Interoperable Architectures

The integration of medical information systems is becoming an essential target of the modern healthcare systems. Such an objective, however, needs a remarkable effort to make the existing solutions, like those for Electronic Health Records (EHR), interoperable each other.

Infrastructures for Secure Interoperability of EHR Systems

EHRRegistryFederationThis topic addresses the definition and realization of technological infrastructures designed to make heterogeneous Electronic Heatlh Record (EHR) systems interoperable each other, in order to enable citizens and health professionals to get access to clinical documents, wherever they are located and according to stringent security, privacy, and dependability requirements.

The development of an interoperability platform aiming at enabling different EHR solutions to exchange clinical documents requires the design of i) an infrastructure architectural model and ii) mechanisms for the collection and availability of health documents and data to all the authorized users.

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Event Notification Architectures

EventTopology

This research activity focuses on improving the efficiency of the communication between health secondary-care operators, such as physicians and/or pathologists, and the general practitioners. During their clinical story, patients are requested by their general practitioners to make examinations at certain laboratories and/or to receive specialized treatments at given hospitals. Clinical documents produced after patients have received such health secondary-care, such as examination outcomes and treatment summary, have to be promptly delivered to general practitioners so they can take the best medical decision or better follow up the clinical history of their patient.

The current practice is to adopt a paper-based communication: clinical documents are printed and given to patients, which will further bring them to their general practitioners. Such a communication is error-prone and inefficient. Our proposal is to realize an electronic delivery of clinical documents to general practitioner. Specifically, we propose a notification architecture based on publish/subscribe services for a scalable and efficient communication concerning the availability of certain clinical documents and where they can be retrieved.

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