MC

Current Trends in Science and Technology

an Open Access Publication ISSN: 0976-9730 | 0976-9498

Engineering and Technology

A Survey on CDA Generation and Integration for Health Records Exchange on Hospitals

P. Manoja
PG Scholor (M.Tech), Department of Computer science and Engineering, Gokaraju Rangaraju Institute of Engineering and Technology. Email: manoja.padala20@gmail.com
G. N. Beena Bethel
Assistant professor, Department of Computer science and Engineering, Gokaraju Rangaraju Institute of Engineering and Technology. Email: beenabethel@gmail.com
Online First: January 26, 2018
| Google Scholar

Abstract

Successful use of EHR enhances develop patient security and worth of care, yet it have the essential of interoperability among HIE at various hospitals. Poorly, hospitals are not intrigued to receive interoperable HIS on account of its arrangement cost with the exception of in modest handful countries. An matter emerge despite when additional hospitals begin utilizing the CDA record design on the evidence that the information spread in various reports is tough to man generation. CDA report generation and incorporation Open API benefit in light of distributed computing is depicted through which hospitals are permitted to advantage to create CDA report with no buying exclusive programming. CDA record incorporation framework coordinates dissimilar CDA reports per understanding into a lone CDA report along with specialist and patients may check the clinical information in sequential request. Usage of CDA report generation and reconciliation depends on cloud computing with the administration is open in Open API. Designers utilizing distinctive stages in this manner can utilize structure to make interoperability.

Keyword : Health information exchange, CDA, cloud computing, software as a service, Open API.

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Jan 26, 2018
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Jan 26, 2018
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References

