| Enhancing IHE XDS for federated clinical affinity domain support. | |
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MedLine Citation:
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PMID: 17390991 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One of the key problems in healthcare informatics is the inability to share patient records across enterprises. To address this problem, an important industry initiative called "integrating the healthcare enterprise (IHE)" specified the "cross enterprise document sharing (XDS)" profile. In the IHE XDS, healthcare enterprises that agree to work together form a "clinical affinity domain" and store healthcare documents in an ebXML registry/repository architecture to facilitate their sharing. The affinity domains also agree on a common set of policies such as coding lists to be used to annotate clinical documents in the registry/repository and the common schemes for patient identification. However, since patients expect their records to follow them as they move from one clinical affinity domain to another, there is a need for affinity domains to be federated to enable information exchange. In this paper, we describe how IHE XDS can be enhanced to support federated clinical affinity domains. We demonstrate that federation of affinity domains are facilitated when ontologies, rather than coding term lists, are used to annotate clinical documents. Furthermore, we describe a patient identification protocol that eliminates the need to keep a master patient index file for the federation. |
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Authors:
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Asuman Dogac; Gokce B Laleci; Thomas Aden; Marco Eichelberg |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: IEEE transactions on information technology in biomedicine : a publication of the IEEE Engineering in Medicine and Biology Society Volume: 11 ISSN: 1089-7771 ISO Abbreviation: IEEE Trans Inf Technol Biomed Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-03-29 Completed Date: 2007-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9712259 Medline TA: IEEE Trans Inf Technol Biomed Country: United States |
Other Details:
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Languages: eng Pagination: 213-21 Citation Subset: IM |
Affiliation:
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Middle East Technical University, 06531 Ankara, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Database Management Systems
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organization & administration* Delivery of Health Care, Integrated / organization & administration* European Union / organization & administration* Information Storage and Retrieval / methods* Medical Records Systems, Computerized / organization & administration* User-Computer Interface* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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