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BMC medical informatics and decision making
Jun 12, 2007;7 14.

Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs.

Ricardo J Cruz-Correia, Pedro M Vieira-Marques, Ana M Ferreira, Filipa C Almeida, Jeremy C Wyatt, Altamiro M Costa-Pereira
Author Information
  1. Ricardo J Cruz-Correia: Department of Biostatistics and Medical Informatics, Faculty of Medicine of University of Porto, Porto, Portugal. rcorreia@med.up.pt
PMID: 17565667 DOI: 10.1186/1472-6947-7-14

Abstract

BACKGROUND: The integration of Information Systems (IS) is essential to support shared care and to provide consistent care to individuals--patient-centred care. This paper identifies, appraises and summarises studies examining different approaches to integrate patient data from heterogeneous IS.
METHODS: The literature was systematically reviewed between 1995-2005 to identify articles mentioning patient records, computers and data integration or sharing.
RESULTS: Of 3124 articles, 84 were included describing 56 distinct projects. Most of the projects were on a regional scale. Integration was most commonly accomplished by messaging with pre-defined templates and middleware solutions. HL7 was the most widely used messaging standard. Direct database access and web services were the most common communication methods. The user interface for most systems was a Web browser. Regarding the type of medical data shared, 77% of projects integrated diagnosis and problems, 67% medical images and 65% lab results. More recently significantly more IS are extending to primary care and integrating referral letters.
CONCLUSION: It is clear that Information Systems are evolving to meet people's needs by implementing regional networks, allowing patient access and integration of ever more items of patient data. Many distinct technological solutions coexist to integrate patient data, using differing standards and data architectures which may difficult further interoperability.

