Harmonisation of German Health Care Data Using the OMOP Common Data Model - A Practice Report.

Data harmonization is an important step in large-scale data analysis and for generating evidence on real world data in healthcare. With the OMOP common data model, a relevant instrument for data harmonization is available that is being promoted by different networks and communities. At the Hannover Medical School (MHH) in Germany, an Enterprise Clinical Research Data Warehouse (ECRDW) is established and harmonization of that data source is the focus of this work.

First Contact, First Learnings - Nursing Staff Approaching Robotics in Health Care.

Systems for service and assistance robotics become relevant in nursing care. Workshops with target user groups can support the reflection and identification of scenarios for the use of robotic systems.

Usability Assessment as a Participatory Method for Implementing Technical Innovations in Nursing Care.

For the introduction of technical nursing care innovations, a usability assessment survey is conducted by nursing staff. The questionnaire is used before and after the introduction of technical products. This poster contribution shows the latest comparison of pre- and post-surveys on selected products.

The Implementation of a Participatory Technology Development Process in a Clinical Setting.

The implementation of a participatory technology development process has been realized within the development of an anti-decubitus system. Nurses as the user group are involved in that process. Beside results, the methodical background and the specific conditions for the realization are presented and discussed.

Preliminary Analysis of Structured Reporting in the HiGHmed Use Case Cardiology: Challenges and Measures.

The HiGHmed consortium aims to create a shared information governance framework to integrate clinical routine data. One challenge is the replacement of unstructured reporting (e.g.

Analysing the Selection of Appropriate Technical Solutions for Nurses in a Clinical Setting.

This work focuses the selection of technical solutions for professional nursing in a clinical setting. For a participatory approach the needs of the nursing staff are queried and analysed. Supplemented by data of patients a baseline for the selection of technical solutions is created.

How to Decide upon Nursing Technologies - A Participation-Based Approach.

This study describes an approach to support decisions on the acquisition of innovative nursing technologies. The approach focusses a participatory design that involves nursing staff from the beginning of the process and aims at achieving positive results regarding identification with the decision of implementation and use of technologies by nursing staff.

The built environment and health: fostering interprofessional collaboration for better policy recommendations.

This paper describes the initiation and proceedings of a national consultation organized to appraise issues in the local built environment affecting public health, using an interprofessional and intersectoral approach. The consultation was hosted as a part of the onsite session of an international fellowship program in interprofessional education and practice, organized by the Manipal FAIMER Institute for Leadership in Interprofessional Education, India. One hundred and eight delegates from across academic disciplines including the health professions, management, public health, architecture, and engineering, participated in this event.

The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality.

Background: Even though a high demand for sector spanning communication exists, so far no eHealth platform for nephrology is established within Germany. This leads to insufficient communication between medical providers and therefore suboptimal nephrologic care. In addition, Clinical Decision Support Systems have not been used in Nephrology until now.

Identification of Influencing Factors Regarding the Decision for or Against an Open Access Publication of Scientists of Medical Informatics: Description and First Results of Group Discussions and Interviews.

Open Access provides researchers another opportunity of publishing, besides the traditional publication in subscription-based journals. Providing higher dissemination and therefore visibility as well as better accessibility, among others, Open Access helps to fulfil changed needs of authors and readers in our information and communication society of today. Though this publication model provides a lot of advantages both for readers and authors, there are also some obstacles.

INBED: A Highly Specialized System for Bed-Exit-Detection and Fall Prevention on a Geriatric Ward.

Objective: In geriatric institutions, the risk of falling of patients is very high and frequently leads to fractures of the femoral neck, which can result in serious consequences and medical costs. With regard to the current numbers of elderly people, the need for smart solutions for the prevention of falls in clinical environments as well as in everyday life has been evolving.

Methods: Hence, in this paper, we present the Inexpensive Node for bed-exit Detection (INBED), a comprehensive, favourable signaling system for bed-exit detection and fall prevention, to support the clinical efforts in terms of fall reduction.

Assessment of Decision Models for Hybrid Approaches.

A wide range of Clinical Decision Support Systems (CDSS) have been developed. These CDSS are based on decision models, which normally have a knowledge- or data-driven approach. In this work a structured development of potential hybrid approaches was realized by the assessment of decision models and identification of their advantages and disadvantages.

Deep Learning on 1-D Biosignals: a Taxonomy-based Survey.

Objectives:  Deep learning models such as convolutional neural networks (CNNs) have been applied successfully to medical imaging, but biomedical signal analysis has yet to fully benefit from this novel approach. Our survey aims at (i) reviewing deep learning techniques for biosignal analysis in computer- aided diagnosis; and (ii) deriving a taxonomy for organizing the growing number of applications in the field.

Methods:  A comprehensive literature research was performed using PubMed, Scopus, and ACM.

