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Enabling flexible integration of healthcare information using the entity-attribute-value storage model.

Löper D, Klettke M, Bruder I, Heuer A - Health Inf Sci Syst (2013)

Bottom Line: Therefore, a digital patient care record is introduced to establish the foundation for integrating healthcare-related information.The time for traversing the results strongly depends on the number of documents.The underlying database structure is presented, the import process for extracting incoming reports is described and the export process for generating new outgoing standardized reports is briefly illustrated.

View Article: PubMed Central - PubMed

Affiliation: Database Research Group, University of Rostock, 18051 Rostock, Germany.

ABSTRACT

Background: For an optimal care of patients in home healthcare, it is essential to exchange healthcare-related information with other stakeholders. Unfortunately, paper-based documentation procedures as well as the heterogeneity between information systems inhibit a well-regulated communication. Therefore, a digital patient care record is introduced to establish the foundation for integrating healthcare-related information.

Methods: For the digital patient care record, suitable integration techniques are required that store data in a compact way and offer flexibility as well as robustness. For this purpose, a generic storage structure based on the entity-attribute-value (EAV) model is introduced. This storage structure fulfills the stated requirements and incoming information can be stored directly without any loss of data.

Evaluation results and discussions: First performance tests regarding the query response time are given in this paper. The tests measured the connection time, the query execution time, and the time for traversing the result set. The time for executing the query is lowest. The time for traversing the results strongly depends on the number of documents. A concept comparison to other integration techniques is also presented.

Conclusions: This approach offers flexibility concerning different standard types and the evolution in healthcare knowledge and processes. It also allows for highly sparse data to be stored in a compact way. The underlying database structure is presented, the import process for extracting incoming reports is described and the export process for generating new outgoing standardized reports is briefly illustrated.

No MeSH data available.


Vision of Information Integration in Home Healthcare. This figure shows the synchronization between the care information system in the home healthcare’s office, the mobile device that the nurse is going to be equipped with and the storage device which is supposed to reside in the patient’s home. The information exchange with other care stakeholders via standardized reports is also depicted.
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Fig1: Vision of Information Integration in Home Healthcare. This figure shows the synchronization between the care information system in the home healthcare’s office, the mobile device that the nurse is going to be equipped with and the storage device which is supposed to reside in the patient’s home. The information exchange with other care stakeholders via standardized reports is also depicted.

Mentions: Our vision is to provide the home healthcare personnel with a mobile device to support the documentation process as stated by Umblia et al. [3] and to replace the paper-based patient care record by a digital one at the patient’s home. Hence, the care information system, the mobile device and the digital care record can synchronize their patient’s information automatically. Moreover, the patient care record can be used for integrating other stakeholder’s information. In order to bypass the heterogeneity of the different stakeholder’s information systems (e.g. hospital information system, physician’s information system), standardized healthcare reports are expected to be used for exchanging data. This vision is shown in Figure 1.Figure 1


Enabling flexible integration of healthcare information using the entity-attribute-value storage model.

Löper D, Klettke M, Bruder I, Heuer A - Health Inf Sci Syst (2013)

Vision of Information Integration in Home Healthcare. This figure shows the synchronization between the care information system in the home healthcare’s office, the mobile device that the nurse is going to be equipped with and the storage device which is supposed to reside in the patient’s home. The information exchange with other care stakeholders via standardized reports is also depicted.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4340778&req=5

Fig1: Vision of Information Integration in Home Healthcare. This figure shows the synchronization between the care information system in the home healthcare’s office, the mobile device that the nurse is going to be equipped with and the storage device which is supposed to reside in the patient’s home. The information exchange with other care stakeholders via standardized reports is also depicted.
Mentions: Our vision is to provide the home healthcare personnel with a mobile device to support the documentation process as stated by Umblia et al. [3] and to replace the paper-based patient care record by a digital one at the patient’s home. Hence, the care information system, the mobile device and the digital care record can synchronize their patient’s information automatically. Moreover, the patient care record can be used for integrating other stakeholder’s information. In order to bypass the heterogeneity of the different stakeholder’s information systems (e.g. hospital information system, physician’s information system), standardized healthcare reports are expected to be used for exchanging data. This vision is shown in Figure 1.Figure 1

Bottom Line: Therefore, a digital patient care record is introduced to establish the foundation for integrating healthcare-related information.The time for traversing the results strongly depends on the number of documents.The underlying database structure is presented, the import process for extracting incoming reports is described and the export process for generating new outgoing standardized reports is briefly illustrated.

View Article: PubMed Central - PubMed

Affiliation: Database Research Group, University of Rostock, 18051 Rostock, Germany.

ABSTRACT

Background: For an optimal care of patients in home healthcare, it is essential to exchange healthcare-related information with other stakeholders. Unfortunately, paper-based documentation procedures as well as the heterogeneity between information systems inhibit a well-regulated communication. Therefore, a digital patient care record is introduced to establish the foundation for integrating healthcare-related information.

Methods: For the digital patient care record, suitable integration techniques are required that store data in a compact way and offer flexibility as well as robustness. For this purpose, a generic storage structure based on the entity-attribute-value (EAV) model is introduced. This storage structure fulfills the stated requirements and incoming information can be stored directly without any loss of data.

Evaluation results and discussions: First performance tests regarding the query response time are given in this paper. The tests measured the connection time, the query execution time, and the time for traversing the result set. The time for executing the query is lowest. The time for traversing the results strongly depends on the number of documents. A concept comparison to other integration techniques is also presented.

Conclusions: This approach offers flexibility concerning different standard types and the evolution in healthcare knowledge and processes. It also allows for highly sparse data to be stored in a compact way. The underlying database structure is presented, the import process for extracting incoming reports is described and the export process for generating new outgoing standardized reports is briefly illustrated.

No MeSH data available.