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EFMI WG EHR Electronic Health Record

last update : July 2012

Objectives:
The working group deals with the issue Electronic Health Record in the different level of development. Such levels concern the case level, organisational level, regional level, national level, and international level. In that context, the Working Group supports

  • Studies on specification, implementation, and promotion of standards for EHR,
  • Modelling of its architecture and its interoperability, as well as
  • Education on that topic.

The EFMI Working Group "Electronic Healthcare Records"

  • Organises workshops dedicated to the WG’s topics,
  • Supports contacts to the scene,
  • Represents EFMI to corresponding structures within IMIA as well as other organisations dealing with the topic,

The EFMI Working Group “Electronic Healthcare Records” especially deals with the

  • Analysis of different EHCR approaches, harmonising tools and methods for specification, presentation, implementation and use for common views,
  • Consideration and evaluation of the single model versus the dual model approach, especially,
  • Population of CEN prENV OCC with KR and Archetypes,
  • Harmonisation of terminology used,
  • Correction, refinement and harmonisation of UML models defined in different approaches.

The EFMI Working Group “Electronic Healthcare Records” strongly co-operates with the EUROREC initiative and its supporting institutions including the national ProRec Centres as well as with global EHR activities such as the openEHR Foundation

The Working Group co-operates strongly with the EFMI WGs "Security, Safety and Ethics" and "Communications and Interoperability" and other organisations dealing with the issues of EHR.

Recent and Future Activities

  • Organisational sponsor of the EFMI STC 2011 "E-salus trans confinia sine finibus – e-Health Across Borders Without Boundaries”, 14-15 April 2011, Laško, Slovenia (together with EFMI WGs SSE, HIIC and PCI). Results are published at IOS Press SHTI Vol. 165.
  • Preparation of a Joint Workshop of EFMI WGs EHR, PPD, and SSE “Electronic Records Systems and Policies on the Move to Pervasive Care” at MIE 2011 in Oslo, Norway
  • Workshop on architectures and solutions for personalised health at pHealth 2011 – The 8th International Conference on Wearable Micro and Nano Technologies for Personalized Health, 29 June – 1 July 2011, Lyon, France (together with EFMI WG PPD)
  • Engagement at EFMI STC 2012
  • Organisation of a Joint Round Table Event on “Secure mobile devices and implants for realizing pHealth” at pHealth 2012, 26-28 June 2012 in Porto, Portugal, in cooperation with the EFMI WGs PPD and SSE
  • Submission of a Joint Workshop proposal to MIE 2012 in cooperation with the EFMI WGs PPD and SSE
  • WG Meeting at MIE 2012

    Past Activities :

    Several working conferences and workshops have been organised and tutorials have been provided partially in co-operation with other organisations. In that context, Chair and WG Members acted as Conference Organisers, Chair of the Scientific Programme Committee as well as Keynote Speakers. The following activities have been realised:

    • Workshop of EFMI WG “Electronic Health Records” at the EFMI Special Topic Conference 2007, 30 May - 1 June 2007 in Brijuni, Croatia The workshop dealt with the following issues:
      • Advanced architectures for trustworthy and semantically interoperable Electronic Health Records
      • Regional EHR systems and eArchives in Finland
      • Certification and quality labelling for semantic interoperability – the Q-REC project
      • Internet-systems of medical and pharmaceutical information in Ukraine
      • Disease outbreak surveillance through the Internet – the MedISys project
      • Intention based decision support system
      • Label validation and user notification based on semantic Web technologies: a quality step further on the Internet
      The results have been jointly published in J.S.Bryden, S.deLusignan, B.Blobel, M.Petrovecki (Edrs.): Medical Informatics in Enlarged Europe. IOS Press and Akademische Verlagsgesellschaft Aka, Berlin 2007.
    • Joint workshop of EFMI Working Groups „Security, Safety and Ethics“ und „Electronic Health Records“ entitled „The Paradigm Change Challenge towards Personal Health“ at the ICMCC 2007, 8-10 June 2007 in Amsterdam, organised by the International Council for Medical and Care Compunetics. The workshop results have been published in: Bos L and Blobel B (Edrs.): Medical and Care Compunetics 4, Series Studies in Health Technology and Informatics, Vol. 127. IOS Press, Amsterdam. The workshop dealt with the following issues:
      • Legal, political, organisational and ethical challenges of the personal health paradigm
      • Semantic interoperability between clinical and public health information systems for improving public health services
      • Architectural challenges of personal health
      • Semantic interoperability of EHR systems
      • Security and privacy issues of personal health
      • Terminology and ontology issues of comprehensively integrated care paradigms
      • The aspect of safety in future care settings
      • eHealth standards – prerequisites for semantic interoperability
      • Quality labelling and certification of EHR systems
    • Contribution to the International Conference „eHealth: Combining Health Telematics, Telemedicine, Biomedical Engineering and Bioinformatics to the Edge“, 2-5 December 2007 in Regensburg. The results will be published in B.Blobel, P.Pharow and M.Nerlich (Edrs.): eHEALTH: Combining Health Telematics, Telemedicine, Biomedical Engineering and Bioinformatics to the Edge – Global Experts Summit Textbook. Series Studies in Health Technology and Informatics, Vol 134, IOS Press, Amsterdam 2008 as well as in B.Blobel, P.Pharow, J.Zvarova and D.M.Lopez (Edrs.): Combining Health Telematics, Telemedicine, Biomedical Engineering and Bioinformatics to the Edge – CeHR 2007 Conference Proceedings. IOS Press and Akademische Verlagsgesellschaft Aka, Berlin 2008.

