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Providing Interoperability to a Pervasive Healthcare System Through the HL7 CDA Standard
Type of publication: Inproceedings
Citation:
Booktitle: Proceedings of the 15th International HL7 Interoperability Conference
Year: 2015
Month: February
Pages: 5-12
Location: Prague (Czech Republic)
URL: http://ihic2015.hl7cr.eu/...
Abstract: Background: Pervasive healthcare is a new paradigm of healthcare services where the patients are active participants on their own well being. The development of Pervasive Healthcare Systems (PHSs) consists on approaching monitoring solutions into the hands of the patients, and has been reported as a key to minimize the healthcare costs due to the aging of population. However, interoperability is a technological challenge not taken into account in most of the existing implementations of PHSs. Objectives: This paper focuses on how we provide interoperability to a PHS for the management of the gestational diabetes mellitus (GDM) by using the CDA standard. In this monitoring system an Android application sends CDA documents to the server side of the system, so that the health information reported by the patient is transmitted over the Internet in an interoperable way. Methods: The generated CDA documents report on three different aspects related with GDM that are: physiological parameters, symptoms and medications. Each one of them is encoded as a section in the body of the CDA. To build these CDA documents, different pre-installed XML templates are combined and filled by using XPath. Results: Doctors using this system want that patients report both: the dose quantity taken and the dose prescribed for the insulin bolus. As a consequence we had to extend the SubstanceAdministration class with a new element to encode all the semantics. Conclusions: This paper illustrates how the CDA document has been adopted to report on the health status of a GDM affected patient, and can be taken as a model to provide interoperability to other PHSs.
Userfields: 9-11.02.2015
Keywords: CDA Document, Gestational Diabetes Mellitus, Multi-Agent Systems, Pervasive Healthcare, Standards
Authors Brugues de la Torre, Albert
Bromuri, Stefano
Pegueroles-Vallés, Josep
Schumacher, Michael
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Total mark: 0
Attachments
  • GDMMS_IHIC15.pdf
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