Abstract
The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular. Physically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. A user centered system development approach is followed during design and development of the system. A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database. A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.
Highlights
The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular.Theory and methodsPhysically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care
A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record
The purpose of this paper is to present the architecture of a mobile virtual health record, used by both healthcare professionals and patientsyrelatives, developed within the research project Old@Home w12x
Summary
The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular.Theory and methodsPhysically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular. This article is published in a peer reviewed section of the International Journal of Integrated Care patient This requires high quality of collaborative working relationships, clarity and commonality of objectives, frequent communication among team members, a clear understanding and respect of individual roles and skills within the team, and the general flexibility of practitioners w6x. The team consists of distributed healthcare professionals, who rarely meet, and have trouble coordinating their work w4x. Lack of adequate mobile information access and communication tools hampers the professionals’ work; sharing information and coordinating work within the care providing team in particular
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