Authors:
Francois Andry
and
Lin Wan
Affiliation:
OptumInsight, United States
Keyword(s):
Integrating the health enterprise (IHE), Cross-community patient discovery (XCPD), Cross-enterprise document sharing (XDS), Cross-community access query and retrieve services (XCA), Audit trail and node authentication (ATNA), Interoperability, Orchestration, Choreography, Web services, Service oriented architecture (SOA), Enterprise service bus (ESB), Health information exchange (HIE), Simple object access protocol (SOAP), Business process execution language (BPEL), Encryption, Signature, Security assertion markup language (SAML).
Related
Ontology
Subjects/Areas/Topics:
Artificial Intelligence
;
Biomedical Engineering
;
Cloud Computing
;
Collaboration and e-Services
;
Complex Systems Modeling and Simulation
;
Confidentiality and Data Security
;
Data Engineering
;
Design and Development Methodologies for Healthcare IT
;
e-Business
;
e-Health
;
e-Health for Public Health
;
Electronic Health Records and Standards
;
Enterprise Information Systems
;
Evaluation and Use of Healthcare IT
;
Health Information Systems
;
Healthcare Management Systems
;
Integration/Interoperability
;
Interoperability
;
Knowledge Management and Information Sharing
;
Knowledge-Based Systems
;
Ontologies and the Semantic Web
;
Platforms and Applications
;
Semantic Interoperability
;
Sensor Networks
;
Simulation and Modeling
;
Software Agents and Internet Computing
;
Software and Architectures
;
Software Systems in Medicine
;
Symbolic Systems
Abstract:
Integrating the Healthcare Enterprise (IHE) is an initiative designed to facilitate the integration of healthcare information systems in order to exchange health care information in a secure, private and efficient manner. Solution vendors now offer IHE integration profiles as web services that can be integrated locally or regionally to coordinate standard heath care activities such as clinical documents management. Although IHE profiles promote the use of standards, the federation of health information systems is difficult because each node to integrate is generally very different. Each individual node has its own services, communication protocol, security scheme, performance, customization and extensibility capabilities. In addition, IHE profiles do not address workflow management process such as the mediation, routing and aggregation of the content of IHE transaction messages. In this paper, we describe an architecture solution that addresses these needs and provides the orchestrat
ion of IHE transactions (XCPD, XCA, ATNA) to support state wide-Health Information Exchanges.
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