Data and System Integration
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This report discusses the use of Enterprise Information Architecture Reference Architecture approach for developing national EHR for helping government in providing health services to the citizens. It covers conceptual, logical and component architecture along with administrative, laboratory, radio ontology, clinical and billing components.
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Data and System Integration
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Data and System Integration
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DATA AND SYSTEM INTEGRATION
Table of Contents
Introduction......................................................................................................................................3
Conceptual Architecture..................................................................................................................3
Logical Architecture....................................................................................................................6
Component Architecture..................................................................................................................8
Administrative system components.................................................................................................8
Laboratory system components.......................................................................................................9
Radio ontology components............................................................................................................9
Clinical components......................................................................................................................10
Billing component.........................................................................................................................10
Conclusion.....................................................................................................................................10
References......................................................................................................................................12
DATA AND SYSTEM INTEGRATION
Table of Contents
Introduction......................................................................................................................................3
Conceptual Architecture..................................................................................................................3
Logical Architecture....................................................................................................................6
Component Architecture..................................................................................................................8
Administrative system components.................................................................................................8
Laboratory system components.......................................................................................................9
Radio ontology components............................................................................................................9
Clinical components......................................................................................................................10
Billing component.........................................................................................................................10
Conclusion.....................................................................................................................................10
References......................................................................................................................................12
3
DATA AND SYSTEM INTEGRATION
Introduction
Technology implementation in the business organization have been creating a major
impact on the development of any company. Enterprise Information Architecture or EIA is a
component of the enterprise architecture that helps in maintaining the architecture of the
organization. This framework helps in initiating the cost of various elements in the business. EIA
has been integrated in the security related issues of the organization (Soceanu, Egner and
Moldoveanu 2013). Local government has been facing a lot of problems in making a transparent
and accountable platform for the citizen of the country.
This report focuses on the use of Enterprise Information Architecture Reference
Architecture approach or EIA for developing national EHR for helping government in providing
health services to the citizens. EIA RA or Enterprise Information Architecture Reference
Architecture helps in providing a systematic approach for designing a process in the organization
for the development and growth in the market (Adenuga, Kekwaletswe and Coleman 2015). The
conceptual architecture and operational model have been included in the systematic approach of
the EIA for developing National EHR System.
Conceptual Architecture
There has been huge development of the IT infrastructure of the business organization. The
national health care systems has been focusing in the use of the advanced technology for
providing quality services to the people. The manufacturing of e-health systems have been based
on local working of the national health care system (Mudaly et al. 2013). The use of the system
might help in minimizing the health issues among individuals. The security of data and
information of health craw unit has been main problem file the architecture. However, this new
DATA AND SYSTEM INTEGRATION
Introduction
Technology implementation in the business organization have been creating a major
impact on the development of any company. Enterprise Information Architecture or EIA is a
component of the enterprise architecture that helps in maintaining the architecture of the
organization. This framework helps in initiating the cost of various elements in the business. EIA
has been integrated in the security related issues of the organization (Soceanu, Egner and
Moldoveanu 2013). Local government has been facing a lot of problems in making a transparent
and accountable platform for the citizen of the country.
This report focuses on the use of Enterprise Information Architecture Reference
Architecture approach or EIA for developing national EHR for helping government in providing
health services to the citizens. EIA RA or Enterprise Information Architecture Reference
Architecture helps in providing a systematic approach for designing a process in the organization
for the development and growth in the market (Adenuga, Kekwaletswe and Coleman 2015). The
conceptual architecture and operational model have been included in the systematic approach of
the EIA for developing National EHR System.
