Managing Interoperability and Complexity in Health Systems
Open accessAbstract
Summary: In recent years, we have witnessed substantial progress in the use of clinical informatics systems to support clinicians during episodes of care, manage specialised domain knowledge, perform complex clinical data analysis and improve the management of health organisations’ resources. However, the vision of fully integrated health information eco systems, which provide relevant information and useful knowledge at the point-of-care, remains elusive. This journal Focus Theme reviews some of the enduring challenges of interoperability and complexity in clinical informatics systems. Furthermore, a range of approaches are proposed in order to address, harness and resolve some of the many remaining issues towards a greater integration of health information systems and extraction of useful or new knowledge from heterogeneous electronic data repositories.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Interoperability is a key aim in the United Kingdom as it strives to implement digital standards and achieve system wide interoperability, but others have reported interoperability as a barrier to implementation and large scale deployments of mHealth and global health interventions.
“Interoperability is a key aim in the United Kingdom as it strives to implement digital standards and achieve system wide interoperability but others have reported interoperability as a barrier to implementation and large scale deployments of mHealth and global health interventions [40,41].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Considering complexity in healthcare systems
Kannampallil, T., Schauer, G. F., Cohen, T., & Patel, V. L. (2011) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2011.06.006 · Cited by 400 · see citing works
Sheikh, A., Cornford, T., Barber, N., Avery, A., Takian, A., Lichtner, V., Petrakaki, D., Crowe, S., Marsden, K., Robertson, A., et al. (2011) · BMJ · doi:10.1136/bmj.d6054 · Cited by 314 · see citing works
Principles of Health Interoperability HL7 and SNOMED
Benson, T. (2012) · Health information technology standards · doi:10.1007/978-1-4471-2801-4 · Cited by 242 · see citing works
Clinical Terminology: Why Is it so Hard?
Rector, A. L. (1999) · Methods of Information in Medicine · doi:10.1055/s-0038-1634418 · Cited by 238 · see citing works
The Enterprise Data Trust at Mayo Clinic: a semantically integrated warehouse of biomedical data
Chute, C. G., Beck, S., Fisk, T. B., & Mohr, D. N. (2010) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2009.002691 · Cited by 203 · see citing works
Clinical Decision Support Systems
(2016) · Health informatics · doi:10.1007/978-3-319-31913-1 · Cited by 196 · see citing works
Gooch, P., & Roudsari, A. (2011) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2010-000033 · Cited by 135 · see citing works
Principles of Health Interoperability HL7 and SNOMED
Benson, T. (2009) · Computers in health care · doi:10.1007/978-1-84882-803-2 · Cited by 123 · see citing works
Waterson, P. E. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.07.004 · Cited by 96 · see citing works
A study of general practitioners’ perspectives on electronic medical records systems in NHSScotland
Bouamrane, M.-M., & Mair, F. S. (2013) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-13-58 · Cited by 55 · see citing works
Self-citationTime-Oriented Question Answering from Clinical Narratives Using Semantic-Web Techniques
Tao, C., Solbrig, H., Sharma, D. K., Wei, W.-Q., Savova, G., & Chute, C. (2010) · International Workshop on the Semantic Web · doi:10.1007/978-3-642-17749-1_16 · Cited by 48 · see citing works
Self-citationImproving data and knowledge management to better integrate health care and research
Cases, M., Furlong, L. I., Albanell, J., Altman, R. B., Bellazzi, R., Boyer, S. K., Brand, A. M., Brookes, A. J., Brunak, S., Clark, T., et al. (2013) · Journal of Internal Medicine · doi:10.1111/joim.12105 · Cited by 47 · see citing works
