Challenges of Interoperability Using HL7 v3 in Czech Healthcare

0352902 - ÚI 2011 RIV NL eng C - Conference Paper (international conference)
Nagy, Miroslav - Přečková, Petra - Seidl, Libor - Zvárová, Jana
Challenges of Interoperability Using HL7 v3 in Czech Healthcare.
Seamless Care - Safe Care - The Challenges of Interoperability and Patient Safety in Health Care. Amsterdam: IOS Press, 2010 - (Blobel, B.; Hvannberg, E.; Gunnarsdóttir, V.), s. 122-128. Studies in Health Technology and Informatics, 155. ISBN 978-1-60750-562-4. ISSN 0926-9630.
[EFMI Special Topic Conference. Reykjavik (IS), 02.06.2010-04.06.2010]
R&D Projects: GA MŠMT(CZ) 1M06014
Institutional research plan: CEZ:AV0Z10300504
Keywords : shared healthcare * electronic health record * semantic interoperability * classification systems * communication standards
Subject RIV: IN - Informatics, Computer Science

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.
Permanent Link: http://hdl.handle.net/11104/0192292