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Publications

1. A Quantitative Research for Determining the User Requirements for Developing a System to Detect Depression (CONFERENCE PAPER NOV 2021)

Abstract

Purpose: Smart apps and wearables devices are an increasingly used way in healthcare to monitor a range of functions associated with certain health conditions. Even if in the present there are some devices and applications developed, there is no sufficient evidence of the use of such wearable’s devices in the detection of some disorders such as depression. Thus, through this paper, we want to address this need and present quantitative research to determine the user requirements for developing a smart device that can detect depression. Material and Methods: To determine the user requirements for developing a system to detect depression we developed a questionnaire which was applied to 205 participants. Results and conclusions: Such a system addressed to detect depression is of interest among the respondents. The most essential parameters to be monitored refer to sleep quality, level of stress, circadian rhythm, and heart rate. Also, the developed system should prioritize reliability, privacy, security, and ease of use.

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2. HL7 Is Foundational To Achieving Meaningful Use (JOURNAL LEARNING OPENCV JANUARY 2012)

Abstract

Finally, a panel of experts presented “experiences from the field”–how small, medium and large providers are achieving Meaningful Use objectives and incentives as well as exploring “What is Next for Meaningful Use.” This included a discussion on the role new and developing HL7 standards (QRDA, HQMF, HL7 EHR-S FM, HL7 PHR-S FM, HL7 Family History, etc.) are likely to have on supporting the future requirements for Meaningful Use.

While the requirements of eligible hospitals and eligible providers to comply with Meaningful Use Stage 1 are clear, operationalizing the necessary processes can be challenging. For small and medium sized providers, access to timely informational technology help, education and guidance are critical to adopting MU objectives and measures. Large organizations need to achieve efficiency, so seek to establish standard routines and consistency of process. This can prove problematic in the event that there is variation in recording or storage processes between departments, units or regions. Other challenges experienced include addressing the differing requirements for reporting to state and Federal authorities and technical challenges in being able to make electronic public health measure submissions. HL7 has much to offer by way of support for solutions.

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3. Design and Development of Standards (HL7 V3) Based Enterprise Architecture for Public Health Programs Integration at the County of Los Angeles (CHAPTER SEPTEMBER 2008)

Abstract

Public Health (PH) applications in County of Los Angeles (LAC), Department of PH have been developed to meet individual PH program's goals. This resulted in lack of county-wide PH data integration, efficiency, and usefulness. LAC encouraged the development of web-based applications utilizing standards-based PH Information Network interoperable service-oriented architecture (SOA). The goal was to stop the evolution of fragmented health data systems which place limitations on the PH mission of safeguarding and improving the health of the community as well as responding to large-scale threats to PH. PH Nursing case management is one example of LAC's initiative for promotion of web-based tools which will be utilized within this SOA. This PH architecture is capable of supporting electronic data exchange from PH partners using a HL7 integration hub. It promotes the development of management tools and applications to assist PH response and recovery activities while providing resources to support departmental integration.

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4. Design and Development of Standards (HL7 V3) Based Enterprise Architecture for Public Health Programs Integration at the County of Los Angeles (CHAPTER JANUARY 2008)

Abstract

Public Health (PH) applications in County of Los Angeles (LAC), Department of PH have been developed to meet individual PH program’s goals. This resulted in lack of county-wide PH data integration, efficiency, and usefulness. LAC encouraged the development of web-based applications utilizing standards-based PH Information Network interoperable service-oriented architecture (SOA). The goal was to stop the evolution of fragmented health data systems which place limitations on the PH mission of safeguarding and improving the health of the community as well as responding to large-scale threats to PH. PH Nursing case management is one example of LAC’s initiative for promotion of web-based tools which will be utilized within this SOA. This PH architecture is capable of supporting electronic data exchange from PH partners using a HL7 integration hub. It promotes the development of management tools and applications to assist PH response and recovery activities while providing resources to support departmental integration.

