Automated On-Demand Generation Of Patient Summary Documents
Abstract
Patient summary documents provide crucial information about a patient, like allergies and adverse reactions, which are necessary for an efficient and safe treatment and offer a quick overview of the patient’s health status. Automatically generating patient summaries from Electronic Health Records (EHR) reduces the workload of medical personnel. Nevertheless, existing approaches do not take several challenges that occur in live operation into account . Based on a health standard-compliant approach, a system for on-demand generation of patient summaries was implemented and evaluated using real data. This work shows several problems which could be identified. Those problems are not covered sufficiently by current research. Possible approaches to a solution are suggested, which have to be further investigated in future work.References
Auer Clemens, Milisits Carina, Reimer Sebastian, ELGA-Handbuch: Die Elektronische Gesundheitsakte. Vienna, Austria: Manz, 2014.
EU Commission Directorate General Health & Consumers, Guide- lines on minimum/nonexhaustive patient summary dataset for elec- tronic exchange in accordance with the cross-border directive 2011/24/EU. 2013. http://ec.europa.eu/health/ehealth/docs/guidelines patient summary en.pdf. Last access 2015-01-31.
Spanish Ministry of Health and Social Politics (ESNA), Fi- nal definition of functional service requirements - Patient Sum- mary. 2012. http://www.epsos.eu/uploads/tx epsosfileshare/D3.2. 2 Final Definition Functional Service Req Patient Summary.pdf. Last access 2015-01-31
Stefan Sabutsch), Das Patient Summary aus der ELGA Per- spektive. 2013. http://www.ehealthsummit.at/sites/default/files/ehsat Notfalldaten%20und%20Patient%20Summary Sabutsch.pdf. Last access 2015-01-31
Paizoni, A Rule-Based Summarization Approach for CDA Documents in an IHE compliant System. Master Thesis, University of Applied Sciences Upper Austria, Hagenberg, 2011.
D. Bosca, L. Marco, D. Moner, J. A. Maldonado, L. Insa, M. Robles, Detailed Clinical Models Governance System in a Regional EHR Project. XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013, IFMBE Proceedings Volume 41, pp. 1266-1269, 2014.
ITI Technical Committee, IHE IT Infrastructure (ITI) Technical Frame- work Volume 1. 2014. http://www.ihe.net/uploadedFiles/Documents/ITI/ IHE ITI TF Vol1.pdf. Last access 2015-01-31.
C.Chronaki,A.Estelrich,G.Cangioli,M.Melgara,D.Kalra,Z.Gonzaga, L. Garber, E. Blechman, J. Ferguson, S. Kay, Interoperability standards enabling cross-border patient summary exchange. Studies in Health Technology and Informatics 205:256-260, 2014.
Health Level Seven International, HL7 Clinical Document Architec- ture. 2005. http://www.hl7.org/implement/standards/product brief.cfm? product id=7. Last access 2015-01-31.
Keith W. Boone, The CDA TM Cookbook. London, Springer, 2011.
Christoph Rinner, Inhaltsbasierte Suche in standardisierten elektronis- chen Gesundheitsakten mittels Archetypen. Technical University Vienna, Faculty for Informatics, 2013.
Christoph Rinner, M. Kohler, G. Hbner-Bloder, S. Saboor, E. Ammen- werth, G. Duftschmied, Vermeidung EHR-bedingter Iinformationsberflu- tung mittels des Zweimodell Ansatzes. Proceedings of eHealth 2012, pp. 95-101, 2012.
Christoph Rinner, M. Kohler, G. Hbner-Bloder, S. Saboor, E. Ammen- werth, G. Duftschmied, Searching for document contents in an IHE- XDS EHR architecture via Archetype-based indexing of document types. Proceedings of Medinfo 2013, Stud. Health Technol. Inform. 192:1092, 2013.
G. Duftschmied, Christoph Rinner, M. Kohler, G. Hbner-Bloder, S.Saboor, E.Ammenwerth, The EHR-ARCHE project: Satisfying clinical information needs in a Shared Electronic Health Record System based on IHE XDS and Archetypes. International Journal of Medical Informatics, 82(12):1195-207, 2013.
Health Level Seven International, HL7 V3 Guide Release 1. 2012. http: //www.hl7.org/implement/standards/product brief.cfm?product id=186. Last access 2015-01-31.
