PubMed Health⌕ Search

PubMed · 16798069

Implementing a new ADT based on the HL7 version 3 RIM.

Abstract

The University Hospitals of Geneva (HUG) are the result of the merge of six hospitals into one single organization. While a true fusion of the management has been effectively done, it was not the case 5 years after for several databases, and in particular the ADT (admission, discharge, transfer). In order to truly realize the fusion, a new ADT service has been built using state of the art technology and standards in order to replace the existing seven services. This paper presents the results of the redesign and development of the new ADT service. The data model, based on HL7 RIM, is described and the technologies selected are presented. Finally, a status after 1 year of production is presented.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Stéphane Spahni, Christian Lovis, Richard Mercille, Hervé Verdel, Michel Cotten, Antoine Geissbühler. 2006-06-23. Implementing a new ADT based on the HL7 version 3 RIM.. https://doi.org/10.1016/j.ijmedinf.2006.05.006

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

[Plea for the retention of the Dutch National Medical Registration (LMR) to provide reliable information regarding public health and healthcare].

Since 1963, information on each hospital admission has been collected from all general and university hospitals in the Netherlands (the 'Landelijke Medische Registratie'; LMR). This information includes, among others, one main discharge diagnosis and up to nine secondary diagnoses made during admission, the duration of the hospital stay, death during admission, times of admission and discharge, type of specialist who treated the patient, operations and related therapeutic procedures. This information system is not biased by financial incentives and is therefore a good resource for epidemiological studies and drug-safety research. As of 2005, a new type of administration has been introduced that records diagnosis-therapy combinations for reimbursement purposes. Because the reimbursement of closely related diagnosis-therapy combinations may differ, the system is not only sensitive to fraud but will probably also jeopardise the validity of epidemiological research with such data. Therefore, the LMR system cannot be missed.

Hospital Information Systems↗

The product and process of referral: optimizing general practitioner-medical specialist interaction through information technology.

With the growing complexities of health care delivery in western industrialized countries, the need for inter-organizational communication is increasingly emphasized. In this paper, we focus on a system - ZorgDomein - that was developed to optimize GP-medical specialist communication. Contrary to the notion of 'shared' or 'integrated care' that often assumes a 'seamless' health care, we will focus on the negotiated order of GP-specialist cooperation, showing the precarious localized arrangements that allow both a bridging and a separation of professional activities concerning patient care. Furthermore, we analyze how ZorgDomein changes the arrangements to maintain a working order. The main focus of the article is on the way GP-specialist referrals are on the one hand conceptualized as discrete events of information sharing, while on the other hand are part of a process of care. We will argue that in standardization attempts by national and local actors, embodied within the technology, information exchange between first and secondary care is made into a product. This conceptualization and materialization neglects the process in which this information comes about or is being created. We discuss the consequences of this for the design and use of the technology.

Hospital Information Systems↗

Semantic integration in healthcare networks.

A seamless support of information flow for increasingly distributed healthcare processes requires to integrate heterogeneous IT systems into a comprehensive distributed information system. Different standards contribute to ease this integration. In a research project focussing on the development of a reference architecture for inter-institutional health information systems, we identified concurring standards currently in use. We therefore categorized these integration standards by distinguishing between technical and semantic integration on the one hand, and data and functional integration on the other hand. In addition, standards for semantic integration are roughly categorized according to their scope. By placing standards into a corresponding matrix a "semantic gap" is revealed, which cannot be covered by standards as it contains volatile medical concepts. As a conclusion, it is recommended to conceptually consider the necessity of system evolution in system architectures and also in future integration standards.

Hospital Information Systems↗