Conceptual Architecture
There has been huge development of the IT infrastructure of the business organization. The
national health care systems has been focusing in the use of the advanced technology for
providing quality services to the people. The manufacturing of e-health systems have been based
on local working of the national health care system (Mudaly et al. 2013). The use of the system
might help in minimizing the health issues among individuals. The security of data and
information of health craw unit has been main problem file the architecture. However, this new
4
DATA AND SYSTEM INTEGRATION
system will be integrated with high security protocol for providing security to data and
information. The new system will be integrated with proper updated technology that might help
in maintaining the security of the data and information. This new system has been able to
maintain the record of patient and care users in the hospitals at different location of the country.
The system have a secured database for storing the data of patients and heath care professionals
that help in proper maintenance of the system (Lake et al. 2014). However, the new system helps
in providing platform for the professionals to connect with the IT and health care for working
together. The features of the new system have been listed below:
It helps in providing a cost effective service to the customers.
It helps in developing an electronic summary of the patients.
The system needs to work as a single enterprise.
Service delivery: This system include delivering of services for ensuring the availability
of appropriate amount of health and facilities related to it. This helps in maintaining and
improving the quality of the services.
Health work force: This system include establishment of the several policies for human
resources in the organization for the improvement of the health care services.
Data about health: This system include staretegies for improving the availability of health
data and information with the ease of access.
Financing for health: This helps in improving the financial condition of an individual by
the minimizing the cost if th system.
Leadership ad governance of the system: This means fostering of stewardship in the
healthcare sector, including of the managerial and leadership instincts in the section of
DATA AND SYSTEM INTEGRATION
system will be integrated with high security protocol for providing security to data and
information. The new system will be integrated with proper updated technology that might help
in maintaining the security of the data and information. This new system has been able to
maintain the record of patient and care users in the hospitals at different location of the country.
The system have a secured database for storing the data of patients and heath care professionals
that help in proper maintenance of the system (Lake et al. 2014). However, the new system helps
in providing platform for the professionals to connect with the IT and health care for working
together. The features of the new system have been listed below:
It helps in providing a cost effective service to the customers.
It helps in developing an electronic summary of the patients.
The system needs to work as a single enterprise.
Service delivery: This system include delivering of services for ensuring the availability
of appropriate amount of health and facilities related to it. This helps in maintaining and
improving the quality of the services.
Health work force: This system include establishment of the several policies for human
resources in the organization for the improvement of the health care services.
Data about health: This system include staretegies for improving the availability of health
data and information with the ease of access.
Financing for health: This helps in improving the financial condition of an individual by
the minimizing the cost if th system.
Leadership ad governance of the system: This means fostering of stewardship in the
healthcare sector, including of the managerial and leadership instincts in the section of
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DATA AND SYSTEM INTEGRATION
health workforce and lastly the improvement in the participation of the community in the
process of governance.
However, the above listed eight requirements of the e-health EIS cannot be termed as an
exhaustive list and only pertains pertains to be from the aspect of being centered around the
citizens and for the social inclusion. The building blocks of the e-health system is provided
below.
Fig 1: Building blocks of an HER
DATA AND SYSTEM INTEGRATION
health workforce and lastly the improvement in the participation of the community in the
process of governance.
However, the above listed eight requirements of the e-health EIS cannot be termed as an
exhaustive list and only pertains pertains to be from the aspect of being centered around the
citizens and for the social inclusion. The building blocks of the e-health system is provided
below.
Fig 1: Building blocks of an HER
6
DATA AND SYSTEM INTEGRATION
Logical Architecture
The logical architecture of the HER system has been integrated with technical
functionalities that helps in delivering business oriented conceptual architecture (Bender and
Sartipi 2013). There are various functions of the logical architecture that are listed below:
Various situations might arrive in which there is a need pf particular data and the data
source is not present. Then this architecture helps in pushing the domain-repositories for
extracting the data from the directories.
However, all the data present in the directories might act as independent directories that
hekos in storing data and information of patients positively. This system helps in managing the
data and information of patients in a safe place. When the data are pushed into the repositories or
are stored in the system of the clinic then a reference of the data would also be stored in the EHR
system otherwise a document registry is done (Adler-Milstein, Bates and Jha 2013). However,
there is a requirement of data in the application, it uses the HER system for finding the
components if records that are displayed.
