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First published October 26, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2058
Journal of the American Medical Informatics Association 2007;14(1):118-129
© 2007 American Medical Informatics Association

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Submitted on January 13, 2006
Accepted on September 24, 2006

Proof-of-Concept Design and Development of an EN13606-based Electronic Healthcare Record Service

Adolfo Munoz BmE1*, Roberto Somolinos BmE1, Mario Pascual BmE1, Juan A. Fragua MEng1, Miguel A. Gonzalez MEng1, Jose Luis Monteagudo PhD2, and Carlos H. Salvador PhD1

Affiliation of the authors: 1 Bioengineering and Telemedicine Laboratory, University Hospital Puerta de Hierro, Madrid, Spain ; 2 Department of Telemedicine and Information Society from Health Institute Carlos III, Madrid, Spain

* To whom correspondence should be addressed.

The authors present an Electronic Healthcare Record (EHR) server, designed and developed as a proof of concept of the revised prEN13606:2005 European standard concerning EHR communications. The development of the server includes five modules: the libraries for the management of the standard reference model, for the demographic package and for the data types; the permanent storage module, built on a relational database; two communication interfaces through which the clients can send information or make queries; the XML (eXtensible Markup Language) process module; and the tools for the validation of the extracts managed, implemented on a defined XML-Schema. The server was subjected to four phases of trials, the first three with ad hoc test data and processes to ensure that each of the modules complied with its specifications and that the interaction between them provided the expected functionalities. The fourth used real extracts generated by other research groups for the additional purpose of testing the validity of the standard in real-world scenarios. Its acceptable performance has made it possible to include it as a middleware service in a platform for the out-of-hospital follow-up and monitoring of patients with chronic heart disease which, at the present time, supports pilot projects and clinical trials for the evaluation of eHealth services.






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