International Journal of Medical Informatics
Volume 79, Issue 8 , Pages 585-597 , August 2010

Extraction of standardized archetyped data from Electronic Health Record systems based on the Entity-Attribute-Value Model

Received 4 June 2009 ,Revised 29 April 2010 ,Accepted 30 April 2010.

References 

  1. Commission of the European Communities, e-Health—Making Healthcare Better for European Citizens: An Action Plan for a European e-Health Area, 2004, Available at: http://ec.europa.eu/information_society/doc/qualif/health/COM_2004_0356_F_EN_ACTE.pdf (accessed January 26, 2010).
  2. Dorda W, Duftschmid G, Gerhold L, Gall W, Gambal J. Austria's Path toward nationwide Electronic Health Record's. Methods Inf. Med. 2008;47(2):117–123
  3. European Commission, eHealth Priorities and Strategies in European Countries, 2007, Available at: http://ec.europa.eu/information_society/activities/health/docs/policy/ehealth-era-full-report.pdf (accessed January 26, 2010).
  4. European Commission, European Patients Smart Open Services (epSOS), 2009, Available at: http://www.epsos.eu/ (accessed January 25, 2010).
  5. P. Gibbons, N. Arzt, S. Burke-Beebe, C. Chute, G. Dickinson, T. Flewelling et al. (Health Level Seven EHR Interoperability Work Group). Coming to Terms: Scoping Interoperability for Health Care, 2007, Available at: http://www.hln.com/assets/pdf/Coming-to-Terms-February-2007.pdf (accessed January 26, 2010).
  6. European Committee for Standardization, EN 13606 Electronic Healthcare Record Communication, 2007, Available at: http://www.cen.eu/ (accessed January 25, 2010).
  7. International Organization for Standardization, ISO 13606 Electronic Health Record Communication, 2008, Available at: http://www.iso.org/ (accessed January 25, 2010).
  8. T. Beale, Archetypes, Constraint-based Domain Models for Futureproof Information Systems, 2001, Available at: http://www.openehr.org/publications/archetypes/archetypes_beale_web_2000.pdf (accessed January 25, 2010).
  9. Kalra D, Blobel BG. Semantic interoperability of EHR systems. Stud. Health Technol. Inform. 2007;127:231–245
  10. Hoy D, Hardiker NR, McNicoll IT, Westwell P. A feasibility study on clinical templates for the National Health Service in Scotland. Stud. Health Technol. Inform. 2007;129(Pt 1):770–774
  11. Hoy D, Hardiker NR, McNicoll IT, Westwell P, Bryans A. Collaborative development of clinical templates as a national resource. Int. J. Med. Inform. 2009;78(Supplement 1):95–100
  12. National Health Service (NHS)—Connecting for Health (CFH), The NHS Clinical Models Project, 2008, Available at: http://www.ehr.chime.ucl.ac.uk/display/nhsmodels/ (accessed January 25, 2010).
  13. International Organization for Standardization, ISO/TR 20514:2005 Health Informatics – Electronic Health Record – Definition, Scope and Context, 2005, Available at: http://www.iso.org/iso/iso_catalogue/catalogue_tc/catalogue_detail.htm?csnumber=39525 (accessed January 25, 2010).
  14. Garde S, Knaup P, Hovenga E, Heard S. Towards semantic interoperability for electronic health records. Methods Inf. Med. 2007;46(3):332–343
  15. Chen R, Klein GO, Sundvall E, Karlsson D, Ahlfeldt H. Archetype-based conversion of EHR content models: pilot experience with a regional EHR system. BMC Med. Inform. Decis. Mak. 2009;9:33
  16. Beck P, Truskaller T, Rakovac I, Cadonna B, Pieber TR. On-the-fly form generation and on-line metadata configuration—a clinical data management Web infrastructure in Java. Stud. Health Technol. Inform. 2006;124:271–276
  17. Brandt CA, Deshpande AM, Lu C, Ananth G, Sun K, Gadagkar R, et al. TrialDB: a web-based clinical study data management system. In: AMIA Annu. Symp. Proc.. 2003;p. 794
  18. Nadkarni PM, Brandt C, Frawley S, Sayward FG, Einbinder R, Zelterman D, et al. Managing attribute—value clinical trials data using the ACT/DB client-server database system. J. Am. Med. Inform. Assoc. 1998;5(2):139–151
  19. Anhoj J. Generic design of Web-based clinical databases. J. Med. Internet Res. 2003;5(4):e27
  20. Friedman C, Hripcsak G, Johnson S, Cimino J, Clayton P. A generalized relational schema for an integrated clinical patient database. In: Proc. Annu. Symp. Comp. Appl. Med. Care, November 1990. Los Alamitos, CA: IEEE Computer Society Press; 1990;p. 340–344
  21. Dinu V, Nadkarni P. Guidelines for the effective use of entity-attribute-value modeling for biomedical databases. Int. J. Med. Inform. 2007;76(11–12):769–779