Bouamrane, M.-M., & Mair, F. S. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-93 · Cited by 44 · see citing works
Self-citationA qualitative evaluation of general practitioners’ views on protocol-driven eReferral in Scotland
Bouamrane, M.-M., & Mair, F. S. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-30 · Cited by 41 · see citing works
Self-citationClinical Data Integration Model
Ćurčin, V., Barton, A., McGilchrist, M. M., Bastiaens, H., Andréasson, A., Rossiter, J., Zhao, L., Arvanitis, T. N., Taweel, A., Delaney, B. C., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0024 · Cited by 39 · see citing works
Harmonization of Detailed Clinical Models with Clinical Study Data Standards
Evans, J. H., III, Oniki, T. A., Coyle, J. F., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0019 · Cited by 28 · see citing works
de Lusignan, S., Ross, P., Shifrin, M. A., Hercigonja-Szekeres, M., & Brigitte Séroussi, A. (2013) · Studies in health technology and informatics · doi:10.3233/978-1-61499-289-9-397 · Cited by 27 · see citing works
An Eligibility Criteria Query Language for Heterogeneous Data Warehouses
Taweel, A., Miles, S., Delaney, B. C., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0027 · Cited by 25 · see citing works
A study of clinical and information management processes in the surgical pre-assessment clinic
Bouamrane, M.-M., & Mair, F. S. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-22 · Cited by 23 · see citing works
Self-citationBridging Data Models and Terminologies to Support Adverse Drug Event Reporting Using EHR Data
Hussain, S., Daniel, C., Yüksel, M., Ertürkmen, G. B. L., Twagirumukiza, M., Jaulent, M., & Declerck, G. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0025 · Cited by 21 · see citing works
Fitness for purpose when there are many different purposes: Who are electronic patient records for?
Eason, K., & Waterson, P. E. (2013) · Health Informatics Journal · doi:10.1177/1460458213501096 · Cited by 19 · see citing works
Experience of Using OWL Ontologies for Automated Inference of Routine Pre-operative Screening Tests
Bouamrane, M.-M., Rector, A. L., & Hurrell, M. (2010) · Lecture notes in computer science · doi:10.1007/978-3-642-17749-1_4 · Cited by 18 · see citing works
Self-citationToward a View-oriented Approach for Aligning RDF-based Biomedical Repositories
García-Remesal, M., de la Iglesia, D., Graf, N. M., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0020 · Cited by 12 · see citing works
An overview of electronic health systems development & integration in Scotland
Bouamrane, M.-M., & Mair, F. S. (2011) · doi:10.1145/2064747.2064760 · Cited by 12 · see citing works
Self-citationSemi-automatic Generation of a Patient Preoperative Knowledge-Base from a Legacy Clinical Database
Bouamrane, M.-M., Rector, A. L., & Hurrell, M. (2009) · Lecture notes in computer science · doi:10.1007/978-3-642-05151-7_34 · Cited by 11 · see citing works
Self-citationEvaluating the Delivery of Assisted Living Lifestyles at Scale (dallas)
Lennon, M., Bouamrane, M.-M., Barry, S., Grieve, E., Latina, D., Watson, N., O’Donnell, K., Wyke, S., Brewster, S., Briggs, A. H., et al. (2012) · Electronic workshops in computing · doi:10.14236/ewic/hci2012.58 · Cited by 10 · see citing works
Self-citationA Study of Information Management in the Patient Surgical Pathway in NHSScotland
Bouamrane, M.-M., & Mair, F. S. (2013) · Studies in health technology and informatics · doi:10.3233/978-1-61499-289-9-557 · Cited by 9 · see citing works
Self-citationBinding SNOMED CT Terms to Archetype Elements
Bermúdez, J., Illarramendi, A., & Berges, I. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0022 · Cited by 8 · see citing works
Semi Automated Transformation to OWL Formatted Files as an Approach to Data Integration
Taweel, A., Miles, S., Kovalchuk, Y., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0029 · Cited by 8 · see citing works
Prioritising Lexical Patterns to Increase Axiomatisation in Biomedical Ontologies
