A Scalable and Self-adapting Notification Framework for Healthcare Information Systems

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The healthcare information system (HIS) requires test reports to be delivered to physicians, laboratories and patients within specified time. In a healthcare environment certain test results need instant notification and attention. It is inefficient to use paper based reports in large hospital organizations where medical practitioners are overwhelmed with huge number of patients under their care. This medical practitioners can take the advantage of networked computers or personal digital assistants (PDA) to get notified to the events they are interested in or any crucial notifications. These pervasive devices can be served as both data sources and sinks of healthcare related events in which patients can also subscribe to information under certain constraints.

Certain challenges are posed due to privacy concerns and regulations in healthcare industry, such as the Health Insurance Portability and Accountability Act (HIPAA).”Title II of HIPAA according to United States Department of Health and Human Services sets forth rules and guidelines pertaining to the usage and dissemination of healthcare information”(Okorodudu , Fegaras, Levine 2010, p.207).Protocols must be employed to ensure security, privacy and data integrity to guarantee the compliance with this guidelines. An architecture based on fragmented XML and broker network optimization are necessary to address the concerns mentioned above. The eXtensible Markup Language is de facto standard for data interchange which allows different parties to exchange data in a standardized format. Many Service-oriented paradigms for example web services are product of XML.

Stream-oriented paradigms have applications like laboratory reporting, sensor monitors which requires conti...

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References

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E. Okorodudu., Leonidas Fegaras., David Levine: A scalable and self-adapting notification framework for healthcare information systems. UTA, Arlington, TX (2011)

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