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Tytuł artykułu

islEHR, a model for electronic health records interoperability

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Objectives: Due to the diversity, volume, and distribution of ingested data, the majority of current healthcare entities operate independently, increasing the problem of data processing and interchange. The goal of this research is to design, implement, and evaluate an electronic health record (EHR) interoperability solution - prototype - among healthcare organizations, whether these organizations do not have systems that are prepared for data sharing, or organizations that have such systems. Methods: We established an EHR interoperability prototype model named interoperability smart lane for electronic health record (islEHR), which comprises of three modules: 1) a data fetching APIs for external sharing of patients’ information from participant hospitals; 2) a data integration service, which is the heart of the islEHR that is responsible for extracting, standardizing, and normalizing EHRs data leveraging the fast healthcare interoperability resources (FHIR) and artificial intelligence techniques; 3) a RESTful API that represents the gateway sits between clients and the data integration services. Results: The prototype of the islEHR was evaluated on a set of unstructured discharge reports. The performance achieved a total time of execution ranging from 0.04 to 84.49 s. While the accuracy reached an F-Score ranging from 1.0 to 0.89. Conclusions: According to the results achieved, the islEHR prototype can be implemented among different heterogeneous systems regardless of their ability to share data. The prototype was built based on international standards and machine learning techniques that are adopted worldwide. Performance and correctness results showed that islEHR outperforms existing models in its diversity as well as correctness and performance.
Rocznik
Strony
39--54
Opis fizyczny
Bibliogr. 35 poz., rys., tab.
Twórcy
autor
  • Information Technology College, Hebron University, Hebron, Palestine
autor
  • Information Technology College, Hebron University, Hebron, Palestine
  • Sciences and Technologies of Information and Communication College, Atlântica University, Lisbon, Portugal
Bibliografia
  • 1. Adel E, El-Sappagh S, Barakat S, Elmogy M. A unified fuzzy ontology for distributed electronic health record semantic interoperability. In: U-healthcare monitoring systems [Internet]. Egypt: Elsevier; 2019:353-95 pp. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780128153703000141. [Accessed 15 Nov 2020].
  • 2. ISO. International standard 2382: information technology - vocabulary [Internet]; 2015. Available from: https://www.iso.org/ obp/ui/#iso:std:iso-iec:2382:ed-1:v1:en.
  • 3. Adel E, El-Sappagh S, Barakat S, Elmogy M. Ontology-based electronic health record semantic interoperability: a survey. In: U-healthcare monitoring systems [Internet]. Egypt: Elsevier; 2019: 315-52 pp. Available from: https://linkinghub.elsevier.com/retrieve/pii/B978012815370300013X. [Accessed 15 Nov 2020].
  • 4. Reisman M. EHRs: the challenge of making electronic data usable and interoperable. P & T : a peer-reviewed journal for formulary management; 2017, vol. 4.
  • 5. do Espírito Santo JM, Medeiros CB. Semantic interoperability of clinical data. In: Da Silveira M, Pruski C, Schneider R, editors. Data integration in the life sciences [Internet]. (Lecture Notes in Computer Science). Cham: Springer International Publishing; 2017, vol. 10649:29-37 pp. Available from: http://link.springer.com/10.1007/978-3-319-69751-2_4. [Accessed 15 Nov 2020].
  • 6. Matney SA. Semantic interoperability: the good, the bad, and the ugly. Nursing 2016;46:23-4.
  • 7. González Bernaldo de Quirós F, Otero C, Luna D. Terminology services: standard terminologies to control health vocabulary: experience at the Hospital Italiano de Buenos Aires. Yearb Med Inf 2018;27:227-33.
  • 8. Liyanage H, Krause P, De Lusignan S. Using ontologies to improve semantic interoperability in health data. J Innovat Health Inf 2015; 22:309-15.
  • 9. Legaz-García MDC, Martínez-Costa C, Menárguez-Tortosa M, Fernández-Breis JT. A semantic web based framework for the interoperability and exploitation of clinical models and EHR data. Knowl-Based Syst 2016;105:175-89.
  • 10. Puttini RS, Toffanello AA, Chaim RM, Alves G, Rotzsch JMP, Carvalho EO, et al. Semantic framework for electronic health records. In: 2017 IEEE 11th International Conference on Semantic Computing (ICSC) [Internet]. San Diego, CA, USA: IEEE; 2017: 334-7 pp. Available from: http://ieeexplore.ieee.org/document/ 7889558. [Accessed 15 Nov 2020].
  • 11. Blackman-Lees SM. Towards a conceptual framework for persistent use: a technical plan to achieve semantic interoperability within electronic health record systems. In: Proceedings of the 51st Hawaii International Conference on System Sciences; 2018.
  • 12. Oliveira D, Coimbra A, Miranda F, Abreu N, Leuschner P, Machado J, et al. New approach to an openEHR introduction in a Portuguese healthcare facility. In: Rocha Á, Adeli H, Reis LP, Costanzo S, editors. Trends and advances in information systems and technologies [Internet]. (Advances in Intelligent Systems and Computing). Cham: Springer International Publishing; 2018, vol 747:205-11 pp. Available from: http://link.springer.com/10.1007/978-3-319-77700-9_21. [Accessed 15 Nov 2020].