Visions for IAHSI, the International Academy of Health Sciences Informatics.

These visions for IAHSI, the newly founded International Academy of Health Sciences Informatics ("the Academy"), include the following principles, in order of descending priority: (1) The Academy should attempt to contribute to the health of the people in our world, (2) the Academy should be engaged in advising governments and organizations on developing health and science through informatics, (3) the Academy should stimulate progress in informatics research, education, and practice, (4) Academy members should share and exchange knowledge, (5) the Academy's structure and organization should follow the tradition of scientific societies, (6) Academy membership is one of the highest honors in informatics internationally, (7) the Academy should meet where the International Medical Informatics Association meets, and (8) the Academy's structure and organization should be lean and unbiased. These visions have been put forward for discussion specifically but not exclusively to the inaugural class of the Academy, organized at the 2018 Medical Informatics Europe conference, with its distinguished members.

Striving for Use Case Specific Optimization of Data Quality Assessment for Health Data.

Data quality (DQ) assessment is advisable before (re)using datasets. Besides supporting DQ-assessment, DQ-tools can indicate data integration issues. The objective of this contribution is to put up for discussion the identified current state of scientific knowledge in DQ-assessment for health data and the planned work resulting from that state of knowledge.

Advantages of Modular Hybrid Network Communication on Clinical Wards.

The ever-increasing flood of information, especially in the medical-clinical field, inter alia due to the increase of data-intensive mobile/wearable devices, is one of the biggest challenges of medical informatics. In this work different possibilities of the integration of wearable devices on the example of the development of a fall prevention system are presented and classified. We started with a commercial off-the-shelf one-on-one system (Shimmer/Arduino) using a Bluetooth connection, integrated via nurse call system as Human-Machine-Interface.

Leveraging Aging in Place Through Sensor-Enhanced In-Home Monitoring.

Seniors expect to age in place, which means living in their own homes as long as possible with familiar facilities and environments. Due to the capability of continuous and unobtrusive monitoring, the sensor-enhanced in-ho monitoring is regarded as a promising solution to support aging in place. In this paper, by reviewing three influential projects in this field of in-home monitoring for aging in place, we present our opinions and suggestions on the development of informatics-supported aging in place for its practical application in healthcare such as diagnosis and nursing in the era of data science.

Spatial agreement of demineralized areas in quantitative light-induced fluorescence images and digital photographs.

Objectives: Previous work has shown qualitatively that detection of demineralized tooth areas (white spot lesions, WSLs) is more reliable in digital photographs (DP) as in quantitative light-induced fluorescence (QLF) images. Based on non-rigid, multimodal image registration, we now quantitatively compare manual and automatic markings in both modalities.

Methods: After braces removal, pairs of DP and QLF were acquired from 124 teeth of 31 patients.

An interoperable clinical decision-support system for early detection of SIRS in pediatric intensive care using openEHR.

Background: Clinical decision-support systems (CDSS) are designed to solve knowledge-intensive tasks for supporting decision-making processes. Although many approaches for designing CDSS have been proposed, due to high implementation costs, as well as the lack of interoperability features, current solutions are not well-established across different institutions. Recently, the use of standardized formalisms for knowledge representation as terminologies as well as the integration of semantically enriched clinical information models, as openEHR Archetypes, and their reuse within CDSS are theoretically considered as key factors for reusable CDSS.

Modeling of ETL-Processes and Processed Information in Clinical Data Warehousing.

Background: Literature describes a big potential for reuse of clinical patient data. A clinical data warehouse (CDWH) is a means for that.

Objectives: To support management and maintenance of processes extracting, transforming and loading (ETL) data into CDWHs as well as to ease reuse of metadata between regular IT-management, CDWH and secondary data users by providing a modeling approach.

Personalized Knowledge Transfer for Caregiving Relatives.

Caregiving relatives have to manage very diverse tasks and need a lot of care-relevant knowledge. For most of them it is not easy to find the knowledge required. Thus, a personalized knowledge transfer for caregiving relatives is necessary.

Semi-Automatically Measuring Shoulders' Range of Motion - Objective Measurements with Good Reliability and Accuracy.

The shoulder's range of motion (ROM) is an important measurement for the diagnostic process and course of treatment for patients with shoulder disorders or injuries. Visual estimation to assess a shoulder's ROM is a fast measuring method, and therefore routinely used in clinical practice. Studies already proved this method as very subjective and unreliable.

A Review of Decision Support Systems for Smart Homes in the Health Care System.

The use of decision support systems for smart homes can provide attractive solutions for challenges that have arisen in the Health Care System due to ageing of society. In order to provide an overview of current research projects in this field, a systematic literature review was performed according to the PRISMA approach. The aims of this work are to provide an overview of current research projects and to update a similar study from 2012.