Professional Documents
Culture Documents
CDSS implementation
lementation with CDA generation
and integration for health information exchange in cloud
ABSTRACT
Electronic health record helps to improve the safety patient .“Clinical decision support systems link health
and quality care of every individual patient details, observations with health knowledge to influence
that to be stored in various hospital through health health choices by clinicians for improved health. Our
information exchange. The clinical document system implement (CDSS) clinical decision support
architecture(CDA) developed by Health level system looking towards the system CDSS clinical
seven(HL7) is core document standard that ensure decision support system diagnose the diseases of the
interoperability of the document. Hospitals are patient and also the CDA is generated which will be
reluctant to adopt interoperable
rable hospital information in XML form and also it can be integrated through
system due to its deployment cost except for in a various platforms. With the help of this system the
handful countries. A problem arises even when more time of patient would be saved and accurate diagnoses
dia
hospitals start using the CDA document format of the patient is done.
because the data scattered in different documents are
hard to manage. CDA document generation and Keywords: Health information exchange( HL7) CDA,
integration Service based on cloud computing cloud computing, software as a service, CDSS ,
through which hospitals are enabled to conveniently privacy preserving
generate CDA document per patient into a single 1. INTRODUCTION
CDA document and physician and patients can
browse the clinical data in chronological order. Electronic health record is the systematize collection
of patient and population electronically stored
To improve the accuracy and speed of diagnosis, information
mation in digital format. These records can be
health care system is important to provide the faster shared across different health care centers, record are
and efficient way. A clinical decision support system shared through network connected, and vast
(CDSS) is a health information technology system information system or other information network and
that is designed to provide physicians and other he
health exchanges. Electronic health records (EHR) it include
professionals with clinical decision
ecision support (CDS), range of data including static medical history ,
that is assistance with clinical decision ––making tasks. medication and allergies, immunization status,
The system is designed by using various data mining personal statestics like age and weight , sex [1].
techniques to assist the diagnosis of patient’s Health Level Seven has established CDA as a major
symptoms. Our system is designed with the help of standard for clinical documents. CDA is a document
Naïve Bayesian classification on technique which has markup standard that specifies the structure and
overcome
come the various data mining technique to semantics of ‘clinical documents’ for the purpose of
diagnose the patient symptoms. The Naïve Bayesian exchange. The first version of CDA was developed in
classification technique provide
vide the diagnosis of 2001 [2]. Many projects generating CDA have been
disease with the help of symptoms occurs to the entirely used in many countries. Active works are
@ IJTSRD | Available Online @ www.ijtsrd.com | Volume – 2 | Issue – 4 | May-Jun 2018 Page: 886
International Journal of Trend in Scientific Research and Development (IJTSRD) ISSN: 2456-6470
2456
CDA location Data items 6. The CDSS is generated,
generated when we give the
symtomps to the systems in CDSS the disease is
diagnose.
CDA HEADER: Document
The following steps takes place in CDSS,
Information (creation time, template
ID, language 1: Doctor Register with the System.
code, purpose) Patient’s information
(ID, name, information (ID, name, 2: Doctor has to login the system with his authentic
represented organization) email-id and password.
Organization’s information (name,
3: Doctor can add / edit / update /delete any number
address, phone number)
of disease, their symptoms, and their prescription
CDA Body: Payers Advance information.
Directives Support Functional Status 4: Doctor add patient information along with the
Problems Family History Social symptoms he is suffering from to the database and
History Allergies Medications check for diagnosis.
Symptoms Procedures Encounters Plan
5: Using Database will provide the historical medical
of Care
data present in our database and processing with the
TABLE 1: CDA DOCUMENT: help of Naïve Bayesian classifier fuzzywuzzy search
algorithm.
4. CDSS IMPLEMENTATION
6: After calculation, the predicted result will be send
to the next level. On this level the probability of
predicted disease risk will be calculated and top three
disease having probability of more than 50% are
displayed. In this algorithm the maximum probability
disease risk will be calculated.
7: Now doctor check the patient symptoms once
again and from the result generated in step 6, he
suggest most suitable prescription for patient. Finally,
Fig 4.1 cdss system working
proper predicted diseases will be diagnose, this will
The above diagram shows the overall architecture of help to give proper prescription to the patients more
how CDSS it shows the actual working. effectively.
1. CDA generation generates CDA documents. . 8: For more proper CDSS designing, doctor review
his prescription suggested to the patient. Here he
2. CDA generation Interface uses the API provided checks that, the patient gets cure form his provided
by the cloud and relays the input data and receives prescriptionn or not. If the patient gets cure then go to
CDA documents generated
nerated on cloud . step 9 or stop otherwise.
3. Template manager is responsible for managing the 9: Check for any new symptoms that the patient is
CDA documents generated in cloud server. suffering from and already our CDSS data have. If
any new symptoms are identified, Retrain symptoms
4. CDA generator collects patients data from hospital to the particular database by adding
add symptoms to
and generates
rates CDA documents in template
template. particular disease For example: The CDSS is mainly
used to diagnose the disease the symptoms are
5. CDA validator inspects whether the generated
provided in the database and with the help of those
CDA documents complies with a CDA document
symptoms , the diseases are being diagnose with the
complies with a CDA schema standards
standards.
help of naviebayes algorithm.
@ IJTSRD | Available Online @ www.ijtsrd.com | Volume – 2 | Issue – 4 | May-Jun 2018 Page: 888