All the elements in the system can communicate with each other that helps in maintaining
a shared network infrastructure using the service protocol. Data and information needs to be
registered in the services that allows patients to locate their locations and get instant solution to
their problems.
The experts related with social insurance would be the point of convergence of giving the
e-wellbeing administration. The clinical framework and the space archives can be considered as
the feeder framework for the wellbeing experts and furthermore for the region wide e-wellbeing
administrations (Bender and Sartipi 2013).
DATA AND SYSTEM INTEGRATION
Logical Architecture
The logical architecture of the HER system has been integrated with technical
functionalities that helps in delivering business oriented conceptual architecture (Bender and
Sartipi 2013). There are various functions of the logical architecture that are listed below:
Various situations might arrive in which there is a need pf particular data and the data
source is not present. Then this architecture helps in pushing the domain-repositories for
extracting the data from the directories.
However, all the data present in the directories might act as independent directories that
hekos in storing data and information of patients positively. This system helps in managing the
data and information of patients in a safe place. When the data are pushed into the repositories or
are stored in the system of the clinic then a reference of the data would also be stored in the EHR
system otherwise a document registry is done (Adler-Milstein, Bates and Jha 2013). However,
there is a requirement of data in the application, it uses the HER system for finding the
components if records that are displayed.
All the elements in the system can communicate with each other that helps in maintaining
a shared network infrastructure using the service protocol. Data and information needs to be
registered in the services that allows patients to locate their locations and get instant solution to
their problems.
The experts related with social insurance would be the point of convergence of giving the
e-wellbeing administration. The clinical framework and the space archives can be considered as
the feeder framework for the wellbeing experts and furthermore for the region wide e-wellbeing
administrations (Bender and Sartipi 2013).
7
DATA AND SYSTEM INTEGRATION
Alongside this the key subjects are gathered by methods for pushing the information into
the arrangements of the stores which are shared. The common storehouses can likewise be
sustained by alternate sorts of organizations like the drug stores or the private labs and some
more (Duftschmid et al. 2013).
A few information would likewise be kept up at the nearby levels which may incorporate
the schools or the directing bodies and some more. The archive record would be in charge of
distinguishing the area all the eHealth objects which would be for the most part identified with a
specific person which are listed by methods for type, and would likewise be containing the
connections of the particular areas of the question (Yang et al. 2015). The pushing of the
information to the area storehouses likewise implies that they are getting refreshed in the file
also.
The entrance of this information would be given by following a specific arrangement of
institutionalized administrations. Every one of these administrations would be related with giving
access to the assets display in the segment of the common archives or in the utilizations of the
wellbeing specialist applications which may incorporate the inquiry get to administrations by
making utilization of the web administrations or for the online administrations by making
utilization of the benchmarks.
Reconciliation of the information would be done into the EHR framework which may
incorporate the watchers of the EHR in order to use in the wellbeing specialist or by the
personals related with giving consideration to the patients (Vest and Kash 2016). It is imperative
DATA AND SYSTEM INTEGRATION
Alongside this the key subjects are gathered by methods for pushing the information into
the arrangements of the stores which are shared. The common storehouses can likewise be
sustained by alternate sorts of organizations like the drug stores or the private labs and some
more (Duftschmid et al. 2013).
A few information would likewise be kept up at the nearby levels which may incorporate
the schools or the directing bodies and some more. The archive record would be in charge of
distinguishing the area all the eHealth objects which would be for the most part identified with a
specific person which are listed by methods for type, and would likewise be containing the
connections of the particular areas of the question (Yang et al. 2015). The pushing of the
information to the area storehouses likewise implies that they are getting refreshed in the file
also.
