Healthc Inform Res.  2014 Apr;20(2):145-151. 10.4258/hir.2014.20.2.145.

DialysisNet: Application for Integrating and Management Data Sources of Hemodialysis Information by Continuity of Care Record

• Ku HS
• Kim S
• Kim H
• Chung HJ
• Park YR
• Kim JH

• KMID: 2284574
• DOI: http://doi.org/10.4258/hir.2014.20.2.145

Abstract

OBJECTIVES
Health Avatar Beans was for the management of chronic kidney disease and end-stage renal disease (ESRD). This article is about the DialysisNet system in Health Avatar Beans for the seamless management of ESRD based on the personal health record.
METHODS
For hemodialysis data modeling, we identified common data elements for hemodialysis information (CDEHI). We used ASTM continuity of care record (CCR) and ISO/IEC 11179 for the compliance method with a standard model for the CDEHI. According to the contents of the ASTM CCR, we mapped the CDHEI to the contents and created the metadata from that. It was transformed and parsed into the database and verified according to the ASTM CCR/XML schema definition (XSD). DialysisNet was created as an iPad application. The contents of the CDEHI were categorized for effective management. For the evaluation of information transfer, we used CarePlatform, which was developed for data access. The metadata of CDEHI in DialysisNet was exchanged by the CarePlatform with semantic interoperability.
RESULTS
The CDEHI was separated into a content list for individual patient data, a contents list for hemodialysis center data, consultation and transfer form, and clinical decision support data. After matching to the CCR, the CDEHI was transformed to metadata, and it was transformed to XML and proven according to the ASTM CCR/XSD. DialysisNet has specific consideration of visualization, graphics, images, statistics, and database.
CONCLUSIONS
We created the DialysisNet application, which can integrate and manage data sources for hemodialysis information based on CCR standards.

Keyword

Renal Dialysis; Personal Health Records; Theraphy; Chronic Disease; Health Information Management

MeSH Terms

Chronic Disease
Compliance
Continuity of Patient Care*
Fabaceae
Health Information Management
Health Records, Personal
Humans
Information Storage and Retrieval*
Kidney Failure, Chronic
Renal Dialysis*
Renal Insufficiency, Chronic
Semantics

Figure

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  Figure 1 Compliance common data element of hemodialysis with standard model. EMR: Electronic Medical Record, CDEHI: common data elements of hemodialysis information, CCR: continuity of care record, XSD: XML schema definition.

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  Figure 2 User interface design in DialysisNet. (A) Individual patient data, (B) hemodialysis center data, (C) hemodialysis information data, and (D) transfer form data.

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