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Developing a Systematic Architecture Approach for Designing an Enhanced Electronic Medical Record (EEMR) System.

机译：开发用于设计增强型电子病历（EEMR）系统的系统体系结构方法。

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摘要

The Healthcare industry is characterized by its complexity in delivering care to the patients. Accordingly, healthcare organizations adopt and implement Information Technology (IT) solutions to manage complexity, improve quality of care, and transform to a fully integrated and digitized environment. Electronic Medical Records (EMR), which is generally defined as the digitized representation of the processes of patient diagnosis has become one of the most recent innovations and technological trends in healthcare industry. The development of an EMR System is one of the highest priorities among healthcare organizations around the world. However, the issues surrounding the development of a fully integrated EMR System, which is urgently required, are also the most difficult to solve. Healthcare organizations are still struggling to achieve an efficient and effective care delivery due to the failure of systems integration efforts, lack of semantic interoperability, and lack of patient-provider electronic communication.;This research utilized a systematic architecture approach to design and develop a conceptual solution for the integration of an existing EMR System with other EMR Systems and medical information systems such as Laboratory Information System (LIS). The resulted integrated system is an enhanced, interoperable, and accessible EMR System. The proposed conceptual solution has been researched and designed based upon well respected industry architectural standards and frameworks including the architectural descriptions from ISO/IEC 42010—adapted from IEEE Standard 1471-2000 in 2007—The Open Group Architecture Framework (TOGAF), and the Doctor of Management in Information Technology (DMIT) Meta-Model. The conceptual solution provided is an agile, innovative, and systematic approach to overcome the systems integration issues and challenges faced by healthcare organization.;The conceptual solution was demonstrated by developing a prototype for the enhanced EMR (EEMR) System. The prototype included two different infrastructure implementations one which is based on cloud-computing and a second with a centralized database. The prototype was evaluated against the integration and interoperability requirements identified in the conceptual solution. The prototype was able to provide immediate access to the required information, and achieve an acceptable degree of semantic interoperability.
机译：医疗保健行业的特点是向患者提供护理的复杂性。因此，医疗保健组织采用并实施信息技术（IT）解决方案来管理复杂性，提高护理质量并转变为完全集成的数字化环境。电子病历（EMR）通常被定义为患者诊断过程的数字化表示，已成为医疗保健行业中的最新创新和技术趋势之一。 EMR系统的开发是全球医疗机构中的最高优先事项之一。但是，迫切需要围绕开发完全集成的EMR系统的问题也是最难解决的问题。由于系统集成工作的失败，缺乏语义互操作性以及缺乏患者提供者的电子通信，医疗保健组织仍在努力实现有效的护理服务；本研究利用系统的体系结构方法来设计和开发概念解决方案，用于将现有的EMR系统与其他EMR系统和医学信息系统（例如实验室信息系统（LIS））进行集成。最终的集成系统是一个增强的，可互操作且可访问的EMR系统。建议的概念解决方案是根据受人尊敬的行业体系结构标准和框架进行研究和设计的，包括ISO / IEC 42010的体系结构说明（2007年根据IEEE标准1471-2000进行了改进），开放组体系结构框架（TOGAF）和Doctor信息技术（DMIT）元模型管理学院。提供的概念解决方案是一种敏捷，创新且系统的方法，可以克服医疗保健组织所面临的系统集成问题和挑战。;通过开发增强型EMR（EEMR）系统的原型来演示该概念解决方案。该原型包括两种不同的基础架构实现，一种基于云计算，另一种具有集中式数据库。根据概念解决方案中确定的集成和互操作性要求对原型进行了评估。该原型能够立即访问所需的信息，并实现可接受程度的语义互操作性。

著录项

  • 作者

    Aldukheil, Maher A.;

  • 作者单位

    Lawrence Technological University.;

  • 授予单位 Lawrence Technological University.;
  • 学科 Information Technology.;Health Sciences Health Care Management.
  • 学位 D.M.I.T.
  • 年度 2013
  • 页码 241 p.
  • 总页数 241
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 世界史;
  • 关键词

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