Cristina Soguero-Ruiz
Department of Signal Theory and Communications, Telematics and Computing, Rey Juan Carlos University, Spain
Inmaculada Mora-Jiménez
Department of Signal Theory and Communications, Telematics and Computing, Rey Juan Carlos University, Spain
Alfonso Sánchez-Caro
Department of Signal Theory and Communications, Telematics and Computing, Rey Juan Carlos University, Spain
Arcadi García-Alberola
Unit of Arrhythmias, University Hospital Virgen de la Arrixaca, Murcia, Spain
Luis Lechuga
University Hospital of Fuenlabrada, Fuenlabrada, Spain
Javier Ramos-López
University Hospital of Fuenlabrada, Fuenlabrada, Spain
José Luis Rojo-Álvarez
Department of Signal Theory and Communications, Telematics and Computing, Rey Juan Carlos University, Spain
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Ingår i: SHI 2015, Proceedings from The 13th Scandinavien Conference on Health Informatics, June 15-17, 2015, Tromsø, Norway
Linköping Electronic Conference Proceedings 115:18, s. 105-106
Publicerad: 2015-06-26
ISBN: 978-91-7685-985-8
ISSN: 1650-3686 (tryckt), 1650-3740 (online)
Clinical decision support systems can be improved if data exchange among different organizations with full and understandable clinical meaning is achieved. Towards this end, the development of new methodologies of information management is necessary. Among them, CEN/ISO EN13606 (archetypes) is the most promising approach. According to World Health Organization, cardiovascular diseases are the leading causes of death worldwide. A good number of risk indices from electrocardiogram signal processing have been proposed for cardiovascular risk stratification. We have considered here the Heart Rate Turbulence (HRT) due to its clear and concise guidelines. Based on previously built HRT ontology and archetype, a web prototype was created to achieve semantic interoperability among heterogeneous hospital systems; and to avoid technical limitations when different commercial tools are used. The web prototype was able to provide the user with the following functionalities: (1) binding the HRT ontology concepts to the HRT archetype nodes by using a designed archetype-ontology binding system; (2) compiling and maintaining database HRT records; and (3) exporting these records, while enabling semantic interoperability to allow data exchange among different systems.
Semantic interoperability; SNOMED-CT; archetypes; web technologies; clinical decision support; cardiovascular risk stratification.
[1] Sittig DF, Wright A, Osheroff JA, Middleton B, Teich JM, et al. Grand challenges in clinical decision support. JBI 2008: 41: 387-92.
[2] Wright A, Bates DW, Middleton B, Hongsermeier T, Kashyap V, et al. Creating and sharing clinical decision support content with Web 2.0: Issues and examples. JBI 2009: 42: 334-46.
[3] Marcos M, Maldonado JA, Martínez-Salvador B, Boscá D, Robles M. Interoperability of clinical decision support systems and electronic health records using archetypes: A
case study in clinical trial eligibility. JBI 2013: 46: 676-89.
[4] Barbarito F, Pinciroli F, Mason J, Marceglia S, Mazzola L, et al. Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. JBI 2012: 45: 736-45.
[5] Dixon BE, Vreeman DJ, Grannis SJ. The long road to semantic interoperability in support of public health: Experiences from two states. JBI 2014: 49: 3-8.
[6] Commission recommendation of 2 July 2008 on cross border interoperability of electronic health record systems (notified under document number (C(2008) 3282). Off J Eur Union 2008.
[7] Sánchez-Caro A, Soguero-Ruiz C, Lechuga L, Mora Jiménez I, Ramos-Lopez J, et al. Towards semantic interoperability for cardiovascular risk stratification into the electronic health records using archetypes and SNOMED-CT. In: CinC, 2014.
[8] http://www.ihtsdo.org/snomed-ct/.
[9] Soguero-Ruiz C, Lechuga-Suárez L, Mora-Jiménez I, Ramos-López J, Barquero-Pérez O, García-Alberola A, Rojo-Álvarez JL. Ontology for heart rate turbulence domain from the conceptual model of SNOMED-CT. IEEE TBME 2013: 60: 1825-33.
[10] http://www.en13606.org/the-ceniso-en13606-standard.