  • 13. Hong N, Wen A, Shen F, Sohn S, Wang C, Liu H, et al. Developing a scalable FHIR-based clinical data normalization pipeline for standardizing and integrating unstructured and structured electronic health record data. JAMIA Open 2019;2:570-9.
  • 14. Gomes F, Freitas R, Ribeiro M, Moura C, Andrade O, Oliveira M. GIRLS, a gateway for interoperability of electronic health record in low-cost system: interoperability between FHIR and OpenEHR standards. In: 2019 IEEE International Conference on E-health Networking, Application & Services (HealthCom) [Internet]. Bogota, Colombia: IEEE; 2019:1-6 pp. Available from: https://ieeexplore.ieee.org/document/9009602. [Accessed 3 Jun 2021].
  • 15. Kiourtis A, Mavrogiorgou A, Menychtas A, Maglogiannis I, Kyriazis D. Structurally mapping healthcare data to HL7 FHIR through ontology alignment. J Med Syst 2019;43:62.
  • 16. Meng M, Steinhardt S, Schubert A. Application programming interface documentation: what do software developers want? J Tech Writ Commun 2018;48:295-330.
  • 17. HL7 International. HL7 FHIR [Internet]. Available from: http://hl7.org/fhir/.
  • 18. Lange K. The little book on REST services. Copenhagen: RESTful Web Services; 2019, vol. 31. https://www. kennethlange. com/ books/The-Little-Book-on-REST-Services. pdf.
  • 19. Kruse CS, Smith B, Vanderlinden H, Nealand A. Security techniques for the electronic health records. J Med Syst 2017;41:127.
  • 20. Brail G, Ramji S. OAuth - the big picture. Apigee ebook; 2012, vol. 19.
  • 21. Abie H. An overview of firewall technologies. Oslo, Norway: Norwegian Computing Center; 2000, vol. 10:47-52 pp.
  • 22. Chawla BK, Gupta OP, Sawhney BK. A review on IPsec and SSL VPN. Int J Sci Eng Res 2014;5:4.
  • 23. Outen JL. VPN security and methodology, vol 9. 2014.
  • 24. Khattak FK, Jeblee S, Pou-Prom C, Abdalla M, Meaney C, Rudzicz F. A survey of word embeddings for clinical text. J Biomed Inf 2019;4: 100057.
  • 25. Babic K, Martinčic-Ipšic S, Meštrovic A, Guerra F. Short texts semantic similarity based on word embeddings. In: Central European Conference on Information and Intelligent Systems; 2019, vol. 7:1411-20.
  • 26. Mikolov T, Chen K, Corrado G, Dean J. Efficient estimation of word representations in vector space. ArXiv13013781 Cs [Internet]; 2013. Available from: http://arxiv.org/abs/1301.3781. [Accessed 11 Sep 2020].
  • 27. Le QV, Mikolov T. Distributed representations of sentences and documents. ArXiv14054053 Cs [Internet]; 2014. Available from: http://arxiv.org/abs/1405.4053. [Accessed 15 Jun 2021].
  • 28. Bojanowski P, Grave E, Joulin A, Mikolov T. Enriching word vectors with subword information. ArXiv160704606 Cs [Internet]; 2017. Available from: http://arxiv.org/abs/1607.04606. [Accessed 15 Jun 2021].
  • 29. Torregrossa F, Claveau V, Kooli N, Gravier G, Allesiardo R. On the correlation of word embedding evaluation metrics. In: Proceedings of the 12th Conference on Language Resources and Evaluation (LREC 2020); 2020, vol. 9.
  • 30. Borah A, Barman MP, Awekar A. Are word embedding methods stable and should we care about it? ArXiv210408433 Cs [Internet]; 2021. Available from: http://arxiv.org/abs/2104. 08433. [Accessed 21 Jun 2021].
  • 31. Zitouni I, editor. Natural language processing of semitic languages [Internet]. (Theory and Applications of Natural Language Processing). Berlin, Heidelberg: Springer; 2014. Available from: http://link.springer.com/10.1007/978-3-642-45358-8. [Accessed 8 Jun 2021].
  • 32. Calders T, Daelemans W. A formal framework for evaluation of information extraction. n.p.; 2004, vol. 13. Available from: http://www.cnts.ua.ac.be/Publications/2004/DCD04.
  • 33. Dong X, Chowdhury S, Qian L, Li X, Guan Y, Yang J, et al. Deep learning for named entity recognition on Chinese electronic medical records: combining deep transfer learning with multitask bi-directional LSTM RNN. PLoS One 2019;14:e0216046.
  • 34. Gligic L, Kormilitzin A, Goldberg P, Nevado-Holgado A. Named entity recognition in electronic health records using transfer learning bootstrapped neural networks. Neural Network 2020;121:132-9.
  • 35. Singh S. Natural language processing for information extraction. ArXiv180702383 Cs [Internet]; 2018. Available from: http://arxiv.org/abs/1807.02383. [Accessed 25 Jun 2021].
Uwagi
Opublikowane przez De Gruyter. Opracowanie rekordu ze środków MEiN, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2022-2023).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-d5b72952-5baa-4fcb-be54-c8a62a9c4c53
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