    Additionally, national presentations and tutorials have been given by EFMI EHR WG Members.

    The EFMI WG Chair as well as other members realised severalpresentations on the WG’s topics. In that context, Bernd Blobel’s invited lectures “Strategy for developing an EHR, and possible outcomes - adaptable to Ireland?” as well as “Semantic Interoperability in eHealth – Lessons Learned and Future Challenges” HISI 11th Annual Conference & Scientific Symposium, 21-22 November 2007, Dublin, Ireland, have to be mentioned.

    Publications:
    Original Papers

    Blobel B (2007) Educational Challenge of Health Information Systems’ Interoperability. Methods Inf Med 2007; 46: pp. 52-56.

    Lopez DM, Blobel B (2006) Realising Semantic Interoperability by Using the Unified Process. European Notes in Medical Informatics, Vol. II, 2 (2006) pp. 316-321.

    Oemig F, Blobel B (2006) HL7 Version 3 – Interversion Compatibility Issues. European Notes in Medical Informatics, Vol. II, 2 (2006) pp. 475-479.

    Blobel B, Engel K, Pharow P (2006) Semantic Interoperability – HL7 Version 3 Compared to Advanced Architecture Standards. Methods Inf Med 2006; 45: pp 343- 353.

    Zvárová J (2006) EFMI symposium on “Electronic Health Record Healthcare Registers and Telemedicine”. International Journal of Medical Informatics 75, 3-4 (2006) pp. 183-184.

    Blobel B (2006) Advanced and secure architectural EHR approaches. International Journal of Medical Informatics 75, 3-4 (2006) pp. 185-190.

    Knaup P, Garde S, Merzweiler A, Graf N, Schilling F, Weber R and Haux R (2006) Towards shared patient records: An architecture for using routine data for nationwide research. International Journal of Medical Informatics 75, 3-4 (2006) pp. 191-200.

    Špidlen J, Hanzlíček P, Říha A and Zvárová J (2006) Flexible information storage in MUDRII EHR. International Journal of Medical Informatics 75, 3-4 (2006) pp. 201-208.

    Schabetsberger T, Ammenwerth E, Andreatta S, Gratl G, Haux R, Lechleitner G, Schindelwig K, Stark C, Vogl R, Wilhelmy I, et al. (2006) From a paper-based transmission of discharge summaries to electronic communication in health care regions. International Journal of Medical Informatics 75, 3-4 (2006) pp. 209-215.

    Dostǎl C, Pavelka K, Zvárová J, Hanzlíček P and Olejárová M (2006) Some principles of the development of a clinical database/national register of selected inflammatory rheumatic diseases in the Czech Republic. International Journal of Medical Informatics 75, 3-4 (2006) pp. 216-223.

    Simon J, Dos Santos M, Fielding J and Smith B (2006) Formal ontology for natural language processing and the integration of biomedical databases. International Journal of Medical Informatics 75, 3-4 (2006) pp. 224-231.

    Grant A, Moshyk A, Diab H, Caron P, de Lorenzi F, Bisson G, Menard L, Lefebvre R, Gauthier P, Grondin R, et al. (2006) Integrating feedback from a clinical data warehouse into practice organisation, International Journal of Medical Informatics 75, 3-4 (2006) pp. 232-239.

