EHR System using EIA RA

This report proposes the use of Enterprise Information Architecture Reference Architecture approach for developing an electronic health record system. The report provides different diagrams to illustrate the development of the overall project from starting phase to closing phase. The benefits and limitations of the approach are discussed along with possible strategies to mitigate the challenges. The report concludes with recommendations for the overall approach.

EHR system using EIA RA
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EHR SYSTEM USING EIA RA
Executive Summary
The purpose of the report is to propose Enterprise Information Architecture Reference
Architecture approach for development of electronic health record system through various
templates. The templates of Enterprise Information Architecture Reference Architecture consists
of different diagrams to illustrate the development of the overall project from starting phase to
closing phase. The diagram are provided this report to describe the detailed aspect of electronic
health record system. The advantages and limitations are provided in this report to understand
the enterprise architecture more briefly. The report finally concludes possible strategies that
should be adopted to mitigate the limitations of Enterprise Information Architecture Reference
Architecture approach for development of electronic health record system.
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Table of Contents
Executive Summary.........................................................................................................................ii
Introduction......................................................................................................................................1
Enterprise Information Architecture Reference Architecture..........................................................1
Conceptual Architecture..............................................................................................................2
Logical Architecture....................................................................................................................5
Component Relationship Diagram..............................................................................................7
Component Interaction Diagram.................................................................................................9
Information Management and Integration.....................................................................................11
Operational Model.....................................................................................................................11
Challenges..................................................................................................................................13
Possible Strategies.....................................................................................................................13
Conclusion.....................................................................................................................................13
Recommendations..........................................................................................................................14
References......................................................................................................................................15
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Introduction
The management and maintenance of health information technology has been legislated
and proposed by United States Government. The health information technology is electronic
health record system that is proposed to be managed and maintained by health providers,
customers and patients. The facilitation of data integration and sharing will be achieved by the
electronic health record system proposed by the Government. United States Government requires
brief description and analysis of Enterprise Information Architecture Reference Architecture, a
framework that provides different templates as a design for developing any system or project.
Enterprise Information Architecture Reference Architecture helps in providing information
centric design for electronic health record system in this report. The architecture provides
different templates that are used in a systematic way of processes which has assumptions that the
processes are true and also tried methods. Enterprise Information Architecture Reference
Architecture provides benefits to organizations to design a system that helps to manage and
maintain a system from its initial phase to closing phase. The purpose of this report is to provide
an analysis of electronic health record system through approach of Enterprise Information
Architecture Reference Architecture templates along with its benefits and issues/challenges.
The structure of this report is Enterprise Information Architecture Reference Architecture
templates consisting of conceptual architecture, logical architecture, component relationship
diagram, component interaction diagram and operational model diagram. The benefits and
issues/challenges are also provided in this report with reference to Enterprise Information
Architecture Reference Architecture.
Enterprise Information Architecture Reference Architecture
Enterprise Information Architecture Reference Architecture provide following benefits
for designing and development of electronic health record system.
 Integration- Enterprise Information Architecture Reference Architecture helps to achieve
goals and objectives of electronic health record system. The interaction is enabled and
ensured between the component and entities of enterprises. The integration approach is
achieved differently at all levels of enterprise. The levels of integration are application
level, business level and physical level.
 Interoperability- The information in the form of conflicting and distributed databases, in
different locations are stored. The two information systems in interoperability approach
are characterized by each other’s functionality two improve the understanding between
them. The interaction among various information systems are facilitated by the approach
of this architecture. The benefits provided are at three levels and they are services, data
and procedures.
 Data domains- The accurate response via a particular individual source is provided in this
architecture where the correct information at a particular give time is provided to
electronic health record system. The data domains comprising of unstructured operational
data, content data, master data and meta-data, which are central system is provided
benefits from data domain approach. The enterprise management and integration of
central services in enterprise is achieved by integration.
 Interaction of information system- The operational and functional benefits are provided
to electronic health record by the approach of enterprise architecture (Charter and
Tischner 2017). This benefit provides to accomplish the respective tasks and services of
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delivery channels through its presentation methods and procedures. The operational and
functional features are provided by the system.
Conceptual Architecture
The electronic health record system overall requirement as per the plan of United States
Government are described by the architecture called conceptual architecture that is an integral
part of Enterprise Information Architecture Reference Architecture. The various ideas and
concepts are introduced to be characterized by the conceptualism used by Enterprise Information
Architecture Reference Architecture. The architecture overview diagram is provided in this
report to illustrate the electronic health record system development (Chang 2016). Prior to
architecture overview diagram, basic building blocks for developing electronic health record
system is introduced to determine the basic components, entities and relationships. The
architecture overview diagram is developed through the basic building blocks for developing
electronic health record system.
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Figure 1: Basic building blocks for EHR system
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Figure 2: Architecture Overview Diagram for EHR system
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The electronic health record system development requires various ideas and concepts that
are described by architecture overview diagram. The architecture overview diagram illustrates
the functional and operational features for developing electronic health record system. The
systems, existing and present, for communication and presenting services are determined by
architecture overview diagram (Galliers and Leidner 2014). The privacy and security are
provided by architecture overview diagram. The architecture overview diagram presents
objectives of patient’s safety, secure surroundings, management and facilitation of sensitive data.
Logical Architecture
The logical architecture provides feasible functionality in terms of technical features for
developing electronic health record system. The aspects shown in the diagram given below are
primary and their relationships are also provided by the diagram. The engineers and featured
framework modelers are also related with this diagram for developing electronic health record
system (Laudon and Laudon 2016). The logical view diagram is the next phase of architecture
overview diagram.
