A framework for adapting health-level7 techniques in Ghanaian institutions

Damoah, Dominic; Debrah, Kwadwo; Nelson, Mukuze; Takyi, Anthony; Ansong, Edward Danso; Goga, Tir. Nicolae

doi:10.1109/icccs.2014.7068195

Cited by 2 publications

(4 citation statements)

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“…It was also recommended that a common concept dictionary based on the Columbia International eHealth Laboratory and the Millennium Villages Project (CIEL/MVP dictionary) should be developed to implement semantic interoperability [ 38 ]. A study explored the feasibility of HL7–XML to design a centralized medical informatics system for Ghana [ 30 ]. Another study recommended an architectural model for digital healthcare delivery that helps overcome integration and interoperability failures [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 32 papers were reviewed to explore the existing HIE policy and standards in African countries. Seventeen of them were HIE policy-related [ 4 , 11 , 18 , 19 , 21 , 22 , 24 – 27 , 29 , 39 – 41 , 43 – 45 ], nine were HIE standard-related papers [ 30 – 36 , 38 , 47 ], and six of them are both HIE policy and standard-related papers [ 20 , 23 , 28 , 37 , 42 , 46 ]. Results of the HIE policy review indicated that most of the papers recommended a strategic objective to develop an eHealth enterprise architecture that supports interoperability and standards [ 18 , 20 – 22 , 27 , 28 , 39 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…In terms of the study methods, most (55%) of the publications were based upon situational analysis [18][19][20][21][22][23][24][25][26][27][28][29] using document reviews (e.g., World Health Organization (WHO) eHealth strategy development toolkit), stakeholder interviews (11%), discussion in meetings and workshops (26%), and survey and site visit (8%). Among the journal articles (11), three articles followed interoperable system design and development method [30][31][32]; another three articles followed framework design [33][34][35] in which two of them supplemented framework development with a qualitative approach (case study) [34,35]; three articles followed literature review [4,36,37]; and one article followed a consultative workshop for a concept dictionary implementation in Kenya [38] while the remaining one followed a discussion of a specific interoperable platform.…”

Section: Plos Digital Healthmentioning

confidence: 99%

“…45], nine were HIE standard-related papers [30][31][32][33][34][35][36]38,47], and six of them are both HIE policy and standard-related papers [20,23,28,37,42,46]. Results of the HIE policy review that most of the papers recommended a strategic objective to develop an eHealth enterprise architecture that supports interoperability and standards [18,[20][21][22]27,28,39,42].…”

Section: Plos Digital Healthmentioning

confidence: 99%

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Health information exchange policy and standards for digital health systems in africa: A systematic review

Mamuye

Yilma²,

Abdulwahab³

et al. 2022

PLOS Digit Health

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Lack of interoperability and integration between heterogeneous health systems is a big challenge to realize the potential benefits of eHealth. To best move from siloed applications to interoperable eHealth solutions, health information exchange (HIE) policy and standards are necessary to be established. However, there is no comprehensive evidence on the current status of HIE policy and standards on the African continent. Therefore, this paper aimed to systematically review the status of HIE policy and standards which are currently in practice in Africa. A systematic search of the literature was conducted from Medical Literature Analysis and Retrieval System Online (MEDLINE), Scopus, Web of Science, and Excerpta Medica Database (EMBASE), and a total of 32 papers (21 strategic documents and 11 peer-reviewed papers) were selected based on predefined criteria for synthesis. Results revealed that African countries have paid attention to the development, improvement, adoption, and implementation of HIE architecture for interoperability and standards. Synthetic and semantic interoperability standards were identified for the implementation of HIE in Africa. Based on this comprehensive review, we recommend that comprehensive interoperable technical standards should be set at each national level and should be guided by appropriate governance and legal frameworks, data ownership and use agreements, and health data privacy and security guidelines. On top of the policy issues, there is a need to identify a set of standards (health system standards, communication, messaging standards, terminology/vocabulary standards, patient profile standards, privacy and security, and risk assessment) and implement them throughout all levels of the health system. On top of this, we recommend that the Africa Union (AU) and regional bodies provide the necessary human resource and high-level technical support to African countries to implement HIE policy and standards. To realize the full potential of eHealth in the continent, it is recommended that African countries need to have a common HIE policy, interoperable technical standards, and health data privacy and security guidelines. Currently, there is an ongoing effort by the Africa Centres for Disease Control and Prevention (Africa CDC) towards promoting HIE on the continent. A task force has been established from Africa CDC, Health Information Service Provider (HISP) partners, and African and global HIE subject matter experts to provide expertise and guidance in the development of AU policy and standards for HIE. Although the work is still ongoing, the African Union shall continue to support the implementation of HIE policy and standards in the continent. The authors of this review are currently working under the umbrella of the African Union to develop the HIE policy and standard to be endorsed by the head of states of the Africa Union. As a follow-up publication to this, the result will be published in mid-2022.

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Section: Resultsmentioning

confidence: 99%