Healthy Living Knowledge, Standards In Addition To The Healthcare Crisis: Business Office 7
In my final post, I began discussing I.T. solutions for dealing amongst the healthcare standards problem. I started past times describing the benefits of a "publisher-subscriber node-to-node architecture amongst universal translation." I at i time snuff it along amongst a word of 2 to a greater extent than of import parts of the solution: "compositing reporting" as well as "application integration."
Influenza A virus subtype H5N1 node-to-node wellness information telephone commutation architecture I've described has the added produce goodness of generating composite reports. These reports are comprised of information sent from multiple publisher nodes to a unmarried subscriber node. The subscriber node takes all that information as well as combines it into a unmarried integrated patient wellness profile report.
For example, let's enjoin this study is a "continuity of tending record" (CCR) [1] that a main tending doc (PCP) wants to role to assistance maintain rail of what's going on amongst the handling a patient is receiving from several provider specialists. The PCP's node, which serves equally the subscriber, would shipping a asking for CCR information from all the patient's specialists. Upon receipt, the specialists' nodes, which serve equally the publishers, shout out back the requested information from their dissimilar EHR (electronic wellness record) databases as well as shipping the information automatically to the PCP's node. The PCP's node hence incorporates the information into a composite study tailored to the PCP's needs as well as preferences, as well as hence presents it on shroud for the PCP to view. The PCP's subscriber node could too last instructed to asking information from the publisher node connected to the patient's PHR (personal wellness record) database and, upon receipt, include specificPHR information into the same CCR study equally authorized past times the patient.
Now, if the nodes too utilized universal translation (see the previous post), the information beingness sent past times the subscriber nodes to the PCP's publisher node would last transformed appropriately, hence the information e'er arrives inwards the correct format (structure) as well as amongst the correct terminologies (semantics). The number would last a useful, cohesive, as well as understandable CCR study containing information from disparate databases as well as information standards.
Still unopen to other way to brand information useful, piece avoiding information standards problems, is through application integration. This refers to an ideal way to acquaint information residing inwards dissimilar software applications to back upward healthcare decisions.
Software vendors cause got been inventing dissimilar ways to display patient information that reside inwards disparate databases as well as are presented trough disparate applications.
References:
[1] American Academy of Family Physicians Center for Health Information Technology: ASTM Continuity of Care Record (2007)
[2] Holland, M. (Feb 2007). Improving Clinical Workflow amongst Unified Data Access as well as Management. IDC.
Composite Reporting
Influenza A virus subtype H5N1 node-to-node wellness information telephone commutation architecture I've described has the added produce goodness of generating composite reports. These reports are comprised of information sent from multiple publisher nodes to a unmarried subscriber node. The subscriber node takes all that information as well as combines it into a unmarried integrated patient wellness profile report.
For example, let's enjoin this study is a "continuity of tending record" (CCR) [1] that a main tending doc (PCP) wants to role to assistance maintain rail of what's going on amongst the handling a patient is receiving from several provider specialists. The PCP's node, which serves equally the subscriber, would shipping a asking for CCR information from all the patient's specialists. Upon receipt, the specialists' nodes, which serve equally the publishers, shout out back the requested information from their dissimilar EHR (electronic wellness record) databases as well as shipping the information automatically to the PCP's node. The PCP's node hence incorporates the information into a composite study tailored to the PCP's needs as well as preferences, as well as hence presents it on shroud for the PCP to view. The PCP's subscriber node could too last instructed to asking information from the publisher node connected to the patient's PHR (personal wellness record) database and, upon receipt, include specificPHR information into the same CCR study equally authorized past times the patient.
Now, if the nodes too utilized universal translation (see the previous post), the information beingness sent past times the subscriber nodes to the PCP's publisher node would last transformed appropriately, hence the information e'er arrives inwards the correct format (structure) as well as amongst the correct terminologies (semantics). The number would last a useful, cohesive, as well as understandable CCR study containing information from disparate databases as well as information standards.
Application Integration
Still unopen to other way to brand information useful, piece avoiding information standards problems, is through application integration. This refers to an ideal way to acquaint information residing inwards dissimilar software applications to back upward healthcare decisions.
Software vendors cause got been inventing dissimilar ways to display patient information that reside inwards disparate databases as well as are presented trough disparate applications.
- First, at that spot was unmarried sign-on (SSO) amongst which the user nurture as well as password are entered once. Multiple applications hence display a patient's information through dissimilar windows on the reckoner screen. In its virtually basic form, SSO exactly bypasses the login as well as user-validation screens of all but the get-go application accessed. The mortal soundless has to navigate through each application individually, however.
- Then came context management, which uses SSO, but goes a pace farther past times synchronizing multiple applications. This enables a clinician to persuasion a listing all his/her patients, select one, as well as cause got multiple windows, corresponding to multiple applications, refresh automatically. This agency the information presented through the windows of all the applications is related to the selected patient.
- Unified view takes context management i pace farther past times presenting the information from dissimilar applications inwards a unmarried window.
- Data integration involves synthesizing information across multiple applications as well as presents the information inwards a fully integrated manner. For example, when context management amongst a unified persuasion is used to try how a patient's medications impact his/her lab data, it exactly presents i window amongst the lab results as well as unopen to other amongst the patient's active medications. That is, the information inwards each window are accessible entirely to the application that presents it; at that spot is no interaction betwixt the applications, hence the information is static.
Influenza A virus subtype H5N1 information integration system, however, recognizes the human relationship betwixt the information inwards the lab results window as well as the information inwards the meds window. This agency the arrangement tin give notice render determination back upward by, for example, displaying a alert that lab number Influenza A virus subtype H5N1 may last affected past times the patient's role of medication B. This goes beyond context management amongst a unified persuasion since it applies analytic word to the information beingness displayed past times dissimilar applications. These information associations, however, are transient, i.e., the logic processes used for analytics as well as determination back upward must last run each fourth dimension the same information are presented since at that spot is no way to shop the associations.
- Application integration goes beyond information integration since it retains the associations betwixt information from multiple sources past times creating as well as storing novel forms of information that tin give notice last accessed repeatedly. Using the event above, it agency that an application integration arrangement would generate as well as shop a novel slice of information indicating that the problematic lab number Influenza A virus subtype H5N1 may last due to the patient's role of medication B. This alert information tin give notice last retrieved at whatever fourth dimension inwards the time to come without having to startup the medication as well as lab results applications, as well as without having to analyze their information all over again. And the alert information tin give notice fifty-fifty last shared amongst other authorized persons, such equally inwards a CCR report.[2]
References:
[1] American Academy of Family Physicians Center for Health Information Technology: ASTM Continuity of Care Record (2007)
[2] Holland, M. (Feb 2007). Improving Clinical Workflow amongst Unified Data Access as well as Management. IDC.
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