Fernández‐Breis, J. T., Stevens, R., Mikroyannidi, E., et al. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0026 · Cited by 6 · see citing works
Platform for Efficient Switching between Multiple Devices in the Intensive Care Unit
Vanhove, T., Dejonghe, E., Feys, M., Herinckx, T., Vankelecom, J., Decruyenaere, J. M. A., Turck, F. D., & Backere, F. D. (2014) · Methods of Information in Medicine · doi:10.3414/me13-02-0021 · Cited by 4 · see citing works
Managing interoperability and complexity inhealth systems
Bouamrane, M.-M., & Tao, C. (2011) · ACM International Conference on Information and Knowledge Management (CIKM) · doi:10.1145/2063576.2064050 · Cited by 2 · see citing works
Self-citationManaging interoperability and compleXity in health systems - MIXHS'12
Tao, C., & Bouamrane, M.-M. (2012) · ACM International Conference on Information and Knowledge Management (CIKM) · doi:10.1145/2396761.2398754 · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 4
- Bouamrane MM and Mair F. Integrated Preoperative Care Pathway -A Study of a Regional Electronic Implementation. BMC Medical Informatics and Decision Making 2014, 14:93
- Journal Ref: De Backere et al.] Methods Inf Med. 2015; 54(1): This issue
- Journal Ref: Ethier et al.] Methods Inf Med. 2015; 54(1): This issue 28. [Journal Ref: Declerck et al.]. Methods Inf Med. 2015; 54(1): This issue 29. [Journal Ref: Liang et al.] Methods Inf Med. 2015; 54(1): This issue
- Journal Ref: Bache et al.] Methods Inf Med. 2015; 54(1): This issue 32. [Journal Ref: Berges et al.] Methods Inf Med. 2015; 54(1): This issue 33. [Journal Ref: Anguita et al.] Methods Inf Med. 2015; 54(1): This issue 34. [Journal Ref: Quesada-Martínez.] Methods Inf Med. 2015; 54(1): This issue 35. [Journal Ref: Jiang et al.] Methods Inf Med. 2015; 54(1): This issue
Cited by
Sorted by citations
Nutritional considerations for healthy aging and reduction in age-related chronic disease
Shlisky, J., Bloom, D. E., Beaudreault, A. R., Tucker, K. L., Keller, H. H., Freund-Levi, Y., Fielding, R. A., Cheng, F. W., Jensen, G. L., Wu, D., et al. (2017) · Advances in Nutrition · doi:10.3945/an.116.013474 · Cited by 462 · see citing works
Lennon, M. R., Bouamrane, M.-M., Devlin, A. M., O'Connor, S., O'Donnell, C., Chetty, U., Agbakoba, R., Bikker, A., Grieve, E., Finch, T., et al. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6900 · Cited by 264 · see citing works
Self-citationKouroubali, A., & Katehakis, D. G. (2019) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2019.103166 · Cited by 115 · see citing works
The complex case of EHRs: examining the factors impacting the EHR user experience
Tutty, M. A., Carlasare, L. E., Lloyd, S., & Sinsky, C. A. (2019) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocz021 · Cited by 94 · see citing works
- Authors
- Tao, C., Sarkar, I. N., & Bouamrane, M. M.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- University of Vermont (US)
- University of Glasgow (GB)
- Corresponding author
- Bouamrane, M. -M.
- ORCID
- Bouamrane, M. -M.
- Venue
- Methods of Information in Medicine
- Publisher
- Georg Thieme Verlag KG
- Published
- 2015
- Volume
- 54
- Issue
- 01
- Pages
- 01-04
- ISSN
- 0026-1270 (ISSN-L)
- 2511-705X
- OpenAlex
- W2086133335
- Cited by
- 27
- References
- 33
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 5 · 2016: 4 · 2015: 2
- FWCI
- 7.69
- Type
- journal article
- Language
- en
- Open access
- Locations
- Methods of Information in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Strathprints: The University of Strathclyde institutional repository (University of Strathclyde) (submittedVersion)
- Funders
- Medizinischen Hochschule Hannover
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- interoperability, health information systems integration, point-of-care information, medical data analysis, knowledge extraction
- MeSH terms
- Delivery of Health Care, Information Systems, Information Storage and Retrieval, Systems Integration, Point-of-Care Systems, Systematized Nomenclature of Medicine, Electronic Health Records
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
