Medical Device Integration with Electronic Health Records: A Case Study of University of Nairobi Health Services, Kenya
DOI:
https://doi.org/10.24297/ijct.v20i.8480Keywords:
EMR, BPM, Interoperability, Restful, API, Integration, HL7/XMLAbstract
In this study, we describe a demonstration in which available electronic medical records system (EMR) was successfully integrated with a wireless blood pressure monitor (BPM). This was implemented by adopting the use of RESTful Application Programming Interface (API) technologies and commonly established standards designed for medical devices interoperability. Before deploying the prototype, we conducted pilot tests at the University of Nairobi, nursing station to get feedback on the time spent using the conventional blood pressure data capture methods and the newly integrated application. Clinical data from the device was exchanged adhering to the HL7/XML standard communication protocol. The findings indicate a positive outcome was availed on the time taken for the blood pressure readings, time spent by the patient at the nursing station, doctor’s time to search the patients’ blood pressure readings as well as the data accuracy fed in the EMR system.
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References
Berg, M. (2001). Implementing information systems in health care organizations: Myths and Challenges. International Journal of Medical Informatics, 64(2–3), 143–156.
GoK(2016). Kenya National eHealth Policy 2016-2030. Available online: https://www.medbox.org
Mugo, D. M & Nzuki, D. (2014). Determinants of Electronic Health in Developing Countries. International journal of Arts and Commerce, 3(3), 49-60
R. Hofmann. Modeling medical devices for plug-and-play interoperability. Master’s thesis, MIT, June 2007.
H. Burgsteiner, S. Sabutsch, A. Kollmann, J. Morak, "Communication and Integration of Health related Data in Electronic Health Records using International Medical Standards," Proceedings of the eHealth (2009), pp. 229 234
R. L. Craft. Toward technical interoperability in telemedicine. Telemedicine and e-Health, 11(3):384–404 June 2005.
Leikas, J. and Stromberg, H. (2005): Novel User Interfaces for Promoting Social Interaction in Multiplayer Games. ENACTIVE/05, November 17-18, Genoa, Italy.
Hull, E, Jackson, K & Dick, J 2005, Requirements engineering, 2nd edition, Springer, London.
H. Burgsteiner, S. Sabutsch, A. Kollmann, J. Morak, "Communication and Integration of Health related Data in Electronic Health Records using International Medical Standards," Proceedings of the eHealth (2009), pp. 229 234
HL7 Implementation Guide: CDA Release 2 Continuity of Care Document (CCD). A CDA implementation of ASTM E2369-05. Health Level 7. 1 Apr. 2007.
Odhiambo, M. E. (2015). A framework for implementation of e-health in Kenya public hospitals (Thesis). Strathmore University. Retrieved from http://su-plus.strathmore.edu/handle/11071/4875
Franz, B., Schuler, A. & Krauss, O. (2015). Applying FHIR in an Integrated Health Monitoring System. EJBI (11), 51-56
Valerie Gay, P. (2017). Bringing Health and Fitness Data Together for Connected Health Care: Mobile Apps as Enablers of Interoperability. [online] PubMed Central (PMC). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4704968
W3C,“WebServices Architecture,” 2012. Available: http://www.w3.org/TR/2004/NOTE-ws-arch-20040211/technology
What is Agile model – advantages, disadvantages and when to use it. Istqbexamcertification.com. Available at: http://istqbexamcertification.com/what-is-agile-model-advantages-disadvantages-and-when-to-use-it/
World Health Organization. (2017). UN Task Force: Kenya’s fight against noncommunicable diseases aims to improve health, strengthen development. [online] Available at: http://www.who.int/nmh/ncd-task-force/unf-kenya/en/
Yiiframework.com. (2017). About Yii - Introduction - The Definitive Guide to Yii 2.0. Available at: http://www.yiiframework.com/doc-2.0/guide-intro-yii.html