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Executing Complexity-Increasing Queries in Relational (MySQL) and NoSQL (MongoDB and EXist) Size-Growing ISO/EN 13606 Standardized EHR Databases

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Architectural approach for semantic EHR systems development based on Detailed Clinical Models.

Juan G Bernal¹, Diego M Lopez, Bernd Blobel

¹Electronics and Telecommunication Faculty, University of Cauca, Colombia.

Studies in Health Technology and Informatics

|September 4, 2012

Summary

This study introduces a method for transforming Detailed Clinical Models (DCM) into standardized health data formats like openEHR Archetypes and HL7 Templates. This facilitates interoperability for personalized health (pHealth) systems.

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Area of Science:

Health Informatics
Computer Science

Background:

Integrated health information systems and personalized health (pHealth) solutions require formally modeled architectures.
Detailed Clinical Models (DCM) are a promising approach for clinical concept representation in Electronic Health Record (EHR) systems.
Existing methods lack formal, generic, and automatic transformations from DCM to other standards like ISO 13606/openEHR Archetypes or HL7 Templates.

Purpose of the Study:

To propose a generic model transformation method and tooling for converting DCM clinical concepts.
To enable semantic lossless transformation of DCM to ISO/EN 13606/openEHR Archetypes or HL7 Template models.
To support the development of intelligent and adaptive information systems for pHealth.

Main Methods:

Utilizing Model Driven-Development (MDD) transformation mechanisms and tools.
Developing a generic model transformation approach.
Implementing tooling to automate the transformation process.

Main Results:

A formal, generic, and automatic method for transforming DCM clinical concepts has been proposed.
The method facilitates the conversion of DCM to ISO/EN 13606/openEHR Archetypes and HL7 Templates.
Automation of transformation is achieved through MDD principles.

Conclusions:

The proposed method and tooling enable automatic, semantic lossless transformation of DCM.
This advancement supports the creation of interoperable and adaptive pHealth information systems.
Facilitates integration of clinical concepts across different health information standards.