Towards Interoperability for Telemedicine Systems
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Transcript of Towards Interoperability for Telemedicine Systems
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8/3/2019 Towards Interoperability for Telemedicine Systems
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Towardsinteroperability
for
ElectricalandComputerEngineeringDepartment,UniversityofPatras
WirelessMobileCommunicationand
MobiHealth 2010
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IntegratedeHealthenvironment
differentMedical
Information
Systems(MIS)andapplicationsact
Telemedicineapplicationsarenot
autonomous,cooperationwith
RIS,LIS,
HIS,
PACS,
etc
should
be
supported
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con .
Interoperability:the
ability
of
different
unctiona entitiesto:
Exchangeinformation(functional)
Gap:alotofdifferentstandardsexistwithvarious
Exchagecomprehensibleinformation(semantic)
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Conditionsof
environment Design
considerations
e eme c nesys emsare o a y
distributed
unc ona yo propose sys em s
sharedbetweenthesitesthatparticipate
incommunication
Different
types of
networks
are
utilized Messages of
special
structure
are
used
thatareadoptabletotheappliednetwork
protocol
Transferthedatathe fastestpossible Addedinformationtothemessagesis
properlyaccessedandmodified
communicatewithotherMISs withina
healthcareenterprise
theproposedsystemusingdedicated
interfaces
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Modellin intero erabilit serviceFunctional
aspect
Users:applicationsanddatastores
'
profiles
Arc itecture
consists
o
an
intermediatetransfersystem(TS)and
dedicatedinterfacingentities
managementdomain
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Modellin intero erabilit serviceFunctional
aspect
(cont.)
Theendtoendcommunicationis
or anizedb
interoperability
service
(intservice)
exchangedusingaspecialstructure
a scommon ora users
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Modellin intero erabilit serviceFunctional
aspect
(cont.)
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Modellinginteroperabilityserviceint
service
design
It
is
considered
that:1) Duringanysession,theintserviceutilizesthe
functionalentitiesofintermediatesysteminorder
toestablish
the
appropriate
communication
path
betweenusers(originatorandrecipient)
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Modellinginteroperabilityserviceint
service
design
It
is
considered
that:2) Theoperationoftheintserviceisaccomplished
throughsubmission,transfer anddelivery
interactions.An
interaction
is
considered
as
the
meansbywhichtheHTmessagesaretransferred
etweenusers omainsan TS
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Modellinginteroperabilityserviceint
service
design
It
is
considered
that:3) Thecreationofthecommunicationpathsandthe
performanceofallinteractionsareachieved
throughthe
use
of
acomplete
set
of
service
elements
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Modellinginteroperabilityserviceint
service
design
Originator Interfacingentities
TS Interfacingentities
Recipient
Submission Transfer Delivery
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Modellin intero erabilit serviceint
service
design
MessageTransferringserviceelements(10):
message
transferringof
the
messages,
addressing,identificationandconversion
MessageStoringserviceelements(4):
transmissionand
receipt
conditions
of
messagesfrom/tomessagestoringentities
ResourceVerificationserviceelements(2):
verificationand
maintenance
of
the
connectionbetweenuserinterfacing
entitiesandTS
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ImplementingthesystemArchitecture
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Im lementin thes stemSpecial
mechanisms
modules
Translation
sers
profiles
Messagecoding
standardsrules
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Im lementin thes stemSpecial
mechanisms
modules
Errorhandlingincludes:
a) Supervisionof
the
sessions
performance(envelopepart)
b Check s stem resources
c) Administrationof
queues
in
message
d) Useoffiltersfor:routing,feedback
an
emporarys orage
o
messages
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Im lementin thes stemSpecial
mechanisms
modules
Auditing:
a) Continuousfunction
b) Logfileswith:
.
ii. Sendingdetails
(start
and
end
of
messages
transfer thesuccessorfailurenotifications
theresendingproceduresdetails,filtering
results
and
the
identification
data
of
message/session)
iii. Receivingdetails(startandterminationtime
po n s, er ngresu s, ypeso no ca ons
andidentification
data
of
message/session)
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Functionality
is
provided
by
autnomous
execu a emo u es
UsersCatalogue,MetadataStore:relational
databases ,
HL7messaging:NeoToolLibrary
Databases:Oracle10gRDBMS,ADO,SQLDML
DICOMservices:CTNo ensourcesoftware
(WashingtonUniversity
of
Saint
Louis).
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The
system
was
tested
using
LIS
and
PACS Auditingmechanismwasused
estimated:
Funactiona ity
Reliability 99,2
99,7
%
Efficiency
Howdifficultistoad ust
Portabilitythesystemundernewoperational
requirements?
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Proposed
architecture
for
syntactic
interopera i itycontri utestot e
standardizationapproach
Noconstraint
to
the
applied
messaging
More
viable
solutions Betteradministration,maintenance,extension
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