title: Sustainable ubiquitous home health care--architectural considerations and first practical experiences.
abstract: Despite the abundance of past home care projects and the maturity of the technologies used, there is no widespread dissemination as yet. The absence of accepted standards and thus interoperability and the inadequate integration into transinstitutional health information systems (tHIS) are perceived as key factors. Based on the respective literature and previous experiences in home care projects we propose an architectural model for home care as part of a transinstitutional health information system using the HL7 clinical document architecture (CDA) as well as the HL7 Arden Syntax for Medical Logic Systems. In two short case studies we describe the practical realization of the architecture as well as first experiences. Our work can be regarded as a first step towards an interoperable - and in our view sustainable - home care architecture based on a prominent document standard from the health information system domain.
authors.affiliation: Institute for Medical Informatics, Technical University Carolo-Wilhelmina of Braunschweig, Germany. m.marschollek@mi.tu-bs.de
authors.forename: Michael
authors.initials: M
authors.lastname: Marschollek
authors.forename: Klaus-H
authors.initials: KH
authors.lastname: Wolf
authors.forename: Oliver-J
authors.initials: OJ
authors.lastname: Bott
authors.forename: Mirko
authors.initials: M
authors.lastname: Geisler
authors.forename: Maik
authors.initials: M
authors.lastname: Plischke
authors.forename: Wolfram
authors.initials: W
authors.lastname: Ludwig
authors.forename: Andreas
authors.initials: A
authors.lastname: Hornberger
authors.forename: Reinhold
authors.initials: R
authors.lastname: Haux
mesh_terms: D020000:Decision Support Systems, Clinical; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D007256:Information Systems / Q000592:standards*; D011381:Programming Languages; D012984:Software / Q000592:standards; D017216:Telemedicine