The requirements for developing the system and its effectiveness at various levels of the
system are determined by the logical view diagram. The end customers/medical providers are
illustrated along with their requirements in the diagram to present the functions and features
essential for electronic heath record system development. The warehouse given in the diagram is
used for providing broadcasting and essential data as initial input for the operation of electronic
health record system (Giachetti 2016). The phases of planning, cost, essential requirements,
design and associated data are presented by the logical view diagram as a primary objective for
developing electronic health record system.
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Figure 3: Logical View Diagram for EHR system
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Component Relationship Diagram
This diagram, component relationship diagram, is the next phase of the previous diagram
which shows the relationship between the required entities, components and required interfaces.
The components are easily determined by the system developers that are there in the component
relationship diagram. The developers can easily identify to understand the working and
functionality of the system through the components relationship diagram (Peppard and Ward
2016). The previous diagrams, architecture overview diagram and logical view diagram, leads to
component relationship diagram. The logical functions via components connections are provided
by this diagram. The Co-production and Collaboration Hub are the two components that differ
from the previous diagrams. The relationships of entities and components are described in this
diagram to effectively develop electronic health record system.
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Figure 4: Component Relationship Diagram for EHR system
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Component Interaction Diagram
The component relationship diagram is presented in a pictorial view in this diagram
called component interaction diagram. The component interaction diagram presents interaction
of different components and entities along with their relationships. The interactions shows the
sequences and steps through which the components will interact and communicate within the
system (Stein and Morrison 2014). The messages in the sequences and steps are shown to better
illustrate the interaction of the components. This diagram is derived from component relationship
diagram to show the process of developing electronic health record system.
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Figure 5: Component Interaction Diagram for EHR system
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Information Management and Integration
Operational Model
The various components and entities are geographically distributed in this diagram and
the geographically distributed nodes are illustrated by this diagram called operational model. The
component model comprising of component relationship diagram and component interaction
diagram, is the foundation for the operational model. The breakup of functional entities and non-
functional entities are described by this diagram. This breakup further used for future processes
for developing electronic health record system (Schwalbe 2015). The breakup of components
and entities facilitate the necessary requirements for developing electronic health record system.
The final expected outcome of operational model provides description of operational activities of
the electronic health record system development. The front and head office, and events of
disaster recovery are the primary or basic aspects for developing electronic health record system.
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Figure 6: Operational Model for EHR system
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Challenges
The above description shows that there are challenges for the Enterprise Information
Architecture Reference Architecture where the developing of electronic health record system is
facilitated. The challenges are given below as follows.
 Barriers for electronic health record system implementation- The barriers are cost related,
great expertise and privacy and security related to the system (Andrus et al. 2015). These
barriers the major barriers and they should be mitigated in order to achieve the
development of electronic health record system development.
 Barriers in the system learning- The learning of electronic health record system is the
basic barrier where lack of knowledge will hinder the participants to use the system
(Whetzel and Wheaton 2016). This issue should be given first priority as it is very
important for the use of electronic health record system.
 Unfamiliarity to the system- The system cannot be developed and deployed if
stakeholders are not involved and there is possibility of them to not involve in the system
due to unfamiliarity to the system (Arndt et al. 2017). This can hinder the adoption of
electronic health record system.
 Quality reporting maintenance- The quality reporting should be maintained by the
system. However, there are issue regarding the quality reporting of the system (Jamoom,
Yang and Hing 2016). This is because of the manual entry of the data in the system.
 Enterprise Interoperability- The patients receiving treatment at two ends of the location
where they are given two different treatments for the single information provided by the
electronic health record system (Lim et al. 2015). This will pose challenge where people
will not adopt the system.
Possible Strategies
The possible strategies for the challenges posed by the electronic health record system in
terms of Enterprise Information Architecture Reference Architecture are as follows.
 The adequate components, entities and resources should be assured with the development
of the electronic health record system. This will ensure effectiveness and efficiency.
 The management should be involved with the system development and implementation to
control and maintain the system effectively and efficiently to mitigate the challenges.
 The appropriate stakeholders must be selected for the development and implementation
of electronic health record system as this will ensure better facilitation and operations.
 The implementation that is negotiated to be utilized for the electronic health record
system before the initial start and closure of the system.
 The pre-preparation for the system is necessary to mitigate the challenges for the risks
that can occur in future.
Conclusion
Therefore, from discussions it can be concluded that Enterprise Information Architecture
Reference Architecture approach is helpful in determining the electronic health record system.
The full potential of the Enterprise Information Architecture Reference Architecture is used for
the development of the system that will ensure effective and efficient development. The different
diagrams in this report describes brief description for the development of electronic health record
system. The diagrams such as basic block for developing electronic health record system,
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architecture overview diagram, logical view diagram, component relationship diagram,
component interaction diagram and operational model. Enterprise Information Architecture
Reference Architecture provides benefits and challenges that are given in this report and the
possible strategies are also provided to mitigate these challenges. The report presents a brief
description and design for the electronic health record system through Enterprise Information
Architecture Reference Architecture.
Recommendations
The recommendations for the overall Enterprise Information Architecture Reference
Architecture approach for developing electronic health record system are as follows.
 Identification of suitable project manager- The project should be developed,
maintained and managed by the identified project manager that is suitable for the
particular project. This will ensure effective delivery of project and its
implementation.
 EHR system awareness- The awareness of the system is necessary as it will helps
to generate participants and will help to approach to large section of people.
 Leadership capabilities- The leadership capabilities will ensure that the goals and
objectives of the project are met with suitable requirements and as per the
people’s requirements.
 Correct resources and its utilization- The correct resources must be used to
minimize any future risks that can happen. This will ensure effective and efficient
development of electronic health record system.
 Proper training to people- The proper training is required to be given to the
medical providers, patients and customers to improve their knowledge and help
them to effectively use the system.
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