Messaging standard requirements for electronic health records in Islamic Republic of Iran: a Delphi study.

The present descriptive-comparative study was conducted to give an overview of the messaging standards that are necessary for interoperable electronic health records (EHRs). We designed a preliminary model after data collection and compared the messaging standards of Health Level Seven (HL7) and the International Organization for Standardization (ISO). The data were assessed with the Delphi technique. A comprehensive model for the messaging standards of EHRs in the Islamic Republic of Iran was presented in three pivots: structural characteristics (standard for all EHRs, XML-based and object-oriented messages, and dual model); model specifications (reference model, archetypes and classes of reference model), and general features (distinct ontology, mapping with other standards, and using reference archetypes for exchanging documents). In conclusion, we gave an overview of messaging standards for the interoperability of EHRs and experts selected ISO13606 as a suitable standard for the Islamic Republic of Iran.

Messaging standard requirements for electronic health records in Islamic Republic of Iran: a Delphi study

The present descriptive-comparative study was conducted to give an overview of the messaging standards that are necessary for interoperable electronic health records [EHRs]. We designed a preliminary model after data collection and compared the messaging standards of Health Level Seven [HL7] and the International Organization for Standardization [ISO]. The data were assessed with the Delphi technique. A comprehensive model for the messaging standards of EHRs in the Islamic Republic of Iran was presented in three pivots: structural characteristics [standard for all EHRs, XML-based and object-oriented messages, and dual model]; model specifications [reference model, archetypes and classes of reference model], and general features [distinct ontology, mapping with other standards, and using reference archetypes for exchanging documents]. In conclusion, we gave an overview of messaging standards for the interoperability of EHRs and experts selected ISO13606 as a suitable standard for the Islamic Republic of Iran

La présente étude descriptive comparative a été menée afin de fournir une vue d'ensemble des normes de messagerie nécessaires pour des dossiers de santé électroniques interopérables [DSEi]. Nous avons conçu un modèle préliminaire après avoir collecté des données et avons comparé les normes de messagerie de Health Level 7 [HL7] et de l'Organisation internationale de normalisation [ISO]. Les données ont été réalisées à l'aide de la technique de Delphes. Un modèle complet pour les normes de messagerie des DSE en République islamique d'Iran a été présenté en trois axes: particularités structurelles [norme pour tous les DSE, messages XML et messages orientés objet, et modèle double] ; spécifications du modèle [modèle de référence, archétypes et classes du modèle de référence] ; et caractéristiques générales [ontologie distincte, correspondance avec d'autres normes, et utilisation d'archétypes de référence pour l'échange de documents]. En conclusion, nous avons donné une vue d'ensemble des normes de messagerie pour l'interopérabilité des DSE et les experts ont sélectionné l'ISO13606 comme norme appropriée pour la République islamique d'Iran

Managing diabetes mellitus using information technology: a systematic review.

OBJECTIVE: To review published evidences about using information technology interventions in diabetes care and determine their effects on managing diabetes. DESIGN: Systematic review of information technology based interventions. RESEARCH DESIGN AND METHODS: MEDLINE®/PubMed were electronically searched for articles published between 2004/07/01 and 2014/07/01. A comprehensive, electronic search strategy was used to identify eligible articles. Inclusion criteria were defined based on type of study and effect of information technology based intervention in relation to glucose control and other clinical outcomes in diabetic patients. Studies must have used a controlled design to evaluate an information technology based intervention. A total of 3613 articles were identified based on the searches conducted in MEDLINE from PubMed. After excluding duplicates (n = 6), we screened titles and abstracts of 3607 articles based on inclusion criteria. The remaining articles matched with inclusion criteria (n = 277) were reviewed in full text, and 210 articles were excluded based on exclusion criteria. Finally, 67 articles complied with our eligibility criteria and were included in this study. RESULTS: In this study, the effect of various information technology based interventions on clinical outcomes in diabetic patients extracted and measured from selected articles is described and compared to each other. CONCLUSION: Information technology based interventions combined with the usual care are associated with improved glycemic control with different efficacy on various clinical outcomes in diabetic patients.