title: Standardized EHR interoperability - preliminary results of a German pilot project using the archetype methodology.
abstract: The mobility of doctors and patients asks for multilingualism of electronic health record (EHR) systems: Doctors might face language problems using foreign medical information systems; people working abroad ask for continuous care which requires the treating physician to consult and understand the patient's health record. To address these linguistic and interoperability issues a solution is being developed that is based on widely acclaimed standards. Medical concepts that are derived from ASTM CCR define an interface model (based on ISO 13606). A server manages the data exchange between heterogeneous systems based on the interface model. It provides web services (automatic) and web forms (manual) and performs a transformation from the legacy scheme to the common structure. Furthermore, the server provides rich visualization capabilities (e.g. language-switch, custom charts etc.) which are useful for those EHR systems that don't provide these features.
authors.affiliation: Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Germany. hasan.veseli@helmholz-muenchen.de
authors.forename: Hasan
authors.initials: H
authors.lastname: Veseli
authors.forename: Georgy
authors.initials: G
authors.lastname: Kopanitsa
authors.forename: Hans
authors.initials: H
authors.lastname: Demski
mesh_terms: D003628:Database Management Systems / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D005858:Germany; D017408:Guidelines as Topic; D055991:Health Records, Personal; D016247:Information Storage and Retrieval / Q000592:standards*; D008498:Medical Record Linkage / Q000592:standards*; D010865:Pilot Projects; D018511:Systems Integration