    Veselý A, Zvárová J, Peleška J, Buchtela D and Anger Z (2006) Medical guidelines presentation and comparing with Electronic Health Record. International Journal of Medical Informatics 75, 3-4 (2006) pp. 240-245.

    Babulak E (2006) Quality of service provision assessment in the healthcare information and telecommunications infrastructures. International Journal of Medical Informatics 75, 3-4 (2006) pp. 246-252.

    Contributions of the EFMI Working Group to EFMI STC 2007 Proceedings published in Bryden JS, de Lusignan S, Blobel B, Petrovecki M (Edrs.): MedicalInformatics in Enlarged Europe. IOS Press and Akademische Verlagsgesellschaft Aka GmbH, Berlin 2007.

    Bernd BLOBEL: Advanced Architectures for Trustworthy and Semantically Interoperable Electronic Health Records 145

    Agnieszka LATOSZEKBERENDSEN, Jan TALMON, Paul de CLERCQ, Arie HASMAN: :IntentionBased Decision Support System 156

    Flavio FUART, David HORBY, Clive BEST: Disease Outbreak Surveillance Through the Internet – the MedISys Project 162

    Miquel A. MAYER, Angela LEIS, Pau RUIZ: Label Validation and User Notification Based on Semantic Web Technologies: a Quality Step Further on the Internet 168

    Pekka RUOTSALAINEN: Regional EHR Systems and eArchives in Finland 174 Peter PHAROW, Bernd BLOBEL: Cards and Tokens for Accessing Personal Health Records in an Enlarged Europe 180

    Nataša PLANINC, Uroš KRALJ, Borut ŠKRABA: OLAP for Medical and Business Data Analysis in Healthcare 187

    Chair
    Bernd Blobel, Ph.D., Associate Professor
    Head of the eHealth Competence Center
    University of Regensburg Medical Center
    Franz-Josef-Strauß-Allee 11
    D-93042 Regensburg
    Phone: +49-941-944 6769
    E-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
    Website: eHealth

  •  

    MIE 2014 Istanbul
    Image

    The 25th International Congress of the European Federation for Medical Informatics will be held in
    Istanbul, Turkey
    from the
    31.August-03.September 2014

    The Scientific Programme Committee welcomes your contributions for MIE 2014. For more information please refer to the conference website:
    MIE 2014 - Istanbul

    ICIMTH 2013 Athens

    Image

    The International Conference on Informatics, Management, and Technology in Healthcare supported by the European Federation for Medical Informatics will take place from
    5-7 July in Athens.
    For more information about the conference topics and the program please refer to the
    Conference Website

    Medinfo 2013 Copenhagen

    Image

    The 14th World Congress on Medical and Health Informatics will take place in Copenhagen, Denmark. The topic of medinfo2013 will address the challenges we foresee to continue in:
    Conducting medical informatics by
    Converging technologies,
    Conveying sciences and
    Connecting people

    Past MIE & STC Conferences

    Pisa, Italy 2012
    Oslo, Norway 2011
    Sarajevo, Bosnia-Herzegovina 2009
    Gothenborg, Sweden 2008
    Maastricht, Netherlands 2006
    Geneva, Switzerland 2005
    Saint Malo, France 2003
    Budapest, Hungary 2002
    Hanover, Germany 2000
    Ljubljana, Slovenia 1999
    Thessalonica, Greece 1997
    Copenhagen, Denmark 1996
    Lisbon, Portugal 1994
    Jerusalem, Israel 1993
    Vienna, Austria 1991
    Glasgow, Scotland 1990
    Oslo, Norway 1988
    Rome, Italy 1987
    Helsinki, Finland 1985
    Brussels, Belgium 1984
    Dublin, Ireland 1982
    Toulouse, France 1981
    Berlin, Germany 1979
    Cambridge, UK 1978
    Special Topic Conferences
    2013, Prague, Czech Republic
    2012, Moscow, Russia
    2011, Lasko, Slovenia
    2010, Reykjavik, Iceland
    2009, Antalya, Turkey
    2008, London, UK
    2007, Brijuni island, Croatia
    2006, Timisoara, Romania
    2005, Athens, Greece
    2004, Munich, Germany
    2003, Rome, Italy
    2002, Nicosia, Cyprus
    2001, Bucharest, Romania
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