Interconnectivity of Cardiology Patient Databases using Internet

Interconnectivity of Cardiology Patient Databases using Internet Technology PJ Lees, CE Chronaki, F Chiarugi, E Tsiknakis, SC Orphanoudakis Center for Medical Informatics and Health Telematics Applications, ICS-FORTH, Heraklion, Greece Abstract HYGEIAnet (http://www.hygeianet.gr), the regional health-telematics network of Crete, interconnects healthcare facilities in the region, supporting the development of the regional healthcare information infrastructure. Middleware components of this infrastructure have been used to extend an earlier project that used Internet technology to provide secure multilingual access to medical records in a

cardiology department. The resulting scalable and modular architecture can support interconnectivity between medical records of cardiology patients in departments within the same and different institutions. 1. Introduction Integrated regional healthcare networks are increasingly used to facilitate the sharing of health data and medical expertise [1]. HYGEIAnet is a regional health telematics network currently being implemented on the island of Crete [2]. HYGEIAnet encompasses a wide variety of medical software applications, not limited to cardiology, and has the long-term objective to realize the concept of the Integrated Electronic Health Record (I- EHR) that will provide authorized users with access to the complete medical history of patients treated in the region. The I-EHR is supported by middleware services of the evolving Healthcare Information Infrastructure (HII), which facilitate the automatic collection and indexing of data regarding healthcare encounters of patients treated in the region. Alternative views of the I- EHR facilitate domain-specific presentation of medical data appropriate for different medical disciplines such as cardiology [3]. A separate, but related project within HYGEIAnet investigated the feasibility of using Internet technology to provide secure multilingual access to the medical records of a cardiology clinic [4-6]. The purpose of that project was twofold: to share data...

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