Discuss about the EHealth Integration and Interoperability Issues.
Technology implementation in the business organization have been creating a major impact on the development of any company. Enterprise Information Architecture or EIA is a component of the enterprise architecture that helps in maintaining the architecture of the organization. This framework helps in initiating the cost of various elements in the business. EIA has been integrated in the security related issues of the organization (Soceanu, Egner and Moldoveanu 2013). Local government has been facing a lot of problems in making a transparent and accountable platform for the citizen of the country.
This report focuses on the use of Enterprise Information Architecture Reference Architecture approach or EIA for developing national EHR for helping government in providing health services to the citizens. EIA RA or Enterprise Information Architecture Reference Architecture helps in providing a systematic approach for designing a process in the organization for the development and growth in the market (Adenuga, Kekwaletswe and Coleman 2015). The conceptual architecture and operational model have been included in the systematic approach of the EIA for developing National EHR System management.
There has been huge development of the IT infrastructure of the business organization. The national health care systems has been focusing in the use of the advanced technology for providing quality services to the people. The manufacturing of e-health systems have been based on local working of the national health care system (Mudaly et al. 2013). The use of the system might help in minimizing the health issues among individuals. The security of data and information of health craw unit has been main problem file the architecture. However, this new system will be integrated with high security protocol for providing security to data and information. The new system will be integrated with proper updated technology that might help in maintaining the security of the data and information. This new system has been able to maintain the record of patient and care users in the hospitals at different location of the country.
The system have a secured database for storing the data of patients and heath care professionals that help in proper maintenance of the system (Lake et al. 2014). However, the new system helps in providing platform for the professionals to connect with the IT and health care for working together. The features of the new system have been listed below:
However, the above listed eight requirements of the e-health EIS cannot be termed as an exhaustive list and only pertains pertains to be from the aspect of being centered around the citizens and for the social inclusion. The building blocks of the e-health system is provided below.
The logical architecture of the HER system has been integrated with technical functionalities that helps in delivering business oriented conceptual architecture (Bender and Sartipi 2013). There are various functions of the logical architecture that are listed below:
Various situations might arrive in which there is a need pf particular data and the data source is not present. Then this architecture helps in pushing the domain-repositories for extracting the data from the directories management.
However, all the data present in the directories might act as independent directories that hekos in storing data and information of patients positively. This system helps in managing the data and information of patients in a safe place. When the data are pushed into the repositories or are stored in the system of the clinic then a reference of the data would also be stored in the EHR system otherwise a document registry is done (Adler-Milstein, Bates and Jha 2013). However, there is a requirement of data in the application, it uses the HER system for finding the components if records that are displayed.
All the elements in the system can communicate with each other that helps in maintaining a shared network infrastructure using the service protocol. Data and information needs to be registered in the services that allows patients to locate their locations and get instant solution to their problems.
The experts related with social insurance would be the point of convergence of giving the e-wellbeing administration. The clinical framework and the space archives can be considered as the feeder framework for the wellbeing experts and furthermore for the region wide e-wellbeing administrations (Bender and Sartipi 2013).
Alongside this the key subjects are gathered by methods for pushing the information into the arrangements of the stores which are shared. The common storehouses can likewise be sustained by alternate sorts of organizations like the drug stores or the private labs and some more (Duftschmid et al. 2013).
A few information would likewise be kept up at the nearby levels which may incorporate the schools or the directing bodies and some more. The archive record would be in charge of distinguishing the area all the eHealth objects which would be for the most part identified with a specific person which are listed by methods for type, and would likewise be containing the connections of the particular areas of the question (Yang et al. 2015). The pushing of the information to the area storehouses likewise implies that they are getting refreshed in the file also.
The entrance of this information would be given by following a specific arrangement of institutionalized administrations. Every one of these administrations would be related with giving access to the assets display in the segment of the common archives or in the utilizations of the wellbeing specialist applications which may incorporate the inquiry get to administrations by making utilization of the web administrations or for the online administrations by making utilization of the benchmarks.
Reconciliation of the information would be done into the EHR framework which may incorporate the watchers of the EHR in order to use in the wellbeing specialist or by the personals related with giving consideration to the patients (Vest and Kash 2016). It is imperative to investigate the issue that incorporation of information happens by making utilization of the standard administrations which are existing.
There would exist a “HIAL” between both the experts’ mindful giving medicinal services and every one of the members. The parts of the foundation would be related with furnishing fundamental message abilities alongside other regular administrations which may incorporate the unify validation and approval, lining of the messages and work process and furthermore the organization.
The National EHR framework by and large goes for joining the wellbeing related information accumulated from the expansive subordinate administrations which incorporates the drug stores, facilities, lab and some more. The EHR that will be actualized ought to have the ability of bringing in information from different auxiliary frameworks by making utilization of client interfaces or might be related with giving interfaces which would enable the centers to get to the storehouse frameworks by making utilization of the gateways and some more (Marceglia et al. 2015). The general parts of the EHR framework can be characterized into various sorts and this incorporates the accompanying:
This would comprise of the enrollment, exchange, release and affirmation of the information. This segments would be in charge of holding of the fundamental information keeping in mind the end goal to recognize the patients in an exact route took after by surveying them. This may incorporate the name, demography, data of manager and some more. The enrollment procedure of the patient would comprise of giving the patients an interesting identifier which ordinarily incorporates a numeric or alphabetic succession. This identifier would be unidentifiable by the others outside the framework. The identifier that would be given to the patients would be the center piece of the EHR framework and would be related with connecting of the considerable number of tests, techniques, dissensions and some more. This identifier is regularly alluded to as a therapeutic record number or aster understanding file or MPI.
