Towards Interoperability of EHR Systems: The Case of Italy
Mario Ciampi, Angelo Esposito, Roberto Guarasci, Giuseppe De Pietro
2016
Abstract
The great benefits that Electronic Health Records are able to provide in terms of improvement of the quality of care and reduction of costs have led many international organizations to implement enabling systems. However, the systems designed and realized are very often not able to interoperate each other, due to several reasons, varying from the existence of different local needs to the use of diverse health informatics standards. The lack of interoperability among these systems can result in decreased levels of quality of patient care and waste of financial resources. In Italy, the autonomy about healthcare delivered by the Italian Constitution to each region caused the spread of heterogeneous regional EHR systems, thus not able to interoperate each other. This paper presents the result of an effort made within a convention between the National Research Council of Italy and the Agency for Digital Italy, for the specification of the Italian architecture for the interoperability of regional EHR systems. Such an architecture has been defined according to the requirements provided by Italian Laws recently issued and approved by a National Technical Board.
References
- Aminpour, F., Sadoughi, F., Ahamdi, M., 2014. Utilization of open source electronic health record around the world: A systematic review. International Journal of Research in Medical Sciences, vol. 19, no. 1, pp. 57-64.
- Black, A. D., Car, J., Pagliari C., et al., 2011. The impact of eHealth on the quality and safety of health care: a systematic overview. PLOS Medicine, vol. 8, no. e1000387.
- Canada Health Infoway, 2016. https://www.infowayinforoute.ca/en/.
- Chiaravalloti, M.T., Ciampi, M., Pasceri, E., Sicuranza, M., De Pietro, G., Guarasci, R., 2015. A model for realizing interoperable EHR systems in Italy. 15th International HL7 Interoperability Conference.
- CIDOC-CRM, 2016.
- Ciampi, M., De Pietro, G., Esposito, C., Sicuranza, M., Donzelli, P., 2012. On federating health information systems. GUT 2012: International Conference in Green and Ubiquitous Technology, pp. 139-143.
- Decree 178, 2015. http://www.gazzettaufficiale.it/eli/ id/2015/ 11/11/15G00192/sg.
- Dogac, A., Laleci, G., Aden, T., Eichelberg M., 2007. Enhancing IHE XDS for federated clinical affinity domain support. IEEE Transactions on Information Technology in Biomedicine, vol. 11, no. 2, pp.213 -221.
- epSOS Project, 2016. Available at: http://www.epsos.eu/.
- HL7 Int., Health Level Seven International, 2016. http://www.hl7.org/.
- IHE, Integrating the Healthcare Enterprise, 2016. http://www.ihe.net/.
- ISO/TR 20514, 2005. Health informatics -- Electronic health record -- Definition, scope and context.
- Istat, 2015. Le dimensioni della salute in Italia (Italian). http://www.istat.it/it/files/2015/09/Dimensionisalute.pdf.
- Kalra D., Blobel B.G., 2007. Semantic interoperability of EHR systems. Studies in Health Technology and Informatics, vol. 127, pp. 231-245.
- Ludwick, D.A., Doucette, J., 2009. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, vol. 78, no. 1, pp. 22-31.
- Shekelle, P.G., Morton, S.C., Keeler, E.B., 2006. Costs and benefits of health information technology. Evidence Report/Technology Assessment, no. 132, pp. 1-71.
- The Sequoia Project eHealth Exchange, 2016. Available at: http://sequoiaproject.org/ehealth-exchange/.
Paper Citation
in Harvard Style
Ciampi M., Esposito A., Guarasci R. and De Pietro G. (2016). Towards Interoperability of EHR Systems: The Case of Italy . In Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016) ISBN 978-989-758-180-9, pages 133-138. DOI: 10.5220/0005916401330138
in Bibtex Style
@conference{ict4awe16,
author={Mario Ciampi and Angelo Esposito and Roberto Guarasci and Giuseppe De Pietro},
title={Towards Interoperability of EHR Systems: The Case of Italy},
booktitle={Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016)},
year={2016},
pages={133-138},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005916401330138},
isbn={978-989-758-180-9},
}
in EndNote Style
TY - CONF
JO - Proceedings of the International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, (ICT4AGEINGWELL 2016)
TI - Towards Interoperability of EHR Systems: The Case of Italy
SN - 978-989-758-180-9
AU - Ciampi M.
AU - Esposito A.
AU - Guarasci R.
AU - De Pietro G.
PY - 2016
SP - 133
EP - 138
DO - 10.5220/0005916401330138