The entrance of this information would be given by following a specific arrangement of
institutionalized administrations. Every one of these administrations would be related with giving
access to the assets display in the segment of the common archives or in the utilizations of the
wellbeing specialist applications which may incorporate the inquiry get to administrations by
making utilization of the web administrations or for the online administrations by making
utilization of the benchmarks.
Reconciliation of the information would be done into the EHR framework which may
incorporate the watchers of the EHR in order to use in the wellbeing specialist or by the
personals related with giving consideration to the patients (Vest and Kash 2016). It is imperative
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DATA AND SYSTEM INTEGRATION
to investigate the issue that incorporation of information happens by making utilization of the
standard administrations which are existing.
There would exist a "HIAL" between both the experts' mindful giving medicinal services
and every one of the members. The parts of the foundation would be related with furnishing
fundamental message abilities alongside other regular administrations which may incorporate the
unify validation and approval, lining of the messages and work process and furthermore the
organization.
Component Architecture
The National EHR framework by and large goes for joining the wellbeing related
information accumulated from the expansive subordinate administrations which incorporates the
drug stores, facilities, lab and some more. The EHR that will be actualized ought to have the
ability of bringing in information from different auxiliary frameworks by making utilization of
client interfaces or might be related with giving interfaces which would enable the centers to get
to the storehouse frameworks by making utilization of the gateways and some more (Marceglia
et al. 2015). The general parts of the EHR framework can be characterized into various sorts and
this incorporates the accompanying:
Administrative system components
This would comprise of the enrollment, exchange, release and affirmation of the
information. This segments would be in charge of holding of the fundamental information
keeping in mind the end goal to recognize the patients in an exact route took after by surveying
them. This may incorporate the name, demography, data of manager and some more. The
enrollment procedure of the patient would comprise of giving the patients an interesting
DATA AND SYSTEM INTEGRATION
to investigate the issue that incorporation of information happens by making utilization of the
standard administrations which are existing.
There would exist a "HIAL" between both the experts' mindful giving medicinal services
and every one of the members. The parts of the foundation would be related with furnishing
fundamental message abilities alongside other regular administrations which may incorporate the
unify validation and approval, lining of the messages and work process and furthermore the
organization.
Component Architecture
The National EHR framework by and large goes for joining the wellbeing related
information accumulated from the expansive subordinate administrations which incorporates the
drug stores, facilities, lab and some more. The EHR that will be actualized ought to have the
ability of bringing in information from different auxiliary frameworks by making utilization of
client interfaces or might be related with giving interfaces which would enable the centers to get
to the storehouse frameworks by making utilization of the gateways and some more (Marceglia
et al. 2015). The general parts of the EHR framework can be characterized into various sorts and
this incorporates the accompanying:
Administrative system components
This would comprise of the enrollment, exchange, release and affirmation of the
information. This segments would be in charge of holding of the fundamental information
keeping in mind the end goal to recognize the patients in an exact route took after by surveying
them. This may incorporate the name, demography, data of manager and some more. The
enrollment procedure of the patient would comprise of giving the patients an interesting
9
DATA AND SYSTEM INTEGRATION
identifier which ordinarily incorporates a numeric or alphabetic succession. This identifier would
be unidentifiable by the others outside the framework. The identifier that would be given to the
patients would be the center piece of the EHR framework and would be related with connecting
of the considerable number of tests, techniques, dissensions and some more. This identifier is
regularly alluded to as a therapeutic record number or aster understanding file or MPI.
Laboratory system components
This framework would be the independent framework which would be interfaced with the
EHR framework. The research facility data framework or the LIS would be utilized as a center
point to incorporate the requests or the outcomes from the instruments in the lab and any kind of
managerial data (Dolcini and Sernani 2013). This research center information would be
incorporated with the EHR altogether just rarely. This is additionally isolated into two sub parts
and this are to be specific the catching of the outcomes from the research center machines and
mix with the charging, pictures and results.
