A mediated publish-subscribe system for inter-institutional process support in healthcare

Authors:
Christoph P. Neumann;Florian Rampp;Richard Lenz;Michael Daum
Affiliations:
University of Erlangen-Nuremberg, Erlangen, Germany;University of Erlangen-Nuremberg, Erlangen, Germany;University of Erlangen-Nuremberg, Erlangen, Germany;University of Erlangen-Nuremberg, Erlangen, Germany
Venue:
Proceedings of the Third ACM International Conference on Distributed Event-Based Systems
Year:
2009

Citing 3
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Abstract

Inadequate availability of patient information is a major cause for medical errors and affects costs in healthcare. Traditional information integration in healthcare does not solve the problem. For chronic diseases and multimorbidity, the significance of patient information availability is yet increasing. Applying a document-oriented paradigm to a mediated publish-subscribe infrastructure allows to foster inter-institutional information exchange in healthcare. The goal of the proposed architecture is to provide information exchange between strict autonomous healthcare institutions, bridging the gap between primary and secondary care, following traditional paper-based working practice. In a distributed healthcare scenario, the patient has to maintain sovereignty over any personal health information. Therefore, the proposed mediated publish-subscribe architecture essentially decouples the roles of information author and information publisher into distinct actors.