References

  1. Comput Med Imaging Graph. 2005 Mar-Apr;29(2-3):137-42 [PMID: 15755533]
  2. Stud Health Technol Inform. 2000;77:1074-9 [PMID: 11187486]
  3. Stud Health Technol Inform. 2004;100:130-8 [PMID: 15718571]
  4. Stud Health Technol Inform. 2003;95:824-8 [PMID: 14664090]
  5. Stud Health Technol Inform. 1998;56:15-31 [PMID: 10351864]
  6. Stud Health Technol Inform. 2002;90:298-304 [PMID: 15460706]
  7. Proc AMIA Symp. 2001;:513-7 [PMID: 11825241]
  8. Proc AMIA Symp. 1999;:804-8 [PMID: 10566471]
  9. BMJ. 2003 Apr 19;326(7394):860-3 [PMID: 12702622]
  10. Proc AMIA Symp. 1998;:902-6 [PMID: 9929349]
  11. Stud Health Technol Inform. 2004;103:50-7 [PMID: 15747905]
  12. J Crit Care. 2004 Dec;19(4):234-42 [PMID: 15648040]
  13. Stud Health Technol Inform. 2003;95:158-63 [PMID: 14663980]
  14. Stud Health Technol Inform. 1997;45:30-9 [PMID: 10175369]
  15. Int J Med Inform. 2006 Mar-Apr;75(3-4):209-15 [PMID: 16112892]
  16. Proc AMIA Symp. 2000;:1173 [PMID: 11080027]
  17. Trustee. 2004 Feb;57(2):18-21, 1 [PMID: 14994458]
  18. Proc AMIA Symp. 1999;:829-33 [PMID: 10566476]
  19. Stud Health Technol Inform. 2004;107(Pt 2):1211-5 [PMID: 15361005]
  20. Int J Med Inform. 2001 Dec;64(2-3):429-38 [PMID: 11734403]
  21. Stud Health Technol Inform. 2006;121:176-82 [PMID: 17095815]
  22. Int J Med Inform. 2005 Mar;74(2-4):245-56 [PMID: 15694631]
  23. Int J Med Inform. 2003 Jul;70(2-3):221-8 [PMID: 12909173]
  24. J Am Med Inform Assoc. 2001 May-Jun;8(3):242-53 [PMID: 11320069]
  25. J Digit Imaging. 2000 May;13(2 Suppl 1):133-7 [PMID: 10847382]
  26. Ann Noninvasive Electrocardiol. 2002 Jul;7(3):263-70 [PMID: 12167189]
  27. J Public Health Manag Pract. 2004 Nov;Suppl:S81-6 [PMID: 15643364]
  28. Acad Radiol. 2005 Aug;12(8):1000-9 [PMID: 16087095]
  29. J Lab Clin Med. 2001 Dec;138(6):359-66 [PMID: 11753282]
  30. Int J Med Inform. 2000 Nov;60(2):77-83 [PMID: 11154957]
  31. J Med Internet Res. 2001 Jan-Mar;3(1):E7 [PMID: 11720949]
  32. Stud Health Technol Inform. 1999;68:768-73 [PMID: 10724998]
  33. Stud Health Technol Inform. 2003;95:334-9 [PMID: 14664009]
  34. Proc AMIA Symp. 1999;:916-20 [PMID: 10566494]
  35. Int J Med Inform. 2001 Dec;64(2-3):369-77 [PMID: 11734398]
  36. Stud Health Technol Inform. 2004;107(Pt 2):960-3 [PMID: 15360955]
  37. Comput Med Imaging Graph. 2005 Mar-Apr;29(2-3):115-24 [PMID: 15755531]
  38. Stud Health Technol Inform. 2005;116:961-6 [PMID: 16160382]
  39. Int J Med Inform. 1999 Jun;54(3):225-53 [PMID: 10405881]
  40. Pathol Res Pract. 2002;198(10):679-84 [PMID: 12498223]
  41. Int J Med Inform. 1999 Apr;54(1):1-8 [PMID: 10206425]
  42. Proc AMIA Symp. 2001;:691-5 [PMID: 11825274]
  43. J Med Syst. 2005 Aug;29(4):391-400 [PMID: 16178336]
  44. IEEE Trans Inf Technol Biomed. 1998 Sep;2(3):124-38 [PMID: 10719522]
  45. Stud Health Technol Inform. 2001;84(Pt 1):698-702 [PMID: 11604828]
  46. Methods Inf Med. 2003;42(1):1-7 [PMID: 12695790]
  47. IEEE Trans Biomed Eng. 2002 Dec;49(12):1470-6 [PMID: 12542243]
  48. Stud Health Technol Inform. 2005;116:340-5 [PMID: 16160282]
  49. Lancet. 1994 Dec 3;344(8936):1543-7 [PMID: 7983957]
  50. Int J Med Inform. 2000 Sep;58-59:167-77 [PMID: 10978919]
  51. Stud Health Technol Inform. 1997;43 Pt A:15-9 [PMID: 10179526]
  52. Int J Med Inform. 2002 Dec 18;68(1-3):3-26 [PMID: 12467787]
  53. J Am Med Inform Assoc. 2006 May-Jun;13(3):245-52 [PMID: 16501180]
  54. Stud Health Technol Inform. 2003;95:364-9 [PMID: 14664014]
  55. Stud Health Technol Inform. 2004;105:190-201 [PMID: 15718608]
  56. Int J Med Inform. 2005 Mar;74(2-4):213-20 [PMID: 15694627]
  57. Proc AMIA Symp. 2001;:149-53 [PMID: 11825172]
  58. BMJ. 1998 Jun 27;316(7149):1959-61 [PMID: 9641938]
  59. Comput Med Imaging Graph. 2005 Mar-Apr;29(2-3):125-36 [PMID: 15755532]
  60. Proc AMIA Symp. 1999;:241-5 [PMID: 10566357]
  61. Stud Health Technol Inform. 2004;100:66-78 [PMID: 15718565]
  62. Stud Health Technol Inform. 2004;107(Pt 2):979-82 [PMID: 15360959]
  63. Yearb Med Inform. 2006;:136-44 [PMID: 17051307]
  64. Int J Med Inform. 2003 Jul;70(2-3):131-9 [PMID: 12909164]
  65. Stud Health Technol Inform. 2003;95:892-7 [PMID: 14664102]
  66. Int J Med Inform. 1999 Jun;54(3):157-67 [PMID: 10405876]
  67. J Digit Imaging. 2002;15 Suppl 1:189-93 [PMID: 12105725]
  68. Proc AMIA Symp. 1999;:696-700 [PMID: 10566449]
  69. J Am Med Inform Assoc. 2000 Jul-Aug;7(4):357-60 [PMID: 10887164]
  70. J Med Syst. 1998 Jun;22(3):147-59 [PMID: 9604782]
  71. Methods Inf Med. 2000 Mar;39(1):36-43 [PMID: 10786068]
  72. Stud Health Technol Inform. 2000;77:988-91 [PMID: 11187704]
  73. Methods Inf Med. 2002;41(5):401-10 [PMID: 12501812]
  74. Stud Health Technol Inform. 2001;84(Pt 1):589-93 [PMID: 11604805]
  75. Acad Radiol. 2004 Jun;11(6):661-8 [PMID: 15172368]
  76. Int J Med Inform. 2001 Dec;64(2-3):143-56 [PMID: 11734382]

MeSH Term

Humans
Information Systems
Internet
Medical Records Systems, Computerized
Patient-Centered Care
Systems Integration
User-Computer Interface
Journal Article Review

Word Cloud

Created with Highcharts 10.0.0patientdataintegrationcareISprojectsInformationSystemssharedintegratearticlesdistinctregionalmessagingsolutionsaccesssystemsmedicalevolvingmeetneedsBACKGROUND:essentialsupportprovideconsistentindividuals--patient-centredpaperidentifiesappraisessummarisesstudiesexaminingdifferentapproachesheterogeneousMETHODS:literaturesystematicallyreviewed1995-2005identifymentioningrecordscomputerssharingRESULTS:312484includeddescribing56scaleIntegrationcommonlyaccomplishedpre-definedtemplatesmiddlewareHL7widelyusedstandardDirectdatabasewebservicescommoncommunicationmethodsuserinterfaceWebbrowserRegardingtype77%integrateddiagnosisproblems67%images65%labresultsrecentlysignificantlyextendingprimaryintegratingreferrallettersCONCLUSION:clearpeople'simplementingnetworksallowingeveritemsManytechnologicalcoexistusingdifferingstandardsarchitecturesmaydifficultinteroperabilityReviewingdata:practice

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