Radio ontology components
For the most part the Radio data framework would be utilized by the radiology division
keeping in mind the end goal to tie every one of the patients' radiology information alongside the
pictures. The Radio Information framework or the RIS would comprise of the highlights like
following of the patients, booking, picture following and results revealing. The RIS framework
would be utilized as a part of conjugation with the photos chronicling interchanges arrangement
of the PACS which would be dependable dealing with the investigations of radiography (Mandl
et al. 2014). This segment alongside utilizing the RIS for picture filing and correspondence
DATA AND SYSTEM INTEGRATION
identifier which ordinarily incorporates a numeric or alphabetic succession. This identifier would
be unidentifiable by the others outside the framework. The identifier that would be given to the
patients would be the center piece of the EHR framework and would be related with connecting
of the considerable number of tests, techniques, dissensions and some more. This identifier is
regularly alluded to as a therapeutic record number or aster understanding file or MPI.
Laboratory system components
This framework would be the independent framework which would be interfaced with the
EHR framework. The research facility data framework or the LIS would be utilized as a center
point to incorporate the requests or the outcomes from the instruments in the lab and any kind of
managerial data (Dolcini and Sernani 2013). This research center information would be
incorporated with the EHR altogether just rarely. This is additionally isolated into two sub parts
and this are to be specific the catching of the outcomes from the research center machines and
mix with the charging, pictures and results.
Radio ontology components
For the most part the Radio data framework would be utilized by the radiology division
keeping in mind the end goal to tie every one of the patients' radiology information alongside the
pictures. The Radio Information framework or the RIS would comprise of the highlights like
following of the patients, booking, picture following and results revealing. The RIS framework
would be utilized as a part of conjugation with the photos chronicling interchanges arrangement
of the PACS which would be dependable dealing with the investigations of radiography (Mandl
et al. 2014). This segment alongside utilizing the RIS for picture filing and correspondence
10
DATA AND SYSTEM INTEGRATION
framework would be likewise connected with overseeing different procedures like the stream of
work, techniques for requesting, pictures and the outcomes.
Clinical components
This parts can be additionally characterized into different sub-segments and this may
incorporate the electronic documentation, nursing segment and automated doctor arrange section
or the CPOE. In the EHR framework the CPOE would be utilized to analyze the requirements of
the patients and enter the necessities specifically into the PC. Alongside this the electronic
documentation would be utilized to document the different notes like the history and physical,
agent notes and interview notes. Furthermore, the drug store framework which is incorporated
into this segment would be utilized to fill the medicines and keeping up the model for the
medications. In conclusion the nursing part would be utilized to allow the accumulation of the
data of the patients which are basic.
Billing component
This is the last part of the EHR framework and would be related with figuring every one
of the charges which would be charged amid the way toward giving consideration. Alongside
this cases would likewise be produced by this framework and would be submitted to different
protection transporters (Mandl et al. 2014).
Conclusion
The associated government would require an eHealth benefit and a National EHR
framework which is planned by making utilization of the business standard Enterprise
Information Architecture Reference Architecture templets. In the wake of distinguishing the 8
noteworthy particular capacities a framework building piece chart alongside an outline of the
DATA AND SYSTEM INTEGRATION
framework would be likewise connected with overseeing different procedures like the stream of
work, techniques for requesting, pictures and the outcomes.
Clinical components
This parts can be additionally characterized into different sub-segments and this may
incorporate the electronic documentation, nursing segment and automated doctor arrange section
or the CPOE. In the EHR framework the CPOE would be utilized to analyze the requirements of
the patients and enter the necessities specifically into the PC. Alongside this the electronic
documentation would be utilized to document the different notes like the history and physical,
agent notes and interview notes. Furthermore, the drug store framework which is incorporated
into this segment would be utilized to fill the medicines and keeping up the model for the
medications. In conclusion the nursing part would be utilized to allow the accumulation of the
data of the patients which are basic.
