An object identifier (OID) has a central utility in providing a traceable source for the meaning of an identifier appearing in a cross-system communication. The views in this paper illustrate the problems with using the present OID registration system as a reliable source for the identifier, the confusion that the use of an OID introduces in messages, and the redundancy that the OID introduces at the expense of increased message size and no new content. In promoting clearly defined cross-system communication identifiers, Health Level 7 developed a standard that required use of OIDs outside of network addressing. This standard and its propagation by others may have paradoxically added more confusion than clarity.
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http://dx.doi.org/10.1136/jamia.2009.000265 | DOI Listing |
Implement Sci Commun
December 2024
Department of Pediatrics, Indiana University School of Medicine, 410 West 10th St., Indianapolis, IN, 46202, USA.
Background: Youth involved in the legal system have disproportionately higher rates of problematic substance use than non-involved youth. Identifying and connecting legal-involved youth to substance use intervention is critical and relies on the connection between legal and behavioral health agencies, which may be facilitated by learning health systems (LHS). We analyzed the impact of an LHS intervention on youth legal and behavioral health personnel ratings of their cross-system collaboration.
View Article and Find Full Text PDFImplement Sci Commun
November 2024
University of California San Diego, San Diego, CA, USA.
Background: Collaboration strategies refer to policies and practices used to align operations and services across organizations or systems. These strategies can influence implementation of cross-system interventions focused on improving integration of care, but remain under-specified and under-examined. This study identifies collaboration strategies and the conditions under which they affected implementation of Sobriety Treatment and Recovery Teams (START), an evidence-based intervention focused on integrating child welfare and behavioral health services for families involved with both systems.
View Article and Find Full Text PDFHealth Technol Assess
October 2024
Richard Wells Research Centre, University of West London, London, UK.
Background: Urinary tract infection is the most diagnosed infection in older people. It accounts for more than 50% of antibiotic prescriptions in care homes and is a frequent reason for care home residents being hospitalised.
Objective: This realist review developed and refined programme theories for preventing and recognising urinary tract infection, exploring what works, for whom and in what circumstances.
Health Serv Res
October 2024
VA Boston Healthcare System, Center for Healthcare Organization and Implementation Research, Boston, Massachusetts, USA.
JMIR Med Inform
August 2024
Medical Center for Information and Communication Technology, Erlangen University Hospital, Erlangen, Germany.
Background: Leveraging electronic health record (EHR) data for clinical or research purposes heavily depends on data fitness. However, there is a lack of standardized frameworks to evaluate EHR data suitability, leading to inconsistent quality in data use projects (DUPs). This research focuses on the Medical Informatics for Research and Care in University Medicine (MIRACUM) Data Integration Centers (DICs) and examines empirical practices on assessing and automating the fitness-for-purpose of clinical data in German DIC settings.
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