AdapteR Interoperability ENgine (ARIEN): An approach of interoperable CDSS for ubiquitous healthcare

Abstract

Information exchange for interoperability between medical systems and clinical decision support systems (CDSS) is a challenging task to provide personalized healthcare services. Healthcare standards behaves as catalyst for interoperability and plays important role in ubiquitous healthcare. Heterogeneity among these standards creates bottleneck for decision support systems to easily integrate with legacy medical systems. Medical systems and CDSS standards compatibility requires mediation process to ensure seamless information exchange. We propose such mediation system between medical systems and CDSS called AdapteR Interoperability ENgine (ARIEN) to achieve data level interoperability. We consider information flow from smart homes and medical systems in HL7 Clinical Document Architecture (CDA) format with CDSS compliant to Virtual Medical Record (vMR) standard. The responsibility of the proposed system is transformation of smart homes and medical systems compliant standard format information into CDSS compliant standard format for processing of information and vice versa. This work achieves information exchange compatibility among systems for providing better healthcare to patients. It also ensures availability of required information at the specified time for ubiquitous healthcare. © Springer International Publishing 2013.