Exploring interoperability approaches and challenges in healthcare data exchange

  • Authors:
  • Shalini Bhartiya;Deepti Mehrotra

  • Affiliations:
  • IITM (GGSIPU), New Delhi, India;ASCS, Noida, India

  • Venue:
  • ICSH'13 Proceedings of the 2013 international conference on Smart Health
  • Year:
  • 2013

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Abstract

Today e-health data and its usage in various dimensions is one of the most discussed issues. The nature of health data is heterogeneous and distributed, accessed through varied formats and architectures supporting different vocabularies. Interoperable electronic Health Record (EHR) systems are the most important enabling tools on the road to patient-centric care, a lifeline for continuity of care and support to mobility of patients. Also, hospitals refer cases to other hospitals located in same or different cities or countries altogether leading to sharing of information. This generates the reason to study the suitability of available models and protocols enabling exchange of sensitive and time critical health information during open-ended transmission. The issue of sharing data in integrated applications is highly significant and affected by various implicit and explicit factors in terms of technologies and adoption by health providers. Varied architectural approaches are implemented by vendors for designing a HIS (Hospital Information System) without giving any consideration to integrated and interoperable sharing of data. Such disparate systems are best when used in isolation but very weak when try to talk with each other. This paper aims to review issues related creation of architectures in the perspective of sharing of electronic health records and the challenges faced by them in an interoperable environment.