Sustainable ubiquitous home health care -- architectural considerations
and first practical experiences
Proceedings of the 12th World Congress on Health (Medical) Informatics
-- Building Sustainable Health Systems. MEDINFO2007, 20.-24.08.2007,
Brisbane, Australia, volume 129 of Stud Health Technol Inform, page 8--12. Amsterdam, IOS Press, (August 2007)Abstract
Despite the abundance of past home care projects and the maturity
of the technologies used, there is no widespread dissemination as
yet. The absence of accepted standards and thus interoperability
and the inadequate integration into transinstitutional health information
systems (tHIS) are perceived as key factors. Based on the respective
literature and previous experiences in home care projects we propose
an architectural model for home care as part of a transinstitutional
health information system using the HL7 clinical document architecture
(CDA) as well as the HL7 Arden Syntax for Medical Logic Systems.
In two short case studies we describe the practical realization of
the architecture as well as first experiences. Our work can be regarded
as a first step towards an interoperable - and in our view sustainable
- home care architecture based on a prominent document standard from
the health information system domain.
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