Abstract
The generic concept of interoperability is briefly reviewed, before describing the approach taken in defining eHealth interoperability, based on a reflection of the diverse needs for exchanging patient, other healthcare and health system data with the aim to improve the overall quality and efficiency of healthcare provision. Next, the method applied for collecting global good practice evidence from national or district eHealth platforms is outlined. The information collected led us to revisit the concept of eHealth interoperability levels; a modified concept is presented identifying four distinct domains, and the identification of three levels for the data and access domain. The results are discussed under the perspective of ‘Who needs why how much inter-operability?’ - including the impact of healthcare provider incentives, size of patient population, and the benefits from interoperability on the concrete instantiation of an interoperability platform. Finally, conclusions are drawn on the role of eHealth interoperability for better healthcare.
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References
Study on Interoperable eSystems for Africa Enhanced by Satellites, http://www.isaes.org
ESA - European Space Research and Technology Centre (ESTEC). Statement of Work: Satellite-Enhanced Telemedicine and eHealth for sub-Saharan Africa (eHSA) Programme - Study on Interoperability, Noordwijk, The Netherlands (2012)
Satellite-enhanced eHealth for sub-Saharan Africa Programme (eHSA), http://iap.esa.int/ehsa
C4ISR Architectures Working Group: Levels of Information Systems Interoperability. U.S. DoD, OSD (C3I), CIO, Director for Architecture and Interoperability, Washington, DC (1998)
Miller, P.: Interoperability. What is it and why should I want it? Ariadne Online (24) (June 3, 2000), http://www.ariadne.ac.uk/issue24/interoperability/
Morris, E., et al.: System of Systems Interoperability (SOSI): Final Report. Carnegie Mellon Software Engineering Institute for the SEI Joint Program Office (2004)
European Commission. European Interoperability Framework for Pan-European eGovernment Services. Official Publications of the European Communities, Luxembourg (2004)
ETSI: SOS Interop. - Standards, Open Standards and Interoperability (A series of Workshops for Industry, Standards Bodies and Policy Makers) (2005, 2006), http://www.etsi.org/standards/how-does-etsi-make-standards/18-services/457-sos-interoperability
Ibid.: Hill, J.L.: A Conceptual Model of ICT Interoperability (2005)
Novakouski, M., Lewis, G.A.: Interoperability in the e-Government Context. Software Engineering Institute, Carnegie Mellon University, Pittsburgh, PA (January 2012)
i2-Health - Interoperability Initiative for a European eHealth Area: European eHealth Interoperability Roadmap, Final Public Project Report, Bonn/Brussels (December 2007), http://www.i2-health.eu/
European Commission. Connected Health: Quality and Safety for European Citizens. Report of the Unit ICT for Health in collaboration with the i2010 sub-group on eHealth and the eHealth stakeholders’ group. Towards A European Roadmap For Achieving eHealth Interoperability, vol. 6. European Commission, Brussels (2006)
Stroetmann, V.N., et al.: Semantic Interoperability for Better Health and Safer Healthcare. In: SemanticHEALTH. European Commission, Luxembourg (2009)
Mead, C.N.: Committee on the Review of the) Adoption and Implementation of Health IT Standards by the DHHS. Office of the National Coordinator for Health Information Technology (September 17, 2007), http://www.iom.edu/activities/workforce/healthitstandards/2007-sep-16/agenda-meeting-1-review-of-the-adoption-and-implementation-of-health-it-standards-by-the-dhhs-office-of-the-national-coordinator-for-health-information-technology.aspx
Stroetmann, K.A., et al.: Towards an Interoperability Framework for a European e-Health Research Area – Locating the Semantic Interoperability Domain (2005), http://www.who.int/entity/classifications/terminology/en/stroetmann.pdf
CALLIOPE (CALL for InterOPErability): EU eHealth Interoperability Roadmap. European Commission, Brussels (December 2010), http://www.calliope-network.eu
ISO. Health informatics — Capacity-based eHealth architecture roadmap — Part 2: Architectural components and maturity model. ISO/TC 215/SC N 721, draft (2013)
Porter, M.: Competitive Advantage. The Free Press, New York (1985)
Stroetmann, K., et al.: European countries on their journey towards national eHealth infrastructures. Office for Official Publications of the European Communities (2011)
Canada Health Infoway: Category Archives: Global Perspectives, http://infowayconnects.infoway-inforoute.ca/blog/global-perspectives/
Greenfield Management Solutions: Satellite-Enhanced Telemedicine and eHealth for Sub-Saharan Africa (eHSA) Programme, Study on Regulatory Aspects: Summary Report, Kimberly (2013)
Logica: eHealth for Sub-Saharan Africa (eHSA) – Governance study (2013), http://iap.esa.int/projects/health/ehsa-governance
Integrating the healthcare Enterprise, http://en.wikipedia.org/wiki/Integrating_the_Healthcare_Enterprise ; www.ihe.net/
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Stroetmann, K.A. (2014). Health System Efficiency and eHealth Interoperability – How Much Interoperability Do We Need?. In: Rocha, Á., Correia, A., Tan, F., Stroetmann, K. (eds) New Perspectives in Information Systems and Technologies, Volume 2. Advances in Intelligent Systems and Computing, vol 276. Springer, Cham. https://doi.org/10.1007/978-3-319-05948-8_38
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DOI: https://doi.org/10.1007/978-3-319-05948-8_38
Publisher Name: Springer, Cham
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