title: A SOA-Based Solution to Monitor Vaccination Coverage Among HIV-Infected Patients in Liguria.
abstract: Vaccination in HIV-infected patients constitutes an essential tool in the prevention of the most common infectious diseases. The Ligurian Vaccination in HIV Program is a proposed vaccination schedule specifically dedicated to this risk group. Selective strategies are proposed within this program, employing ICT (Information and Communication) tools to identify this susceptible target group, to monitor immunization coverage over time and to manage failures and defaulting. The proposal is to connect an immunization registry system to an existing regional platform that allows clinical data re-use among several medical structures, to completely manage the vaccination process. This architecture will adopt a Service Oriented Architecture (SOA) approach and standard HSSP (Health Services Specification Program) interfaces to support interoperability. According to the presented solution, vaccination administration information retrieved from the immunization registry will be structured according to the specifications within the immunization section of the HL7 (Health Level 7) CCD (Continuity of Care Document) document. Immunization coverage will be evaluated through the continuous monitoring of serology and antibody titers gathered from the hospital LIS (Laboratory Information System) structured into a HL7 Version 3 (v3) Clinical Document Architecture Release 2 (CDA R2).
authors: Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Via Opera Pia 13, 16145 Genoa, Italy.
authors: Barbara
authors: B
authors: Giannini
authors: Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Via Opera Pia 13, 16145 Genoa, Italy.
authors: Roberta
authors: R
authors: Gazzarata
authors: Department of Health Sciences (DiSS al); University of Genoa; Italy.
authors: Laura
authors: L
authors: Sticchi
authors: Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Via Opera Pia 13, 16145 Genoa, Italy.
authors: Mauro
authors: M
authors: Giacomini
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000517:prevention & control*; D003199:Computer Systems; D004282:Documentation; D015658:HIV Infections; D057208:Health Level Seven; D017589:Immunization Programs; D007558:Italy; D019982:Organizational Case Studies