Billing component
This is the last part of the EHR framework and would be related with figuring every one
of the charges which would be charged amid the way toward giving consideration. Alongside
this cases would likewise be produced by this framework and would be submitted to different
protection transporters (Mandl et al. 2014).
Conclusion
The associated government would require an eHealth benefit and a National EHR
framework which is planned by making utilization of the business standard Enterprise
Information Architecture Reference Architecture templets. In the wake of distinguishing the 8
noteworthy particular capacities a framework building piece chart alongside an outline of the
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DATA AND SYSTEM INTEGRATION
design has likewise been given. The report likewise gives the calculated non-specialized
perspective of the eHealth undertaking data framework. What's more, from the reasonable graph
the legitimate chart has been drawn which makes an interpretation of al this idea into a data
framework which is further down into a few different parts and the segment display has been
likewise given in this report. Alongside this the different advantages additionally been appeared.
DATA AND SYSTEM INTEGRATION
design has likewise been given. The report likewise gives the calculated non-specialized
perspective of the eHealth undertaking data framework. What's more, from the reasonable graph
the legitimate chart has been drawn which makes an interpretation of al this idea into a data
framework which is further down into a few different parts and the segment display has been
likewise given in this report. Alongside this the different advantages additionally been appeared.
12
DATA AND SYSTEM INTEGRATION
References
Adenuga, O.A., Kekwaletswe, R.M. and Coleman, A., 2015. eHealth integration and
interoperability issues: towards a solution through enterprise architecture. Health information
science and systems, 3(1), p.1.
Adler-Milstein, J., Bates, D.W. and Jha, A.K., 2013. Operational health information exchanges
show substantial growth, but long-term funding remains a concern. Health Affairs, 32(8),
pp.1486-1492.
Bender, D. and Sartipi, K., 2013, June. HL7 FHIR: An Agile and RESTful approach to
healthcare information exchange. In Computer-Based Medical Systems (CBMS), 2013 IEEE 26th
International Symposium on (pp. 326-331). IEEE.
Da Xu, L., 2014. Enterprise integration and information architecture: a systems perspective on
industrial information integration. Auerbach Publications.
DOLCINI, G. and Sernani, P., 2013. A multi-agent architecture for health information
systems. Advanced Methods and Technologies for Agent and Multi-Agent Systems, 252, p.375.
Duftschmid, G., Rinner, C., Kohler, M., Huebner-Bloder, G., Saboor, S. and Ammenwerth, E.,
2013. The EHR-ARCHE project: Satisfying clinical information needs in a Shared Electronic
Health Record System based on IHE XDS and Archetypes. International journal of medical
informatics, 82(12), pp.1195-1207.
Lake, D., Milito, R.M.R., Morrow, M. and Vargheese, R., 2014. Internet of things: Architectural
framework for ehealth security. Journal of ICT Standardization, 1(3), pp.301-328.
DATA AND SYSTEM INTEGRATION
References
Adenuga, O.A., Kekwaletswe, R.M. and Coleman, A., 2015. eHealth integration and
interoperability issues: towards a solution through enterprise architecture. Health information
science and systems, 3(1), p.1.
Adler-Milstein, J., Bates, D.W. and Jha, A.K., 2013. Operational health information exchanges
show substantial growth, but long-term funding remains a concern. Health Affairs, 32(8),
pp.1486-1492.
Bender, D. and Sartipi, K., 2013, June. HL7 FHIR: An Agile and RESTful approach to
healthcare information exchange. In Computer-Based Medical Systems (CBMS), 2013 IEEE 26th
International Symposium on (pp. 326-331). IEEE.
Da Xu, L., 2014. Enterprise integration and information architecture: a systems perspective on
industrial information integration. Auerbach Publications.
DOLCINI, G. and Sernani, P., 2013. A multi-agent architecture for health information
systems. Advanced Methods and Technologies for Agent and Multi-Agent Systems, 252, p.375.
