Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs

<p>Abstract</p> <p>Background</p> <p>The integration of Information Systems (IS) is essential to support shared care and to provide consistent care to individuals – patient-centred care. This paper identifies, appraises and summarises studies examining different approac...

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Main Authors: Ferreira Ana M, Vieira-Marques Pedro M, Cruz-Correia Ricardo J, Almeida Filipa C, Wyatt Jeremy C, Costa-Pereira Altamiro M
Format: Article
Language:English
Published: BMC 2007-06-01
Series:BMC Medical Informatics and Decision Making
Online Access:http://www.biomedcentral.com/1472-6947/7/14
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author Ferreira Ana M
Vieira-Marques Pedro M
Cruz-Correia Ricardo J
Almeida Filipa C
Wyatt Jeremy C
Costa-Pereira Altamiro M
author_facet Ferreira Ana M
Vieira-Marques Pedro M
Cruz-Correia Ricardo J
Almeida Filipa C
Wyatt Jeremy C
Costa-Pereira Altamiro M
author_sort Ferreira Ana M
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The integration of Information Systems (IS) is essential to support shared care and to provide consistent care to individuals – patient-centred care. This paper identifies, appraises and summarises studies examining different approaches to integrate patient data from heterogeneous IS.</p> <p>Methods</p> <p>The literature was systematically reviewed between 1995–2005 to identify articles mentioning patient records, computers and data integration or sharing.</p> <p>Results</p> <p>Of 3124 articles, 84 were included describing 56 distinct projects. Most of the projects were on a regional scale. Integration was most commonly accomplished by messaging with pre-defined templates and middleware solutions. HL7 was the most widely used messaging standard. Direct database access and web services were the most common communication methods. The user interface for most systems was a Web browser. Regarding the type of medical data shared, 77% of projects integrated diagnosis and problems, 67% medical images and 65% lab results. More recently significantly more IS are extending to primary care and integrating referral letters.</p> <p>Conclusion</p> <p>It is clear that Information Systems are evolving to meet people's needs by implementing regional networks, allowing patient access and integration of ever more items of patient data. Many distinct technological solutions coexist to integrate patient data, using differing standards and data architectures which may difficult further interoperability.</p>
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spelling doaj.art-6180de6db36f4e86939fed353fc136f52022-12-22T03:05:39ZengBMCBMC Medical Informatics and Decision Making1472-69472007-06-01711410.1186/1472-6947-7-14Reviewing the integration of patient data: how systems are evolving in practice to meet patient needsFerreira Ana MVieira-Marques Pedro MCruz-Correia Ricardo JAlmeida Filipa CWyatt Jeremy CCosta-Pereira Altamiro M<p>Abstract</p> <p>Background</p> <p>The integration of Information Systems (IS) is essential to support shared care and to provide consistent care to individuals – patient-centred care. This paper identifies, appraises and summarises studies examining different approaches to integrate patient data from heterogeneous IS.</p> <p>Methods</p> <p>The literature was systematically reviewed between 1995–2005 to identify articles mentioning patient records, computers and data integration or sharing.</p> <p>Results</p> <p>Of 3124 articles, 84 were included describing 56 distinct projects. Most of the projects were on a regional scale. Integration was most commonly accomplished by messaging with pre-defined templates and middleware solutions. HL7 was the most widely used messaging standard. Direct database access and web services were the most common communication methods. The user interface for most systems was a Web browser. Regarding the type of medical data shared, 77% of projects integrated diagnosis and problems, 67% medical images and 65% lab results. More recently significantly more IS are extending to primary care and integrating referral letters.</p> <p>Conclusion</p> <p>It is clear that Information Systems are evolving to meet people's needs by implementing regional networks, allowing patient access and integration of ever more items of patient data. Many distinct technological solutions coexist to integrate patient data, using differing standards and data architectures which may difficult further interoperability.</p>http://www.biomedcentral.com/1472-6947/7/14
spellingShingle Ferreira Ana M
Vieira-Marques Pedro M
Cruz-Correia Ricardo J
Almeida Filipa C
Wyatt Jeremy C
Costa-Pereira Altamiro M
Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
BMC Medical Informatics and Decision Making
title Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
title_full Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
title_fullStr Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
title_full_unstemmed Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
title_short Reviewing the integration of patient data: how systems are evolving in practice to meet patient needs
title_sort reviewing the integration of patient data how systems are evolving in practice to meet patient needs
url http://www.biomedcentral.com/1472-6947/7/14
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