Skip to main content

System Integration Issues for Next-Generation Remote Healthcare System

  • Chapter
  • First Online:

Abstract

The system integration is always a terrible headache for IT technologists. Several aspects are related to a proper integration of different components and services into remote healthcare solution. Furthermore the overall integration issue cannot be regarded only from a technical point of view but it has to take into account aspects such as deployment scenario, service organization, educational and business context, resource sharing with other services. The system integration is a crucial activity and requires to be properly planned, it is based on system and service architecture design however it must be empowered taking into account use case and deployment scenario, functional and technical specification and interoperability requirements with other services. Due to the variety and complexity of system integration, in this chapter only some of the major issues related to system integration are taken into account; in particular the authors have selected the following main issues: system integration topics checklist; the interoperability and portability of data as one of the crucial aspects enabling system integration and proper deployment of solutions into the healthcare domain; structured approach for solution deployment; the user interface design as basic aspect to engage the medical professionals. Finally the critical issues are raised breaking down the lessons learnt.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Beale T, Heard S, Kalra D, Lloyd D (2007) The openEHR reference model—EHR information model. [Online] openEHR foundation [Cited: 15 June 2013]. www.openehr.org/releases/1.0.1/architecture/rm/ehr_im.pdf

  • Bernstein K, Tvede I et al (2009) Can openEHR archetypes be used in a national context? The Danish archetype proof-of-concept project. Stud Health Technol Inform 150:147–151

    Google Scholar 

  • Blobel B (2010) Architectural approach to eHealth for enabling paradigm changes in health. Methods Inf Med 49(2):123–134

    Article  Google Scholar 

  • Chen R, Klein G et al (2009) Archetype-based conversion of EHR content models: pilot experience with a regional EHR system. BMC Med Inform Decis Making 9(1):33

    Article  Google Scholar 

  • Collins (2013) Portability. http://www.collinsdictionary.com/dictionary/english/portability. Accessed 15 Jun 2013

  • Duftschmid G, Wrba T et al (2010) Extraction of standardized archetyped data from electronic health record systems based on the entity-attribute-value model. Int J Med Inform 79(8):585–597

    Article  Google Scholar 

  • Edelstein L (1943) The Hippocratic oath: text, translation, and interpretation. Johns Hopkins Press, Baltimore, MD

    Google Scholar 

  • European Commission (2007) Article 29—“Data Protection Working Party”. Working document on the processing of personal data relating to health in electronic health records (EHR), WP131. http://ec.europa.eu/justice/policies/privacy/docs/wpdocs/2007/wp131_en.pdf

  • European Commission—DG Information Society/Q-REC (2007) Inventory of relevant standards for EHR systems. European Commission—DG Information Society/Q-REC, Brussels

    Google Scholar 

  • Glazer I, Blakley B (2009) Identity and privacy strategies—privacy. Burton Group, Portland

    Google Scholar 

  • Henry T (2009) Security and risk management strategies, information confidentiality. Burton Group, Portland

    Google Scholar 

  • Iakovidis I, Dogac A et al (2007) Interoperability of eHealth systems‚ a selection of recent EU’s Research Programme Development. eHealth: Combining Health Telematics, Telemedicine Biomedical Engineering and Bioinformatics to the Edge, Regensburg, Germany

    Google Scholar 

  • Institute of Electrical and Electronics Engineers (IEEE) (2007) The role of standards in engineering and technology. http://www.ieee.org/education_careers/education/standards/standards_glossary.html. Accessed 15 June 2013

  • ISO/DTR 20514 (2005) Health informatics—electronic health record: definition, scope and context. http://www.iso.org/iso/home/store/catalogue_tc/catalogue_detail.htm?csnumber=39525. Accessed 15 June 2013

  • Jacobson I, Grady B, Rumbaugh JE (1999) The unified software development process—the complete guide to the unified process from the original designers. Addison-Wesley, Reading

    Google Scholar 

  • Kabak Y, Dogac A, Köse I, Akpinar N, Gürel M, Arslan Y et al (2008) The use of HL7 CDA in the National Health Information System (NHIS) of Turkey. In: Ninth international HL7 interoperability conference (IHIC), Crete, Greece, pp 49–55

    Google Scholar 

  • Kruchten P (2003) The rational unified process an introduction. Addison-Wesley, Boston

    Google Scholar 

  • Leslie H, Heard S (2006) Building archetypes. In: Proceeding of learn about openEHR, CEN and SNOMED. Ocean Informatics and the National Centre for Classification in Health Australia

