Data exchange architecture for the development of mobile applications that support eHealth systems interoperability: a case of Tanzania

Chali, Frederick; Yonah, Zaipuna O.; Kalegele, Khamisi

doi:10.19101/ijacr.2017.733025

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…Similarly, a study in Africa proposed SIEMA architecture and Web services to improve data and semantic interoperability for a malaria surveillance system [ 33 ]. In Tanzania, data exchange components (DEC) recommended the realization of interoperability of electronic health records [ 32 ]. In 2018, Angula and Dlodlo proposed IHE and HL7, Enterprise Master Index, JavaScript Object Notation (JSON), Internet Control Message (ICMP) and Internet protocols for semantic interoperability of Namibia [ 34 ].…”

Section: Resultsmentioning

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%

Section: Plos Digital Healthmentioning

confidence: 99%

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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“…Furthermore, the second phase is responsible for implementation of health information mediator and integration of existing information systems. The mediator is responsible for integrating the available local health information systems by ensuring that healthcare providers nationwide adhere to the same standard and guide [85] developed an architecture for data exchange component (DEC) that integrate a single mobile application with multiple eHRs to enhance interoperability. The systems took the advantage of widespread ownership of mobile phones by a large world population.…”

Section: The Tanzanian Contextmentioning

confidence: 99%

Towards interoperable e-Health system in Tanzania: analysis and evaluation of the current security trends and big data sharing dynamics

Mtey¹,

Dida²

2019

IJATEE

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In this paper an insight on various e-health interoperable systems was reviewed to discover strengths and challenges faced during sustainable implementation. It covered local, national and regional coverage of integrated systems towards implementation of a single unified e-health system. Peer reviewed and grey literatures were consulted to discover global and local trend and efforts towards implementations of e-health interoperable systems. The available systems and frameworks from the European Union, Asia, America, Oceania and Africa were analyzed for their strengths and challenges. Various policies, guides as well as free and proprietary standards associated with e-health interoperability was reviewed to understand the common standards adopted by the majority of existing systems. The findings of the analysis are useful for policy makers on the best ways to implement interoperable systems in developing countries by focusing on the existing infrastructures and the environment. Similarly, the strengths and challenges encountered by interoperablesystems were also examined to provide recommendations for future studies.

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“…On the other hand, there are still few services in the health sector that can bridge access to health information for smartphone users [2]. Many efforts have been made to realize services in the health sector including presenting Personal Health Record (PHR) data [3], Treatment and appointment, clinical data, and financial, which is commonly known as Mobile Health [4,5,6,7], although some of these systems are not connected to each other [8].…”

Section: Introductionmentioning

confidence: 99%

Mobile Application of Electronic Prescribing for Supporting E-Health Services

et al. 2019

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The frequency of frequent medication errors in misreading prescriptions and drug doses that have the potential to cause harm and endanger the patient's health can be reduced by building electronic prescription applications (e-prescribing). The purpose of the development of e-prescribing is that prescription data that has been previously given to patients, can be traced to the history of prescription administration. A patient can seek treatment at more than one health provider organization so that prescription data provided by each health provider can ideally be traced and accessed through smartphone devices that are currently widely used by patients. In this research, a mobile application for electronic prescription has been built using RESTful Web Service as a WEB API that is used to integrate various prescription data from health providers. On the client-side mobile applications are used to access electronic prescription services. This research has provided an alternative prescription with information retrieval that is faster, more economical in the use of paper media, and integration of health information can be done in a framework so that it will improve health services to patients.

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Data exchange architecture for the development of mobile applications that support eHealth systems interoperability: a case of Tanzania

Cited by 7 publications

References 2 publications

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

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

Towards interoperable e-Health system in Tanzania: analysis and evaluation of the current security trends and big data sharing dynamics

Mobile Application of Electronic Prescribing for Supporting E-Health Services

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