Duftschmid, G., Rinner, C., Kohler, M., Huebner-Bloder, G., Saboor, S. and Ammenwerth, E.,
2013. The EHR-ARCHE project: Satisfying clinical information needs in a Shared Electronic
Health Record System based on IHE XDS and Archetypes. International journal of medical
informatics, 82(12), pp.1195-1207.
Lake, D., Milito, R.M.R., Morrow, M. and Vargheese, R., 2014. Internet of things: Architectural
framework for ehealth security. Journal of ICT Standardization, 1(3), pp.301-328.
13
DATA AND SYSTEM INTEGRATION
Mandl, K.D., Kohane, I.S., McFadden, D., Weber, G.M., Natter, M., Mandel, J., Schneeweiss,
S., Weiler, S., Klann, J.G., Bickel, J. and Adams, W.G., 2014. Scalable collaborative
infrastructure for a learning healthcare system (SCILHS): architecture. Journal of the American
Medical Informatics Association, 21(4), pp.615-620.
Marceglia, S., Fontelo, P., Rossi, E. and Ackerman, M.J., 2015. A standards-based architecture
proposal for integrating patient mHealth apps to electronic health record systems. Applied
clinical informatics, 6(03), pp.488-505.
Mudaly, T., Moodley, D., Pillay, A. and Seebregts, C.J., 2013, November. Architectural
frameworks for developing national health information systems in low and middle income
countries. In Enterprise Systems Conference (ES), 2013 (pp. 1-9). IEEE.
Soceanu, A., Egner, A. and Moldoveanu, F., 2013, May. Towards interoperability of eHealth
system networked components. In Control Systems and Computer Science (CSCS), 2013 19th
International Conference on (pp. 147-154). IEEE.
Vest, J.R. and Kash, B.A., 2016. Differing Strategies to Meet Information‐Sharing Needs:
Publicly Supported Community Health Information Exchanges Versus Health Systems’
Enterprise Health Information Exchanges. The Milbank Quarterly, 94(1), pp.77-108.
Yang, J.J., Li, J., Mulder, J., Wang, Y., Chen, S., Wu, H., Wang, Q. and Pan, H., 2015. Emerging
information technologies for enhanced healthcare. Computers in Industry, 69, pp.3-11.
DATA AND SYSTEM INTEGRATION
Mandl, K.D., Kohane, I.S., McFadden, D., Weber, G.M., Natter, M., Mandel, J., Schneeweiss,
S., Weiler, S., Klann, J.G., Bickel, J. and Adams, W.G., 2014. Scalable collaborative
infrastructure for a learning healthcare system (SCILHS): architecture. Journal of the American
Medical Informatics Association, 21(4), pp.615-620.
Marceglia, S., Fontelo, P., Rossi, E. and Ackerman, M.J., 2015. A standards-based architecture
proposal for integrating patient mHealth apps to electronic health record systems. Applied
clinical informatics, 6(03), pp.488-505.
Mudaly, T., Moodley, D., Pillay, A. and Seebregts, C.J., 2013, November. Architectural
frameworks for developing national health information systems in low and middle income
countries. In Enterprise Systems Conference (ES), 2013 (pp. 1-9). IEEE.
Soceanu, A., Egner, A. and Moldoveanu, F., 2013, May. Towards interoperability of eHealth
system networked components. In Control Systems and Computer Science (CSCS), 2013 19th
International Conference on (pp. 147-154). IEEE.
Vest, J.R. and Kash, B.A., 2016. Differing Strategies to Meet Information‐Sharing Needs:
Publicly Supported Community Health Information Exchanges Versus Health Systems’
Enterprise Health Information Exchanges. The Milbank Quarterly, 94(1), pp.77-108.
Yang, J.J., Li, J., Mulder, J., Wang, Y., Chen, S., Wu, H., Wang, Q. and Pan, H., 2015. Emerging
information technologies for enhanced healthcare. Computers in Industry, 69, pp.3-11.
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