  22. Dorda W, Wrba T, Duftschmid G, Sachs P, Gall W, Rehnelt C, et al. ArchiMed: a medical information and retrieval system. Methods Inf. Med. 1999;38(1):16–24
  23. Duftschmid G, Gall W, Eigenbauer E, Dorda W. Management of data from clinical trials using the ArchiMed system. Med. Inform. Internet Med. 2002;27(2):85–98
  24. Lopez DM, Blobel B. Enhanced semantic interoperability by profiling health informatics standards. Methods Inf. Med. 2009;48(2):170–177
  25. Maldonado JA, Moner D, Boscá D, Fernández-Breis JT, Angulo C, Robles M. LinkEHR-Ed: a multi-reference model archetype editor based on formal semantics. Int. J. Med. Inform. 2009;78(8):559–570
  26. Maldonado JA, Moner D, Tomas D, Angulo C, Robles M, Fernandez JT. Framework for clinical data standardization based on archetypes. Medinfo. 2007;12(Pt 1):454–458
  27. Ronald Bourret, XML-DBMS—Middleware for Transferring Data between XML Documents and Relational Databases, 2009, Available at: http://www.rpbourret.com/xmldbms/ (accessed January 25, 2010).
  28. Nadkarni PM, Marenco L, Chen R, Skoufos E, Shepherd G, Miller P. Organization of heterogeneous scientific data using the EAV/CR representation. J. Am. Med. Inform. Assoc. 1999;6(6):478–493
  29. Rinner C, Janzek-Hawlat S, Sibinovic S, Duftschmid G. Semantic validation of standard based electronic health record documents with W3C XML Schema. Methods Inf. Med. 2010;49(3):271–280
  30. Janzek-Hawlat S, Kuttin O, Sibinovic S, Duftschmid G. Automatisierte Generierung von XML-Schemata aus EN/ISO 13606 Archetypen. In: eHealth2009 & eHealth Benchmarking 2009—Medical Informatics meets eHealth. Austria, Vienna. 2009;p. 69–75(German)
  31. Z. Tun, L.J. Bird, A. Goodchild (CRC for Enterprise Distributed Systems: University of Queensland), Validating Electronic Health Records Using Archetypes and XML, 2002, Available at: http://citeseer.ist.psu.edu/tun02validating.html (accessed January 25, 2010).
  32. Duftschmid G, Wrba T. A tool for the design of clinical forms supporting end-user integration. Med. Inform. Internet Med. 2004;29(1):29–41
  33. Biomedical Informatics Group at the Technical University of Valencia, The LinkEHR Project, 2008, Available at: http://www.linkehr.com/ (accessed January 25, 2010).
  34. Martinez I, Fernandez J, Galarraga M, Serrano L, de Toledo P, Escayola J, et al. Implementation experience of a patient monitoring solution based on end-to-end standards. In: Conf. Proc. IEEE Eng. Med. Biol. Soc. 2007. 2007;p. 6426–6429
  35. Martinez-Costa C, Menarguez-Tortosa M, Fernandez-Breis JT, Maldonado JA. A model-driven approach for representing clinical archetypes for Semantic Web environments. J. Biomed. Inform. 2009;42(1):150–164
  36. Smith K, Kalra D. Electronic health records in complementary and alternative medicine. Int. J. Med. Inform. 2008;77(9):576–588
  37. Kabak Y, Dogac A, Köse I, Akpinar N, Gürel M, Arslan Y, et al. The use of HL7 CDA in the National Health Information System (NHIS) of Turkey. In: 9th International HL7 Interoperability Conference (IHIC) 2008. Greece, Crete. 2008;p. 49–55
  38. Dolin RH, Alschuler L, Boyer S, Beebe C, Beilen FM, Biron PV, et al. HL7 clinical document architecture, Release 2. J. Am. Med. Inform. Assoc. 2006;13(1):30–39
  39. Bird L, Goodchild A, Tun Z. Experiences with a two-level modelling approach to electronic health records. J. Res. Prac. Inf. Tech. 2003;35(2):121–138
  40. Munoz A, Somolinos R, Pascual M, Fragua JA, Gonzalez MA, Monteagudo JL, et al. Proof-of-concept design and development of an EN13606-based electronic health care record service. J. Am. Med. Inform. Assoc. 2007;14(1):118–129
  41. Integrating the Healthcare Enterprise (IHE), IT Infrastructure Technical Framework, vol. 1 (ITI TF-1, chapter 10), vol. 2 (ITI TF-2, chapter 3.14 and Appendix L), 2007, Available at: http://www.ihe.net/technical_framework/index.cfm#IT (accessed January 25, 2010).
  42. T. Beale, S. Heard, D. Kalra, D. Lloyd, The openEHR Reference Model—Common Information Model, 2008, Available at: http://www.openehr.org/releases/1.0.2/architecture/rm/common_im.pdf (accessed January 25, 2010).
  43. European Committee for Standardization, CEN/TS 14796 Health informatics–Data types, 2004, Available at: http://www.cen.eu/ (accessed January 25, 2010).

PII: S1386-5056(10)00096-1

doi: 10.1016/j.ijmedinf.2010.04.007

International Journal of Medical Informatics
Volume 79, Issue 8 , Pages 585-597 , August 2010