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5. Personal Health Record (PHR) in a Talisman: An Approach to Providing Continuity of Care in Developing Countries Using Existing Social Customs (CONFERENCE PAPER JULY 2007)

Abstract

The idea is to use the talisman as a portable electronic device that holds the personal health record (PHR) of the wearer of the talisman. We perceive this PHR-talisman as a removable memory device that can be updated with information from any computer that a clinic or a doctor uses to store the patient's case history and/or treatment information (Safran, 2006). Once updated with the person's health information, the talisman becomes the personal health record of the wearer and is available with the patient whenever and where ever he visits a doctor, clinic or a hospital. While the information contained in the talisman PHR may not initially be a complete electronic health record, it serves as the starting point for the continuum of the entire electronic health record of the individual. In terms of data storage capacity, current (as of May 2007) memory devices have a memory of up to 4 GB, which can carry textual information and some important images as well related to a person's entire life-time. An important feature of the talisman is that with appropriate security and privacy protocols in place, over a period of time the talisman has the potential to become the unique identifier that links all electronic health records of an individual spread across several hospitals and clinics around the entire globe.

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6. Design and Development of Standards (HL7 V3) Based Enterprise Architecture for Public Health Programs Integration at the County of Los Angeles (ARTICLE APRIL 2007)

Abstract

Public Health (PH) applications in County of Los Angeles (LAC), Department of PH have been developed to meet individual PH program's goals. This resulted in lack of county-wide PH data integration, efficiency, and usefulness. LAC encouraged the development of web-based applications utilizing standards-based PH Information Network interoperable service-oriented architecture (SOA). The goal was to stop the evolution of fragmented health data systems which place limitations on the PH mission of safeguarding and improving the health of the community as well as responding to large-scale threats to PH. PH Nursing case management is one example of LAC's initiative for promotion of web-based tools which will be utilized within this SOA. This PH architecture is capable of supporting electronic data exchange from PH partners using a HL7 integration hub. It promotes the development of management tools and applications to assist PH response and recovery activities while providing resources to support departmental integration.

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7. Mobile ehealth patient clinical management tool – CALDr (ARTICLE JAN 2006)

Abstract

Patient Clinical Management tools are necessary for doctor's and support staff to undertake patient care more efficiently. Such tools are also of interest from an administrative perspective because they help reduce costs. We have developed a mobile patient clinical management tool, CALDr + . This tool holds all the vital information for patient's under a clinician or institutional care in a mobile platform. This allows rapid access simultaneously to both patient specific clinical and administrative information within specific disease domains. CALDr

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8. Mobile ehealth patient clinical management tool – CALDr CONFERENCE (PAPER JAN 2006)

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9. A Technology White Paper on Improving the Efficiency of Social Safety Net Program Delivery in Low Income Countries (MAY 2005)

Abstract

This document outlines various available and emerging information and communication technologies (ICTs) and provides a framework to assess how these technologies may be used to improve the efficiency of the delivery of safety net programs. These technologies include: mobile computing, biometrics, satellite communications, simple and smart cards, global positioning systems, radio frequency identification tags, automated teller machines and solar power. Their use in the administration, delivery and monitoring of SSN programs offers numerous advantages including increased accuracy, reliability and timeliness of information, performance measurement and service provider accountability. However, these new and emerging technologies typically require higher initial investment costs that benefit current and future time periods. The optimal solution to design an advanced and efficient delivery system for a safety net program may be a combination of traditional service delivery methods and new technologies that draws on a needs assessment that accounts for local conditions and program characteristics.

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10. Integration of a SARS surveillance application into an HL7 standards-based public health information network (ARTCILE DEC 2005)

Abstract

An Epidemiological Data System (EDS) has been developed for managing and monitoring SARS and other emerging infectious disease emergencies. EDS is a web-based application that has detailed case management, disease tracking and surveillance capabilities both from a clinical and administrative perspective. It has an Operational Datastore (ODS) which is a relational database consistent with the Health Level 7 version 3 (HL7 V3) Reference Information Model (RIM). Mapping of any HL7 V3 healthcare event message to the ODS is achieved using an Application Program Interface (API). This has the advantage of not exposing the contents of the ODS. The ODS supports not only HL7 V2 and 3 messaging but other standard and proprietary formats for interfacing with compatible systems. The modular design of SARS-EDS provides flexibility and ease of use for tracking and management of any infectious disease. It is a stand-alone application, and this paper describes its features and our approach to integrating it into a standard-based Public Health Information Network (PHIN).

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