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Smart Medical Information Technology for Healthcare (SMITH).

Alfred Winter, Sebastian Stäubert, Danny Ammon

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    |July 18, 2018
    PubMed
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    The Smart Medical Information Technology for Healthcare (SMITH) initiative establishes federated data integration centers using interoperability standards. This enables secure access to electronic medical records for improved healthcare research and clinical decision support.

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    Area of Science:

    • Medical Informatics
    • Health Information Technology
    • Data Integration

    Background:

    • The German Medical Informatics Initiative (MI-I) funds consortia to advance healthcare IT.
    • The "Smart Medical Information Technology for Healthcare (SMITH)" consortium aims to create an alliance for data integration and use case implementation.

    Purpose of the Study:

    • To detail the architectural design of SMITH's data integration centers.
    • To introduce the specific use cases developed within the SMITH initiative.

    Main Methods:

    • Implementation of a federated governance and information system architecture.
    • Establishment of Data Integration Centers (DICs) providing access to Electronic Medical Records (EMR) via data trustee and privacy management services.
    • Adoption of interoperability standards including Reference Model of the Open Archival Information System, Integrating the Health Care Enterprise (IHE), and Health Level Seven (HL7).

    Main Results:

    • A modular, reusable IT architecture based on interoperability standards has been developed.
    • Data sharing services and a marketplace facilitate interoperability and data access agreements.
    • Use cases like the "Phenotype Pipeline" (PheP), "Algorithmic Surveillance of ICU Patients" (ASIC), and "hospital-wide electronic medical record-based computerized decision support system to improve outcomes of patients with blood-stream infections" (HELP) are implemented.

    Conclusions:

    • SMITH's federated approach, modular architecture, and public-private partnership are key strengths.
    • The initiative aims for sustainable data integration and improved healthcare outcomes beyond the initial funding period.