Data integration in cardiac electrophysiology ablation toward achieving proper interoperability in health information systems
نویسندگان
1 Department of Health Information Technology, School of Paramedical, Ilam University of Medical Sciences, Ilam, Iran
2 Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
3 Department of Health Information Technology, Abadan Faculty of Medical Sciences, Abadan, Iran Student Research Committee, Abadan Faculty of Medical Sciences, Abadan, Iran
4 Department of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
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چکیده
INTRODUCTION: Providing information exchange and collaboration between isolated informationsystems (ISs) is essential in the health‑care environments. In this context, we aimed to develop acommunication protocol to facilitate better interoperability among electrophysiology study (EPS)‑relatedISs in order to allow exchange unified reporting in EPS ablation.MATERIALS AND METHODS: This study was an applied‑descriptive research that was conductedin 2019. To determine the information content of agreed cardiac EPS Minimum Data Set (MDS) inIran, the medical record of patients undergoing EPS ablation procedure in the Tehran Heart Center(THC) hospital was reviewed by a checklist. Then, an information model based on Health LevelSeven, Clinical Document Architecture (HL7 CDA) standard framework for structural interoperabilityhas been developed. In this framework, using NPEX online browser and MindMaple software, a setof terminology mapping rules was used for consistent transfer of data between various ISs.RESULTS: The information content of each data field was introduced into the heading and bodysections of HL7 CDA document using Systematized Nomenclature of Medicine – Clinical Terminologynames and codes. Then, the ontology alignment was designed in the form of thesaurus mappingroutes.CONCLUSION: The sensitive, complex, and multidimensional nature of cardiovascular conditionsrequires special attention to the interoperability of ISs. Designing customized communication protocolsplays an important role in improving the interoperability, and they are compatible with the needs offuture Iranian health information exchange.
