http://dl.gi.de/handle/20.500.12116/24011 Tue, 21 Jul 2026 13:17:46 GMT 2026-07-21T13:17:46Z http://dl.gi.de:80/bitstream/id/bfe304c9-bafe-4b37-8d97-edb5c1bd5329/ http://dl.gi.de/handle/20.500.12116/24011 http://dl.gi.de/handle/20.500.12116/22177 On the “pathway” towards ICT-support for a better and sustainable healthcare Cabitza, Federico; Sarini, Marcello Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, Peter This paper focuses on clinical pathways, a tool that physicians are introducing to support the management of patients’ illness trajectories. We undertook a six months long observational study in an intensive care unit of an important Italian teaching hospital and we acknowledged with physicians the importance of relying on well-agreed and properly defined clinical pathways in daily care practice. As a result of this study, we propose a roadmap on how to participatorily design a computer-based system supporting practitioners’ decisions on the basis of the integration between clinical data and the indications reported in clinical pathways. Mon, 01 Jan 2007 00:00:00 GMT http://dl.gi.de/handle/20.500.12116/22177 2007-01-01T00:00:00Z http://dl.gi.de/handle/20.500.12116/22176 A Comprehensive Modeling Language for Clinical Processes Faerber, Matthias; Jablonski, Stefan; Schneider, Tobias Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, Peter In this paper we present a comprehensive modeling language for clinical processes that integrates requirements from the medical, organizational and economical dimension into a single clinical process model. The design of this modeling language is heavily influenced by the experiences we made when documenting the processes at several clinics in Germany. Thus, we introduce the features of this modeling language by examples. We show that extensibility is one of the key features of this type of domain specific language and describe the principle idea of its implementation in the second part of the paper. Mon, 01 Jan 2007 00:00:00 GMT http://dl.gi.de/handle/20.500.12116/22176 2007-01-01T00:00:00Z http://dl.gi.de/handle/20.500.12116/22178 Balancing of Benefits and Disadvantages using IT-integration to support the health care value-added chain Konrad, Walser; Peter, Haas Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, Peter The implementation of national eHealth interoperability platforms is one answer to the problematic financial situation of health care systems in many places. Using IT-supported integration between IT systems and processes of health care institutions should make the health care value-added chain more effective and more transparent. This article will present the capabilities for interoperability in the integration of added-value in connection with the benefits and disadvantages, which arise from the various players (with diverse characteristics in some circumstances). A better consideration of the balancing of disadvantages or benefits of the IT-supported integration in health care value-added chain can lead to increased preparedness on behalf of the health care institutions to the development and financing of interoperability platforms. Mon, 01 Jan 2007 00:00:00 GMT http://dl.gi.de/handle/20.500.12116/22178 2007-01-01T00:00:00Z http://dl.gi.de/handle/20.500.12116/22174 Goals and Challenges for the realization of a European wide eHealth infrastructure Thiel, Andreas; Eichelberg, Marco; Wein, Berthold; Namli, Tuncay; Dogac, Asuman Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, Peter A number of Electronic Health Record (EHR) standards and frameworks have been developed to assist with the interoperability and integration of distributed EHR information. Ideally, all EHR systems would adopt common and systematized hierarchies of component names, use multi-lingual clinical coding systems with perfect cross-mappings and use identical reference models for measurements. However, this has not been realized yet. Not only do a number of international health information standards exist, such as CEN EN 13606, HL7 and GEHR, but each country, state, division, hospital and vendor usually has their own “standard clinical data model”. Since it is not realistic to expect to have a single universally accepted clinical data model that will be adhered to all over Europe and that the clinical practice, terminology systems and EHR systems are all a long way from such a complete harmonisation. This paper presents some results of the RIDE project; a project that will address the interoperability of eHealth systems with special emphasis on semantic interoperability. The paper describes relevant goals for the development of the eHealth sector in Europe that have been identified in the project as common requirements for many eHealth applications and names the technical and organisational challenges accompanying these goals. Mon, 01 Jan 2007 00:00:00 GMT http://dl.gi.de/handle/20.500.12116/22174 2007-01-01T00:00:00Z