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EN
Patient summary documents provide crucial information about a patient, like allergies and adverse reactions, which are necessary for an efficient and safe treatment and offer a quick overview of the patients health status. Automatically generating patient summaries from Electronic Health Records (EHR) reduces the workload of medical personnel. Nevertheless, existing approaches do not take several challenges that occur in live operation into account. Based on a health standardcompliant approach, a system for on-demand generation of patient summaries was implemented and evaluated using real data. This work shows several problems which could be identified.Those problems are not covered sufficiently by current research. Possible approaches to a solution are suggested, which have to be further investigated in future work.
EN
The publication of the HL7-FHIR standard offers new possibilities for integrated applications in healthcare. Although trial implementations have only recently started, the application of FHIR in context of a Personal Health Monitoring solution is worth investigating. Most of the existing telemonitoring solutions in healthcare rely on guidelines defined by the Continua Health Alliance (CHA). This paper compares the requirements of CHA and HL7-FHIR with respect to data traffic between client devices and server side applications. Therefore an existing CHA-compliant telemonitoring solution is extended towards supporting HL7-FHIR. Both approaches were simultaneously evaluated in a live system with 68 participants. The results of the evaluation show that the FHIR approach offers the possibility of reducing data traffic in comparison to the CHA solution.
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