Scalability andSemantic Sustainabilityin Electronic Health Record Systems

Scalability and

Semantic Sustainability

in Electronic Health Record Systems

Erik Sundvall

Linköping Studies in Science and Technology. Dissertations. No 1499

Linköping Studies in Science and Technology. Dissertations. No. 1499 Department of Biomedical Engineering, Linköping University

SE-581 83 Linköping www.liu.se ISBN 978-91-7519-699-2

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graph visualization terminology information snomed ct_quer y termviz node layout systems figure force userstructure drawing available protot ype number semantic zooming queries focus different system relations links terminologies interactive icd graphs focused example edge complex text templates simulation set methods medical manually tasks doi data tool task swedish steps search screen results prefuse possible navigation java algorithms added multiple work users trees termcoll slider size show sets root rendering reduce readabilit y rdf purple per form overview ontology view modified labels improvements improve fields field exploration expanded exemplified development details crossings context concepts colours climb application

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snomed ct set terminology concept termviz protot ype information sets ehr structure parents graphs clinicalsystem visualization suppor t nodes overview example js focus lcp least children shown merged implemented features comparabilit y list links shows hierarchical context con part many view toolkit terms terminological templates template study structures purposes parent node labels javascript different data consistent complex cardiovascular application web findings vessel provide presented point multiple illustration graphical red exploration enhance content browsers blood ancestors tool visualized usage types trunk source reuse anatomical results project pathways visualizing order open number navigating mouse manually link input illustrating highlighted hierarchies graphic future explore complexit y applications appearance retrieval

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openehr editor _systems information most binding clinical results bindings model paper models content structure coordination tools system nodes methods terms ehr view mapping integrated node user tool visualization termviz post definition concept text related mappings health graph external concepts candidate ontologies reference logical terminologies support umls semantic presented nhs modelling term lexical integration general formal descriptions bind specifications types semi selecting resources reduced process methodology list language interoperability future format formalism exploration electronic different developed design data createdcontext bound automatic approach applications matches urls suggestions specified sources similar shared set selected search round representations relations record quer y queries publication processing pre order number modeller medical meaning uk inter face intended inclusion hierarchy help given free find filtering fields explored existing entries designed currently containing cfh care called body automated assist application

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liu eee uri aql storage design archet ype client database patientcomponents version architecture web single object rm information xml objects java content uris resources code get access language parts template cache users multi inter face bookmark archetypes builder per formance suppor t ser vers distributed clients work caching application path cb terminology resource post network sharding javascript html component shared level versioned response mechanisms clinical solutions source record querying messaging _header future entry created calls ser vice stored request inter faces gui format developers templates protot yping structures open instance implementations form contributions change versions specification value url target section reference parameters log instances implemented ehrs designed xquery commit control state results requests order identified field details committer changes changed automatically returned development trigger records project model lists health structure decision databases creating combined cases transfer updated type static set sent scale representational reduce protocol possibly paths _part pages number media links fields examples etag devices creation create browser brokers bookmarking c within tree table stomp specifications sha semantics se scaling run result representations real rather programming posted patients over out org modified message mechanism manuscript make made logged link json included include frameworks formats contains containing constraints computers com cached variable build benefits appendix addition we well values validation usage two technical retrieval research redirection provide processing particular over view named

metadata versioning messages

long iso help healthcare headers g file fetched event environment distribution considered command architectural allows additional main which view valid uses under their t summaries sharing scalabilit y resulting requested representation read proposed production process potentially optimized operations necessar y methods limited keep interesting graphical google given files fetches features fast efficient during due do default corresponding clinicians cer tain calling bookmarks availabilit y applications analysis aims according shows www wide who upgrade updates update those things test supplied studies store specified small skeleton simple similar working share shard served separation securit y rules return relevant rapid q provides privacy population pointing pointers partly our

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databases data ehr archet ype siscolo id records epidemiological systemsexam node results querytime exams items cy tological basex order number documents population histological size per formance relational mysql eee sedna archet ypes clinical value result performed patient exist ehrs study set dataset record persistence instance health generated db space context cells berkeley rm magnitude version slower obs model table evaluation datasets created approach women wide type stores run return research original namespace mechanism long liu large http declare composition aql indexes xquery start scenario reference querying patients multi level interval individual stored hoc events evaluated document described corresponding contains ad about www xsi tables system store sql sizes shor t requirements realistic production process access orders open observation models modelling meaning lesions language java inter vals information included important implementation ids histology healthcare head gbytes example electronic domain designed deep containing compliant compared classes changes cer vical care anonymized per form

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example systems semantics structure system templates tools parts learning time technical learn entr y teach reference user difficult describe structures hard design information approach models learners examples editor sur vey understand questions tool classes health approaches users reuse queries perspective people par t over view metaphors lego language discussions common xml attributes useful class template specs specifications set process paths teaching obser vations form environment diagrams details constraints paper understanding type terminology software simple quer y point level knowledge instance help graphical focus feeder audit editors development developers context content complex building defined uml patient par ticipations maximal instruction informatics educators easier domain proper ties date contain combined clinicians clinician blocks architecture am action study suggestions subject state rules reusabilit y requirements representations record read qualitative attribute obser vation object number names modif ying kashfi issues inter face im heard gummer further foundation figure explain evaluation especially documents decision dataset create contexts concepts concept composition community comments bricks background practical

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data information_events environment view openehr map facets region prototyping images user notes http approach aggregation system polar navigation entr y usabilit y different visual systems paper axis zoom users methods timelines studies space www overviews over view timeline linear lab interaction clinical bo_dy approaches placemark web summarized shown showing see represented regions records maps health future ehrs display detailed create content combinedclinergy circle between aspects around interesting would text structured show select relating recording record plots patients parts order open medical labels ways interest image history graphical features event entries electronic efficient current color clinicians char ts categories camera archet ype