: Frank Oemig, Robert Snelick
: Healthcare Interoperability Standards Compliance Handbook Conformance and Testing of Healthcare Data Exchange Standards
: Springer-Verlag
: 9783319448398
: 1
: CHF 237.30
:
: Allgemeines
: English
: 696
: Wasserzeichen/DRM
: PC/MAC/eReader/Tablet
: PDF
This book focuses on the development and use of interoperability standards related to healthcare information technology (HIT) and provides in-depth discussion of the associated essential aspects. The book explains the principles of conformance, examining how to improve the content of healthcare data exchange standards (including HL7 v2.x, V3/CDA, FHIR, CTS2, DICOM, EDIFACT, and ebXML), the rigor of conformance testing, and the interoperability capabilities of healthcare applications for the benefit of healthcare professionals who use HIT, developers of HIT applications, and healthcare consumers who aspire to be recipients of safe and effective health services facilitated through meaningful use of well-designed HIT.


Designed for professionals and practitioners, this book is appropriate for implementers and developers of HIT, technical staff of information technology vendors participating in the development of standards and profiling initiatives, informatics professionals who design conformance testing tools, staff of information technology departments in healthcare institutions, and experts involved in standards development. Healthcare providers and leadership of provider organizations seeking a better understanding of conformance, interoperability, and IT certification processes will benefit from this book, as will students studying healthcare information technology.





Foreword5
Preface7
Trademarks and Disclaimer9
Copy-Editor9
Contributors9
Reviewers10
HL7 Conformance Working Group10
Robert Snelick Acknowledgments10
Frank Oemig Acknowledgments11
Dedication12
Contents13
About the Authors24
Acronyms26
List of Figures32
List of Tables40
Healthcare Information Technology46
1 Introduction47
1.1 The Case for Common Understanding49
1.1.1 The Need for Consistency50
1.2 Information Cycle51
1.3 Motivation for Cooperation52
1.4 Definition of Key Terms and Concepts53
1.4.1 Conformance53
1.4.2 Interoperability54
1.5 Interoperability Levels56
1.6 Standards Development Life-Cycle57
1.7 ISO/OSI Stack59
1.8 Reference Model for Open Distributed Processing (RM-ODP)61
1.9 Concept Relationships63
1.10 Approaches to Standards Development64
1.11 Testing66
1.12 Scope and Purpose67
1.13 Commonly Used Terms and Definitions69
1.14 Intended Audience71
1.15 Keywords for Use72
1.16 Summary72
References73
2 Architecture75
2.1 Interface75
2.1.1 Types of Interfaces76
2.1.1.1 Functional (Local + Remote)76
2.1.1.2 Message-Based Data Exchange77
2.1.1.3 Document Exchange78
2.1.2 Communication Paradigms79
2.1.3 Protocol Layer80
2.1.4 Levels for Interoperability80
2.2 Interfacing81
2.2.1 Impact on Interfaces82
2.3 Serving Interfaces with Data83
2.3.1 General “Capability” of a System83
2.3.2 Relevance for Interfaces85
2.4 Dynamic Behavior86
2.4.1 Message Pairs86
2.4.2 Timing87
2.4.3 Message Identification87
2.4.4 Routing to Multiple Destinations89
2.4.5 Responsibility of a System90
2.4.6 Event Handling91
2.4.7 Delayed Message Handling (Sender)92
2.4.8 Handling of Outdated Data (Receiver)93
2.5 Intermediate Message Handling94
2.6 Message Population95
2.7 Information Transmission96
2.8 Delete Indication97
2.8.1 Legal Requirements for Data Persistence100
2.8.2 Receiver Responsibility100
2.8.3 Data Granularity101
2.8.4 Impact of Order of Messages101
2.8.5 Sender Responsibility: Impact to System Design102
2.9 Null Flavors103
2.10 Snapshot Mode Versus Update Mode105
2.11 Considerations in Application Development108
2.11.1 Introducing Functional Requirements108
2.11.2 Conformance Discussion113
2.12 Summary116
References117
3 Healthcare Standards Landscape118
3.1 Introduction118
3.2 Standards Developing Organizations119
3.2.1 UNECE119
3.2.2 ASC (US)120
3.2.3 ASTM (US)121
3.2.4 HL7121
3.2.4.1 Affiliates122
3.2.5 DICOM122
3.2.6 KBV, ZI and QMS (Germany)123
3.2.7 KV-Telematik (Germany)123
3.2.8 NCPDP (USA)124
3.2.9 OASIS125
3.3 Profile Development Organizations126
3.3.1 IHE126
3.3.2 ELGA (Austria)129
3.3.3 eHealth Suisse (Switzerland)130
3.3.4 HITSP (US)131
3.3.5 S131