1. Y. Kwak, “International standards for building electronic health record (ehr),” in Proc. Enterprise Netw. Comput. Healthcare Ind., pp. 18–23, Jun. 2005. 2. M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and Laleci, “A survey and analysis of electronic healthcare record standards,” ACM Comput. Surv., vol. 37, no. 4, pp. 277–315, 2005. 3. T. Benson, Principles of Health Interoperability HL7 and SNOMED. New York, NY, USA: Spinger, 2009. 4. J. L€ahteenm€aki, J. Lepp€anen, and H. Kaijanranta, “Interoperability of personal health records,” in Proc. IEEE 31st Annu. Int. Conf. Eng. Med. Biol. Soc., pp. 1726–1729, 2009. 5. R. H. Dolin, L. Alschuler, C. Beebe, P. V. Biron, S. L. Boyer, D. Essin, E. Kimber, T. Lincoln, and J. E. Mattison, “The HL7 Clinical Document Architecture,” J. Am. Med. Inform. Assoc., vol. 8, pp. 552–569, 2001. 6. R. H. Dolin, L. Alschuler, S. Boyer, C. Beebe, F. M. Behlen, P. V. Biron, and A. Shabo, “The HL7 Clinical Document Architecture,” J. Am. Med. Inform. Assoc., vol. 13, no. 1, pp. 30–39, 2006. 7. M. L. M€uller, F. Ǖckert, and T. B€urkle, “Cross-institutional data exchange using the clinical document architecture (CDA),” Int. J. Med. Inform., vol. 74, pp. 245–256, 2005. 8. H. Yong, G. Jinqiu, and Y. Ohta, “A prototype model using clinical document architecture (cda) with a japanese local standard: designing and implementing a referral letter system,” Acta Med Okayama, vol. 62, pp. 15–20, 2008. 9. K. Huang, S. Hsieh, Y. Chang, F. Lai, S. Hsieh, and H. Lee, “Application of portable cda for secure clinical-document exchange,” J. Med. Syst., vol. 34, no. 4, pp. 531–539, 2010. 10. C. Mart_ınez-Costa, M. Men_arguez-Tortosa, and J. Tom_as Fern_andez- Breis, “An approach for the semantic interoperability of ISO EN 13606 and OpenEHR archetypes,” J. Biomed. Inform., vol. 43, no. 5, pp. 736–746, Oct. 2010. 11. MR. Santos, MP. Bax, and D. Kalra, “Building a logical HER architecture based on ISO 13606 standard and semantic web technologies,” Studies Health Technol. Informat., vol. 160, pp. 161– 165, 2010. 12. K. Ashish, D. Doolan, D. Grandt, T. Scott, and D. W. Bates, “The use of health information technology in seven nations,”Int. J. Med. Informat., vol. 77, no. 12, pp. 848–854, 2008. 13. G. J. Kuperman, J. S. Blair, R. A. Franck, S. Devaraj, and A. F. Low, “Developing data content specifications for the nationwide health information network trial implementations,” J. Am. Med. Inform. Assoc., vol. 17, no. 1, pp. 6–12, 2010. 14. K. Ashish, “Meaningful use of electronic health records the road ahead,”JAMA, vol. 304, no. 10, pp. 1709–1710, 2010. 15. S. M. Huff, R. A. Rocha, C. J. McDonald , G. J. De Moor, T. Fiers, W. D. Bidgood, A. W. Forrey, W. G. Francis, W. R. Tracy, D. Leavelle, F. Stalling, B. Griffin, P. Maloney, D. Leland, L. Charles, K. Hutchins, and J. Baenziger, “Development of the logical observation identifier names and codes (loinc) vocabulary,” J. Am. Med. Inform. Assoc., vol. 5, pp. 276–292, 1998. 16. J. D. D’Amore, D. F. Sittig, A. Wright, M. S. Iyengar, and R. B. Ness, “The promise of the CCD: Challenges and opportunity for quality improvement and population health,” in Proc. AMIA Annu. Symp. Proc., pp. 285–294, 2011. 17. KS X 7504 Korean Standard for CDA Referral Letters (Preliminary Version) 18. KS X 7505 Korean Standard for CDA Reply Letters (Preliminary Version) 19. M. Armbrust, A. Fox, R. Griffith, A. D. Joseph, R. Katz, A. Konwinski, G. Lee, D. Patterson, A. Rabkin, I. Stoica, and M. Zaharia, “A view of cloud computing,” Commun. ACM, vol. 53, no. 4, pp. 50–58, 2010. 20. S. Yi, A. Andrzejak, and D. Kondo, “Monetary cost-aware check pointing and migration on amazon cloud spot instances,” IEEE Trans. Services Comput., vol. 5, no. 4, pp. 512–524, Nov. 2012. 21. S. Lee, J. Song, and I. Kim, “Clinical document architecture integration system to support patient referral and reply letters,” Health Informat. J., Published online before print Jun. 2014. 22. “Test Data for x170.314(e)(2) Clinical summary—ambulatory setting only approved test data version 1.5,” The Office Nat. Coordinator Health Informat. Technol., 2014 Edition, Jun. 2013. 23. J. Walker, E. Pan, D. Johnston, J. Adler-Milstein, D. W. Bates, and B. Middleton, “The value of health care information exchange and interoperability,” in Proc. Health Aff., pp. 10–18, 2005. 24. S. R. Simon, R. Kaushal, P. D. Cleary , C. A. Jenter, L. A. Volk, E. G. Poon, E. J. Orav, H. G. Lo, D. H. Williams, and D. W. Bates, “Correlates of electronic health record adoption in office practices: A statewide survey,” J. Am. Med. Inform. Assoc., vol. 14, pp. 110–117, 2007. 25. E. W. Ford, N. Menachemi, L. T. Peterson, and T. R. Huerta, “Resistance is futile: But it is slowing the pace of ehr adoption nonetheless,” J.Am.Med. Inform.Assoc., vol. 16, no. 3, pp. 274 281, 2009. 26. IEEE, Gokce B. Laleci, Thomas Aden, and Marco Eichelberg, Published in: IEEE Transactions on Information Technology in Biomedicine (Volume: 11, Issue:2, March 2007 ) Page(s): 213 – 221, 05 March 2007 Print ISSN: 1089-7771 Online ISSN: 1558-0032 27. Published in: Consumer Communications and Networking Conference (CCNC), 2011 IEEE, 9-12 Jan. 2011 Date Added to IEEE Xplore: 12 May 2011, Print ISSN: 2331-9852, Electronic ISSN: 2331-9860, DOI: 10.1109/CCNC.2011.5766466 28. Published in: Cloud Computing Technology and Science (CloudCom), 2011 IEEE Third International Conference on, Date of Conference: 29 Nov.-1 Dec. 2011, Date Added to IEEE Xplore: 19 January 2012, Print ISBN: 978-1-4673-0090-2, CD-ROM ISBN: 978-0-7695-4622-3 DOI: 10.1109/CloudCom.2011.48.
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References