This framework would be the independent framework which would be interfaced with the EHR framework. The research facility data framework or the LIS would be utilized as a center point to incorporate the requests or the outcomes from the instruments in the lab and any kind of managerial data (Dolcini and Sernani 2013). This research center information would be incorporated with the EHR altogether just rarely. This is additionally isolated into two sub parts and this are to be specific the catching of the outcomes from the research center machines and mix with the charging, pictures and results.
For the most part the Radio data framework would be utilized by the radiology division keeping in mind the end goal to tie every one of the patients’ radiology information alongside the pictures. The Radio Information framework or the RIS would comprise of the highlights like following of the patients, booking, picture following and results revealing. The RIS framework would be utilized as a part of conjugation with the photos chronicling interchanges arrangement of the PACS which would be dependable dealing with the investigations of radiography (Mandl et al. 2014). This segment alongside utilizing the RIS for picture filing and correspondence framework would be likewise connected with overseeing different procedures like the stream of work, techniques for requesting, pictures and the outcomes.
This parts can be additionally characterized into different sub-segments and this may incorporate the electronic documentation, nursing segment and automated doctor arrange section or the CPOE. In the EHR framework the CPOE would be utilized to analyze the requirements of the patients and enter the necessities specifically into the PC. Alongside this the electronic documentation would be utilized to document the different notes like the history and physical, agent notes and interview notes. Furthermore, the drug store framework which is incorporated into this segment would be utilized to fill the medicines and keeping up the model for the medications. In conclusion the nursing part would be utilized to allow the accumulation of the data of the patients which are basic.
This is the last part of the EHR framework and would be related with figuring every one of the charges which would be charged amid the way toward giving consideration. Alongside this cases would likewise be produced by this framework and would be submitted to different protection transporters (Mandl et al. 2014).
Conclusion
The associated government would require an eHealth benefit and a National EHR framework which is planned by making utilization of the business standard Enterprise Information Architecture Reference Architecture templets. In the wake of distinguishing the 8 noteworthy particular capacities a framework building piece chart alongside an outline of the design has likewise been given. The report likewise gives the calculated non-specialized perspective of the eHealth undertaking data framework. What’s more, from the reasonable graph the legitimate chart has been drawn which makes an interpretation of al this idea into a data framework which is further down into a few different parts and the segment display has been likewise given in this report. Alongside this the different advantages additionally been appeared.
References
Adenuga, O.A., Kekwaletswe, R.M. and Coleman, A., 2015. eHealth integration and interoperability issues: towards a solution through enterprise architecture. Health information science and systems, 3(1), p.1.
Adler-Milstein, J., Bates, D.W. and Jha, A.K., 2013. Operational health information exchanges show substantial growth, but long-term funding remains a concern. Health Affairs, 32(8), pp.1486-1492.
Bender, D. and Sartipi, K., 2013, June. HL7 FHIR: An Agile and RESTful approach to healthcare information exchange. In Computer-Based Medical Systems (CBMS), 2013 IEEE 26th International Symposium on (pp. 326-331). IEEE.
Da Xu, L., 2014. Enterprise integration and information architecture: a systems perspective on industrial information integration. Auerbach Publications.
DOLCINI, G. and Sernani, P., 2013. A multi-agent architecture for health information systems. Advanced Methods and Technologies for Agent and Multi-Agent Systems, 252, p.375.
Duftschmid, G., Rinner, C., Kohler, M., Huebner-Bloder, G., Saboor, S. and Ammenwerth, E., 2013. The EHR-ARCHE project: Satisfying clinical information needs in a Shared Electronic Health Record System based on IHE XDS and Archetypes. International journal of medical informatics, 82(12), pp.1195-1207.
Lake, D., Milito, R.M.R., Morrow, M. and Vargheese, R., 2014. Internet of things: Architectural framework for ehealth security. Journal of ICT Standardization, 1(3), pp.301-328.
Mandl, K.D., Kohane, I.S., McFadden, D., Weber, G.M., Natter, M., Mandel, J., Schneeweiss, S., Weiler, S., Klann, J.G., Bickel, J. and Adams, W.G., 2014. Scalable collaborative infrastructure for a learning healthcare system (SCILHS): architecture. Journal of the American Medical Informatics Association, 21(4), pp.615-620.
Marceglia, S., Fontelo, P., Rossi, E. and Ackerman, M.J., 2015. A standards-based architecture proposal for integrating patient mHealth apps to electronic health record systems. Applied clinical informatics, 6(03), pp.488-505.
Mudaly, T., Moodley, D., Pillay, A. and Seebregts, C.J., 2013, November. Architectural frameworks for developing national health information systems in low and middle income countries. In Enterprise Systems Conference (ES), 2013 (pp. 1-9). IEEE.
Soceanu, A., Egner, A. and Moldoveanu, F., 2013, May. Towards interoperability of eHealth system networked components. In Control Systems and Computer Science (CSCS), 2013 19th International Conference on (pp. 147-154). IEEE.
Vest, J.R. and Kash, B.A., 2016. Differing Strategies to Meet Information?Sharing Needs: Publicly Supported Community Health Information Exchanges Versus Health Systems’ Enterprise Health Information Exchanges. The Milbank Quarterly, 94(1), pp.77-108.
Yang, J.J., Li, J., Mulder, J., Wang, Y., Chen, S., Wu, H., Wang, Q. and Pan, H., 2015. Emerging information technologies for enhanced healthcare. Computers in Industry, 69, pp.3-11.
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