap: a virtual health record for integrated home care</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hägglund</surname><given-names>Maria</given-names></name><degrees>MSc</degrees><aff>Department of Medical Sciences, Uppsala University, University Hospital 82:1, S751 85 Uppsala, Sweden, and Center for eHealth, Uppsala University, Sweden</aff></contrib><contrib contrib-type="author"><name><surname>Scandurra</surname><given-names>Isabella</given-names></name><degrees>MSc</degrees><aff>Department of Medical Sciences, Uppsala University, University Hospital 82:1, S751 85 Uppsala, Sweden, and Center for eHealth, Uppsala University, Sweden</aff></contrib><contrib contrib-type="author"><name><surname>Moström</surname><given-names>Dennis</given-names></name><aff>XLENT Technology AB, Örnsköldsvik, Sweden</aff></contrib><contrib contrib-type="author"><name><surname>Koch</surname><given-names>Sabine</given-names></name><role>Associate Professor</role><aff>Department of Medical Sciences, Uppsala University, University Hospital 82:1, S751 85 Uppsala, Sweden, and Center for eHealth, Uppsala University, Sweden</aff></contrib></contrib-group><author-notes><corresp id="cor1">Correspondence to: Maria Hägglund, MSc, Department of Medical Sciences, Uppsala University, University Hospital 82:1, S751 85 Uppsala, Sweden, Phone: +46704250297, Fax: +46186113334, E-mail: <email>Maria.Hagglund@medsci.uu.se</email></corresp></author-notes><pub-date pub-type="collection"><season>Apr-Jun</season><year>2007</year></pub-date><pub-date pub-type="epub"><day>27</day><month>6</month><year>2007</year></pub-date><volume>7</volume><elocation-id>e26</elocation-id><permissions><copyright-statement>Copyright 2007, International Journal of Integrated Care (IJIC)</copyright-statement><copyright-year>2007</copyright-year></permissions><abstract><sec id="st1"><title>Introduction</title><p>The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular.</p></sec><sec id="st2"><title>Theory and methods</title><p>Physically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. A user centered system development approach is followed during design and development of the system.</p></sec><sec id="st3" sec-type="results"><title>Results</title><p>A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database.</p></sec><sec id="st4"><title>Conclusions</title><p>A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>medical records systems</kwd><kwd>computerized</kwd><kwd>integrated advanced information management systems</kwd><kwd>information storage and retrieval</kwd><kwd>internet</kwd><kwd>home care services</kwd><kwd>nursing record</kwd></kwd-group></article-meta></front><floats-group><fig id="fg001" position="float"><label>Figure 1</label><caption><p>Hardware and technical infrastructure.</p></caption><graphic xlink:href="ijic2007-200726-001"></graphic></fig><fig id="fg002" position="float"><label>Figure 2</label><caption><p>The integration architecture.</p></caption><graphic xlink:href="ijic2007-200726-002"></graphic></fig><fig id="fg003" position="float"><label>Figure 3</label><caption><p>Process of transferring information from the virtual health record to the feeder systems.</p></caption><graphic xlink:href="ijic2007-200726-003"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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