1. Y. Kwak, “International standards for building electronic health record (ehr),” in Proc. Enterprise Netw. Comput. Healthcare Ind., pp. 18–23, Jun. 2005.
2. M. Eichelberg, T. Aden, J. Riesmeier, A. Dogac, and Laleci, “A survey and analysis of electronic healthcare record standards,” ACM Comput. Surv., vol. 37, no. 4, pp. 277–315, 2005.
3. T. Benson, Principles of Health Interoperability HL7 and SNOMED. New York, NY, USA: Spinger, 2009.
4. J. L€ahteenm€aki, J. Lepp€anen, and H. Kaijanranta, “Interoperability of personal health records,” in Proc. IEEE 31st Annu. Int. Conf. Eng. Med. Biol. Soc., pp. 1726–1729, 2009.
5. R. H. Dolin, L. Alschuler, C. Beebe, P. V. Biron, S. L. Boyer, D. Essin, E. Kimber, T. Lincoln, and J. E. Mattison, “The HL7 Clinical Document Architecture,” J. Am. Med. Inform. Assoc., vol. 8, pp. 552–569, 2001.
6. R. H. Dolin, L. Alschuler, S. Boyer, C. Beebe, F. M. Behlen, P. V. Biron, and A. Shabo, “The HL7 Clinical Document Architecture,” J. Am. Med. Inform. Assoc., vol. 13, no. 1, pp. 30–39, 2006.
7. M. L. M€uller, F. Ǖckert, and T. B€urkle, “Cross-institutional data exchange using the clinical document architecture (CDA),” Int. J. Med. Inform., vol. 74, pp. 245–256, 2005.
8. H. Yong, G. Jinqiu, and Y. Ohta, “A prototype model using clinical document architecture (cda) with a japanese local standard: designing and implementing a referral letter system,” Acta Med Okayama, vol. 62, pp. 15–20, 2008.
9. K. Huang, S. Hsieh, Y. Chang, F. Lai, S. Hsieh, and H. Lee, “Application of portable cda for secure clinical-document exchange,” J. Med. Syst., vol. 34, no. 4, pp. 531–539, 2010.
10. C. Mart_ınez-Costa, M. Men_arguez-Tortosa, and J. Tom_as Fern_andez- Breis, “An approach for the semantic interoperability of ISO EN 13606 and OpenEHR archetypes,” J. Biomed. Inform., vol. 43, no. 5, pp. 736–746, Oct. 2010.
11. MR. Santos, MP. Bax, and D. Kalra, “Building a logical HER architecture based on ISO 13606 standard and semantic web technologies,” Studies Health Technol. Informat., vol. 160, pp. 161– 165, 2010.
12. K. Ashish, D. Doolan, D. Grandt, T. Scott, and D. W. Bates, “The use of health information technology in seven nations,”Int. J. Med. Informat., vol. 77, no. 12, pp. 848–854, 2008.
13. G. J. Kuperman, J. S. Blair, R. A. Franck, S. Devaraj, and A. F. Low, “Developing data content specifications for the nationwide health information network trial implementations,” J. Am. Med. Inform. Assoc., vol. 17, no. 1, pp. 6–12, 2010.
14. K. Ashish, “Meaningful use of electronic health records the road ahead,”JAMA, vol. 304, no. 10, pp. 1709–1710, 2010.
15. S. M. Huff, R. A. Rocha, C. J. McDonald , G. J. De Moor, T. Fiers, W. D. Bidgood, A. W. Forrey, W. G. Francis, W. R. Tracy, D. Leavelle, F. Stalling, B. Griffin, P. Maloney, D. Leland, L. Charles, K. Hutchins, and J. Baenziger, “Development of the logical observation identifier names and codes (loinc) vocabulary,” J. Am. Med. Inform. Assoc., vol. 5, pp. 276–292, 1998.
