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Electronic Health Records System Using HL7 and DICOM in Ophthalmology

Electronic Health Records System Using HL7 and DICOM in Ophthalmology
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Author(s): Isabel de la Torre Díez (University of Valladolid, Spain), Roberto Hornero Sánchez (University of Valladolid, Spain), Miguel López Coronado (University of Valladolid, Spain)and María Isabel López Gálvez (University of Valladolid, Spain)
Copyright: 2010
Pages: 19
Source title: Biomedical Knowledge Management: Infrastructures and Processes for E-Health Systems
Source Author(s)/Editor(s): Wayne Pease (University of Southern Queensland, Australia), Malcolm Cooper (Ritsumeikan Asia Pacific University, Japan)and Raj Gururajan (University of Southern Queensland, Australia)
DOI: 10.4018/978-1-60566-266-4.ch004

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Abstract

Health Level Seven (HL7) and Digital Imaging and Communications in Medicine (DICOM) standards are strongly influencing Electronic Health Records (EHRs) standardization. In this chapter, we present a web-based application, TeleOftalWeb 3.2, to store and exchange EHRs in ophthalmology by using HL7 Clinical Document Architecture (CDA) and DICOM standards. EHRs are stored in the native Extensible Markup Language (XML) database, dbXML 2.0. Application architecture is triple-layered with two database servers (MySQL 5.0 and dbXML) and one application server (Tomcat 5.5.9). Physicians can access and retrieve patient medical information and all types of medical images through web browsers. For security, all data transmissions are carried over encrypted Internet connections such as the Secure Sockets Layer (SSL) and Hypertext Transfer Protocol over SSL (HTTPS). The application verifies the standards related to privacy and confidentiality. The application is being tested by physicians from the University Institute of Applied Ophthalmobiology (IOBA), Spain.

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