Challenges of Interoperability Using HL7 v3 in Czech Healthcare

Autoři: Miroslav Nagy
Petra Přečková
Libor Seidl
Jana Zvárová
Rok vydání: 2010
Typ publikace: Konferenční příspěvek (mezinárodní konf.)
Periodikum: Seamless Care - Safe Care - The Challenges of Interoperability and Patient Safety in Health Care
Projekty: Centrum biomedicínské informatiky (CBI)
Bibliografická citace: NAGY, Miroslav, PŘEČKOVÁ, Petra, SEIDL, Libor, ZVÁROVÁ, Jana. Challenges of Interoperability Using HL7 v3 in Czech Healthcare. In: BLOBEL, B., HVANNBERG, E.T., GUNNARSDÓTTIR, V., eds. Seamless Care - Safe Care - The Challenges of Interoperability and Patient Safety in Health Care. Amsterdam: IOS Press, 2010, S. 122-128. Studies in Health Technology and Informatics, 155. ISBN 978-1-60750-562-4. ISSN 0926-9630
Dostupné z: doi:10.3233/978-1-60750-563-1-122
DOI: 10.3233/978-1-60750-563-1-122
ID: 352902

Abstrakt

The paper describes several classification systems (CSs) that could improve patient safety through semantic interoperability (SI) among contemporary electronic health record systems (EHR-Ss) with support of the HL7 v3 standard. We describe a proposal and a pilot implementation of a SI platform (SIP) interconnecting current EHR-Ss by using HL7 v3 messages and concepts mappings on most widely used CSs. The increasing number of CSs and nomenclatures requires designing of various conversion tools for transfer between main CSs. We present the so-called LIM filler module and the HL7 broker, which are parts of the SIP, playing the role of such conversion tools. The analysis of suitability and usability of individual terminological thesauri has been started by mapping of clinical contents of the Minimal Data Model for Cardiology to various terminological CSs. Our research showed that creation of SIP is feasible; however, it will require a huge effort of all parties concerned in healthcare.