16. J. D. D’Amore, D. F. Sittig, A. Wright, M. S. Iyengar, and R. B. Ness, “The promise of the CCD: Challenges and opportunity for quality improvement and population health,” in Proc. AMIA Annu. Symp. Proc., pp. 285–294, 2011.
17. KS X 7504 Korean Standard for CDA Referral Letters (Preliminary Version)
18. KS X 7505 Korean Standard for CDA Reply Letters (Preliminary Version)
19. M. Armbrust, A. Fox, R. Griffith, A. D. Joseph, R. Katz, A. Konwinski, G. Lee, D. Patterson, A. Rabkin, I. Stoica, and M. Zaharia, “A view of cloud computing,” Commun. ACM, vol. 53, no. 4, pp. 50–58, 2010.
20. S. Yi, A. Andrzejak, and D. Kondo, “Monetary cost-aware check pointing and migration on amazon cloud spot instances,” IEEE Trans. Services Comput., vol. 5, no. 4, pp. 512–524, Nov. 2012.
21. S. Lee, J. Song, and I. Kim, “Clinical document architecture integration system to support patient referral and reply letters,” Health Informat. J., Published online before print Jun. 2014.
22. “Test Data for x170.314(e)(2) Clinical summary—ambulatory setting only approved test data version 1.5,” The Office Nat. Coordinator Health Informat. Technol., 2014 Edition, Jun. 2013.
23. J. Walker, E. Pan, D. Johnston, J. Adler-Milstein, D. W. Bates, and B. Middleton, “The value of health care information exchange and interoperability,” in Proc. Health Aff., pp. 10–18, 2005.
24. S. R. Simon, R. Kaushal, P. D. Cleary , C. A. Jenter, L. A. Volk, E. G. Poon, E. J. Orav, H. G. Lo, D. H. Williams, and D. W. Bates, “Correlates of electronic health record adoption in office practices: A statewide survey,” J. Am. Med. Inform. Assoc., vol. 14, pp. 110–117, 2007.
25. E. W. Ford, N. Menachemi, L. T. Peterson, and T. R. Huerta, “Resistance is futile: But it is slowing the pace of ehr adoption nonetheless,” J.Am.Med. Inform.Assoc., vol. 16, no. 3, pp. 274 281, 2009.
26. IEEE, Gokce B. Laleci, Thomas Aden, and Marco Eichelberg, Published in: IEEE Transactions on Information Technology in Biomedicine (Volume: 11, Issue:2, March 2007 ) Page(s): 213 – 221, 05 March 2007 Print ISSN: 1089-7771 Online ISSN: 1558-0032
27. Published in: Consumer Communications and Networking Conference (CCNC), 2011 IEEE, 9-12 Jan. 2011 Date Added to IEEE Xplore: 12 May 2011, Print ISSN: 2331-9852, Electronic ISSN: 2331-9860, DOI: 10.1109/CCNC.2011.5766466
28. Published in: Cloud Computing Technology and Science (CloudCom), 2011 IEEE Third International Conference on, Date of Conference: 29 Nov.-1 Dec. 2011, Date Added to IEEE Xplore: 19 January 2012, Print ISBN: 978-1-4673-0090-2, CD-ROM ISBN: 978-0-7695-4622-3 DOI: 10.1109/CloudCom.2011.48.
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