Proof-of-concept solution to create an interoperable timeline of healthcare data.

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2023-11-01 DOI:10.1136/bmjhci-2023-100754

Sapna Trivedi, Stephen Hall, Fiona Inglis, Afzal Chaudhry

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Abstract

Objectives: To overcome the barriers of interoperability by sharing simulated patient data from different electronic health records systems and presenting them in an intuitive timeline of events.

Methods: The 'Patient Story' software comprising database and blockchain, PS Timeline Windows interface, PS Timeline Web interface and network relays on Azure cloud was customised for Epic and Lorenzo electonic patient record (EPR) systems used at different hospitals, using site-specific adapters.

Results: Each site could view their own clinical documents and view each other's site specific, fully coded test sets of (Care Connect) medications, conditions and allergies, in an aggregated single view.

Discussion: This work has shown that clinical data from different EPR systems can be successfully integrated and visualised on a single timeline, accessible by clinicians and patients.

Conclusion: The Patient Story system combined the timeline visualisation with successful interoperability across healthcare settings, as well giving patients the ability to directly interact with their timeline.

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概念验证解决方案，用于创建可互操作的医疗保健数据时间表。

目标：通过共享来自不同电子健康记录系统的模拟患者数据并将其呈现在直观的事件时间表中，克服互操作性障碍。方法：“患者故事”软件包括数据库和区块链、PS Timeline Windows界面、PS Timeliner Web界面和Azure云上的网络中继，是为不同医院使用的Epic和Lorenzo电子病历（EPR）系统定制的，使用特定站点的适配器。结果：每个网站都可以查看自己的临床文档，并在一个汇总的单一视图中查看彼此网站特定的、完整编码的（Care Connect）药物、病情和过敏测试集。讨论：这项工作表明，来自不同EPR系统的临床数据可以在一个时间线上成功集成和可视化，临床医生和患者都可以访问。结论：患者故事系统将时间线可视化与医疗环境中的成功互操作性相结合，并使患者能够直接与时间线互动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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