LOINC, Logical Observation Identifiers Names and Codes (LOINC). 2015. http://loinc.org. Last access 2015-01-31.
Tim Benson, Principles of Health Interoperability HL7 and SNOMED, Health Information Technology Standards 2nd Edition. London, Springer, 2012.,
ITI Technical Committee, IHE IT Infrastructure (ITI) Technical Frame- work Volume 2b. 2014. http://www.ihe.net/uploadedFiles/Documents/ ITI/IHE ITI TF Vol2b.pdf. Last access 2015-01-31.
Krauss Oliver, Automatisierte Erstellung eines Patient Summary durch Verwendung des IHE On-Demand Document Supplement. Master Thesis, University of Applied Sciences Upper Austria, Campus Hagenberg, Faculty Software Engineering, 2014.
Nationalrat, Bundesgesetzblatt fr die Republik sterreich 111. Bundesgesetz: Elektronische Gesundheitsakte-Gesetz ELGA-G. GP XXIV RV 1936 AB 1979 S. 179. BR: AB 8818 S. 815. 2012. http://www.elga.gv.at/fileadmin/user upload/uploads/download Papers/ Gesetze u.a. Rechtsgrundlagen/BGBLA 2012 I 111.pdf. Last access 2015-01-31.
Nationalrat, Bundesgesetzblatt fr die Republik sterreich 165. Bundesgesetz Datenschutzgesetz 2000 DSG 2000 GP XX RV 1613 AB 2028 S. 179. BR: 5992 AB 6034 S. 657. 1999. http://www.elga.gv.at/fileadmin/user upload/uploads/download Papers/ Gesetze u.a. Rechtsgrundlagen/DSG 2000.pdf. Last access 2015-01-31
Downloads
Published
Issue
Section
License
Copyright (c) 2015 International Journal of Electronics and Telecommunication
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on https://creativecommons.org/licenses/by/4.0/.
2. Author’s Warranties
The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s. The undersigned also warrants that the manuscript (or its essential substance) has not been published other than as an abstract or doctorate thesis and has not been submitted for consideration elsewhere, for print, electronic or digital publication.
3. User Rights
Under the Creative Commons Attribution license, the author(s) and users are free to share (copy, distribute and transmit the contribution) under the following conditions: 1. they must attribute the contribution in the manner specified by the author or licensor, 2. they may alter, transform, or build upon this work, 3. they may use this contribution for commercial purposes.
4. Rights of Authors
Authors retain the following rights:
- copyright, and other proprietary rights relating to the article, such as patent rights,
- the right to use the substance of the article in own future works, including lectures and books,
- the right to reproduce the article for own purposes, provided the copies are not offered for sale,
- the right to self-archive the article
- the right to supervision over the integrity of the content of the work and its fair use.
5. Co-Authorship
If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.
6. Termination
This agreement can be terminated by the author or the Journal Owner upon two months’ notice where the other party has materially breached this agreement and failed to remedy such breach within a month of being given the terminating party’s notice requesting such breach to be remedied. No breach or violation of this agreement will cause this agreement or any license granted in it to terminate automatically or affect the definition of the Journal Owner. The author and the Journal Owner may agree to terminate this agreement at any time. This agreement or any license granted in it cannot be terminated otherwise than in accordance with this section 6. This License shall remain in effect throughout the term of copyright in the Work and may not be revoked without the express written consent of both parties.
7. Royalties
This agreement entitles the author to no royalties or other fees. To such extent as legally permissible, the author waives his or her right to collect royalties relative to the article in respect of any use of the article by the Journal Owner or its sublicensee.
8. Miscellaneous
The Journal Owner will publish the article (or have it published) in the Journal if the article’s editorial process is successfully completed and the Journal Owner or its sublicensee has become obligated to have the article published. Where such obligation depends on the payment of a fee, it shall not be deemed to exist until such time as that fee is paid. The Journal Owner may conform the article to a style of punctuation, spelling, capitalization and usage that it deems appropriate. The Journal Owner will be allowed to sublicense the rights that are licensed to it under this agreement. This agreement will be governed by the laws of Poland.
By signing this License, Author(s) warrant(s) that they have the full power to enter into this agreement. This License shall remain in effect throughout the term of copyright in the Work and may not be revoked without the express written consent of both parties.