Abstract

Health information systems are of extreme importance and they became an intrinsic part of the healthcare sector. However, in today’s molds and with the advent of the Internet and mobile devices, a paradigm shift, from the current isolated systems to interoperable distributed systems, that take advantage of ubiquitous computing, is needed. In critical situations, such as decision making in healthcare, it is necessary to have access to all of the patient’s information; for the information must be reliable and must be accessed in an easy and fast way. The present work proposes an architecture that aims to answer the needs of interoperability between heterogeneous health information systems and the need for ubiquity of medical information. A prototype was developed that tries to provide interoperability through a service-oriented architecture using web services. A mobile component was also developed to enable ubiquitous access to medical information. This work is based on the authors’ knowledge about the Portuguese National Health Service.

Highlights

  • The healthcare area is extremely complex due to the new means of diagnostic and therapeutic, new procedures as well as the existence of various professional groups, each one with different characteristics, requirements and ways of working

  • The objectives of the present work are: study the importance of interoperability and ubiquity of medical information and to propose an architecture based in services using web services; provide interoperability among the different health information systems that exist today and use mobile devices to provide ubiquitous access to the information

  • service-oriented architecture (SOA) and web services are a viable option to provide interoperability among heterogeneous information systems, and they possess the capacity of concealing the complexity of those systems exposing only what is necessary

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Summary

Introduction

The healthcare area is extremely complex due to the new means of diagnostic and therapeutic, new procedures as well as the existence of various professional groups, each one with different characteristics, requirements and ways of working. All of this affects the way information systems in healthcare are implemented and used (Lammintakanen et al, 2010). A connection exists between the quality of care provided to a patient and the exchange of information among different levels of healthcare (Maass et al, 2008), like between primary care and differentiated care in the Portuguese National Health Service. For a better decision-making process, especially in a critical area as healthcare, fast and reliable access of a patient’s medical history is of utmost importance (Maass et al, 2008; Revere et al, 2007), even though the information is located in a different information system geographically distant from the information system in use in a given situation.

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