    Google Scholar 

  • LinkEHR (2011) LinkEHR. [Online] Biomedical Informatics Group. Universidad Politécnica de Valencia [Cited: 15 June 2013]. http://www.linkehr.com/

  • LiU Archetype Editor (2007) LiU Archetype Editor. [Online] Linköpings universitet. Institutionen för medicinsk teknik [Cited: 15 June 2013]. http://www.imt.liu.se/mi/ehr/tools/

  • Main T, Slywotzky A (2012) The volume-to-value revolution. Oliver Wyman, New York

    Google Scholar 

  • Marand & IBS (2013) Marand provides IBS with Think!Med EHR platform to create information infrastructure for electronic healthcare in Moscow. http://en.ibs.ru/content/eng/703/7039-article.asp. Accessed 15 June 2013

  • McCay C, Kalra D, Worden R (2008) Results of investigating the transformability between HL7 V3, openEHR and EN/ISO 13606. NHS Connecting for Health, Leeds

    Google Scholar 

  • MDA Success Story, OMG (2013). M1 Global Solutions. Model driven software development and offshore outsourcing. http://www.omg.org/mda/mda_files/M1Global.htm. Accessed 15 June 2013

  • Murray PJ, Wright G, Karopka T, Betts H, Orel A (2009) Open source and healthcare in Europe—time to put leading edge ideas into practice. Stud Health Technol Inform 150:963–967

    Google Scholar 

  • NEHTA CKM (2012) NEHTA CKM. [Online] NEHTA CKM [Cited: 15 June 2013]. http://dcm.nehta.org.au/ckm/

  • Niski J (2008) Application security frameworks. Burton Group, Portland

    Google Scholar 

  • OASIS (2008) Reference architecture for service oriented architecture version 1.0. OASIS Standard Specification

    Google Scholar 

  • Ocean Archetype Editor (2012) Ocean Archetype Editor. [Online] Ocean Informatics [Cited: 15 June 2013]. http://wiki.oceaninformatics.com/confluence/display/TTL/Archetype+Editor+Releases

  • OpenEHR Foundation (2010) Clinical Knowledge Manager [Cited: 15 June 2013]. http://www.openehr.org/ckm/

  • openEHR Foundation (2012) What is openEHR? [Online] openEHR Foundation [Cited: 15 June 2013]. http://www.openehr.org/what_is_openehr

  • openEHR Healthcare Providers and Authorities (2012) openEHR Healthcare Providers and Authorities. openEHR Foundation. http://www.openehr.org/who_is_using_openehr/healthcare_providers_and_authorities. Accessed 15 June 2013

  • openEHR Wikipedia (2011) Wikipedia. http://en.wikipedia.org/wiki/OpenEHR. Accessed 15 June 2013

  • Prince R (2003–2005) Using RUP/UP: 10 easy steps—a practical guide. Toolbox: a knowledge sharing community [Online]. http://hosteddocs.ittoolbox.com/RP092305.pdf

  • Semantic HEALTH (2009) Semantic interoperability for better health and safer healthcare. Semantic Health Report. European Commission. Information Society and Media Directorate-General, Luxembourg

    Google Scholar 

  • Stroetman KA, Artmann J, Stroetman VN et al (2011) European countries on their journey towards national eHealth infrastructures. eHealth strategies report. http//www.epsos.eu

  • Swedish openEHR CKM (2010) Swedish openEHR CKM. [Online] Swedish openEHR [Cited: 15 June 2013]. http://sllocean.karolinska.se/ckm/

  • Think!Med Clinical (2013) Marand. http://www.marand-thinkmed.com/. Accessed 15 June 2013

  • Wikipedia (2013) Software portability. http://en.wikipedia.org/wiki/Software_portability. Accessed 15 June 2013

  • Williams G (2003) Telehealth—a keystone for future healthcare delivery. Health Informatics Europe [Online]. http://www.hi-europe.info/files/2003/9994.htm. Accessed 11 Mar 2003

    Google Scholar 

  • Yong H, Jinqiu G, Ohta Y (2008) A prototype model using clinical document architecture (CDA) with a Japanese local standard: designing and implementing a referral letter system. Acta Med Okayama 62(1):15–20

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cristiano Paggetti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Paggetti, C., Barca, C.C., Rodríguez, J.M. (2014). System Integration Issues for Next-Generation Remote Healthcare System. In: Maharatna, K., Bonfiglio, S. (eds) Systems Design for Remote Healthcare. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8842-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8842-2_8

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8841-5

  • Online ISBN: 978-1-4614-8842-2

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics