6533b834fe1ef96bd129cd74

RESEARCH PRODUCT

Enabling Primary and Specialist Care Interoperability Through HL7 CDA Release 2 and the Chronic Care Model: An Italian Case Study

Renato CalamaiLaura Giarre

subject

InteroperabilityContext (language use)Clinical Document ArchitectureHealth careDiabetes; Electronic medical prescriptions; Electronic medical records; Health information managementmedicineDiabetes Electronic medical prescriptions Electronic medical records Health information managementElectrical and Electronic EngineeringMedical prescriptionElectronic medical recordsChronic careElectronic medical prescriptionsbusiness.industryMedical recordDiabetescomputer.file_formatmedicine.diseaseComputer Science ApplicationsHuman-Computer InteractionHealth information managementControl and Systems EngineeringNormativeMedical emergencybusinesscomputerSoftware

description

Interoperability is the key to enable clinical information systems for General Practitioners (GP) and Hospital Specialists (HS) in order to exchange and manage the Chronic Care Models (CCM) medical records, Patient Summary (PS), and Electronic Prescription (e-Prescription) documents while accessing the electronic health record. We present a localization experience for PS and e-prescription, based on the Health Level Seven Version 3 Clinical Document Architecture Release 2, developed for Italian healthcare. We describe also an experience on the implementation of CCM for sharing patient clinical data among healthcare providers in the management of diagnostic and therapeutic pathways for chronic diseases (diabetes). Finally, we propose, as a case study, a project for the integration of various services for GP/HS, in line with the context of Italian normative both at the national and regional levels (Tuscany region).

https://doi.org/10.1109/tsmca.2012.2210205