Searching for document contents in an IHE-XDS EHR architecture via archetype-based indexing of document types. 2013

Christoph Rinner, and Michael Kohler, and Samrend Saboor, and Gudrun Huebner-Bloder, and Elske Ammenwerth, and Georg Duftschmid
Section for Medical Information Management and Imaging, Medical University of Vienna, Austria.

The shared EHR (electronic health record) system architecture IHE XDS is widely adopted internationally. It ensures a high level of data privacy via distributed storage of EHR documents. Its standard search capabilities, however, are limited; it only allows a retrieval of complete documents by querying a restricted set of document metadata. Existing approaches that aim to extend XDS queries to document contents typically employ a central index of document contents. Hereby they undermine XDS' basic characteristic of distributed data storage. To avoid data privacy concerns, we propose querying EHR contents in XDS by indexing document types based on Archetypes instead. We successfully tested our approach within the ISO/EN 13606 standard.

UI MeSH Term Description Entries
D004282 Documentation Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information. Documentations
D000465 Algorithms A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task. Algorithm
D016247 Information Storage and Retrieval Organized activities related to the storage, location, search, and retrieval of information. Information Retrieval,Data Files,Data Linkage,Data Retrieval,Data Storage,Data Storage and Retrieval,Information Extraction,Information Storage,Machine-Readable Data Files,Data File,Data File, Machine-Readable,Data Files, Machine-Readable,Extraction, Information,Files, Machine-Readable Data,Information Extractions,Machine Readable Data Files,Machine-Readable Data File,Retrieval, Data,Storage, Data
D017410 Practice Guidelines as Topic Works about directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery. Clinical Guidelines as Topic,Best Practices,Best Practice
D057225 Data Mining Use of sophisticated analysis tools to sort through, organize, examine, and combine large sets of information. Text Mining,Mining, Data,Mining, Text
D057286 Electronic Health Records Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online CONSUMER HEALTH INFORMATION that is relevant to the health conditions and treatments related to a specific patient. Electronic Health Record Data,Electronic Medical Record,Electronic Medical Records,Computerized Medical Record,Computerized Medical Records,Electronic Health Record,Medical Record, Computerized,Medical Records, Computerized,Health Record, Electronic,Health Records, Electronic,Medical Record, Electronic,Medical Records, Electronic
D018875 Vocabulary, Controlled A specified list of terms with a fixed and unalterable meaning, and from which a selection is made when CATALOGING; ABSTRACTING AND INDEXING; or searching BOOKS; JOURNALS AS TOPIC; and other documents. The control is intended to avoid the scattering of related subjects under different headings (SUBJECT HEADINGS). The list may be altered or extended only by the publisher or issuing agency. (From Harrod's Librarians' Glossary, 7th ed, p163) Controlled Vocabulary,Thesaurus,Controlled Thesauri,Controlled Thesaurus,Thesauri,Controlled Vocabularies,Thesauri, Controlled,Thesaurus, Controlled,Vocabularies, Controlled
D033181 Information Dissemination The circulation or wide dispersal of information. Data Sharing,Information Distribution,Information Sharing,Data Sharings,Dissemination, Information,Distribution, Information,Information Sharings,Sharing, Data,Sharing, Information,Sharings, Data,Sharings, Information

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