Journal of Education and Health Promotion

Data integration in cardiac electrophysiology ablation toward achieving proper interoperability in health information systems

Document Type : Original Article

Authors

. Hadi Kazemi-Arpanahi 1
. Mostafa Shanbehzadeh 2
. Esmat Mirbagheri 3
. Abdolvahab Baradaran 4

1 Department of Health Information Technology, Abadan Faculty of Medical Sciences, Abadan, Iran Student Research Committee, Abadan Faculty of Medical Sciences, Abadan, Iran

2 Department of Health Information Technology, School of Paramedical, Ilam University of Medical Sciences, Ilam, Iran

3 Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

4 Department of Cardiology, School of Medicine, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran

Abstract
INTRODUCTION: Providing information exchange and collaboration between isolated information
systems (ISs) is essential in the health‑care environments. In this context, we aimed to develop a
communication protocol to facilitate better interoperability among electrophysiology study (EPS)‑related
ISs in order to allow exchange unified reporting in EPS ablation.
MATERIALS AND METHODS: This study was an applied‑descriptive research that was conducted
in 2019. To determine the information content of agreed cardiac EPS Minimum Data Set (MDS) in
Iran, the medical record of patients undergoing EPS ablation procedure in the Tehran Heart Center
(THC) hospital was reviewed by a checklist. Then, an information model based on Health Level
Seven, Clinical Document Architecture (HL7 CDA) standard framework for structural interoperability
has been developed. In this framework, using NPEX online browser and MindMaple software, a set
of terminology mapping rules was used for consistent transfer of data between various ISs.
RESULTS: The information content of each data field was introduced into the heading and body
sections of HL7 CDA document using Systematized Nomenclature of Medicine – Clinical Terminology
names and codes. Then, the ontology alignment was designed in the form of thesaurus mapping
routes.
CONCLUSION: The sensitive, complex, and multidimensional nature of cardiovascular conditions
requires special attention to the interoperability of ISs. Designing customized communication protocols
plays an important role in improving the interoperability, and they are compatible with the needs of
future Iranian health information exchange.

Keywords

Cardiac ablation
communication protocol
electrophysiology study
HL7 CDA
interoperability
terminology mapping
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Journal of Education and Health Promotion
Volume 10, Issue 10
October 2020
Pages 1-9

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