title: A generic, web-based clinical information system architecture using HL7 CDA: successful implementation in dermatological routine care.
abstract: The requirements of highly specialized clinical domains are often underrepresented in hospital information systems (HIS). Common consequences are that documentation remains to be paper-based or external systems with insufficient HIS integration are used. This paper presents a solution to overcome this deficiency in the form of a generic framework based on the HL7 Clinical Document Architecture. The central architectural idea is the definition of customized forms using a schema-controlled XML language. These flexible form definitions drive the user interface, the data storage, and standardized data exchange. A successful proof-of-concept application in a dermatologic outpatient wound care department has been implemented, and is well accepted by the clinicians. Our work with HL7 CDA revealed the need for further practical research in the health information standards realm.
authors.affiliation: Department of Medical Informatics, University Medical Center Freiburg, Germany. thilo.schuler@gmail.com
authors.forename: Thilo
authors.initials: T
authors.lastname: Schuler
authors.forename: Martin
authors.initials: M
authors.lastname: Boeker
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Klar
authors.forename: Marcel
authors.initials: M
authors.lastname: Müller
mesh_terms: D000555:Ambulatory Care Information Systems; D002908:Chronic Disease; D003880:Dermatology; D006751:Hospital Information Systems / Q000592:standards; D006801:Humans; D016347:Medical Records Systems, Computerized; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration; D011381:Programming Languages; D018511:Systems Integration; D014947:Wounds and Injuries / Q000628:therapy