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Open Source Patient-Controlled Analgesic Pump Requirements Documentation. 开源病人控制的镇痛泵要求文档。
Brian R Larson, John Hatcliff, Patrice Chalin
{"title":"Open Source Patient-Controlled Analgesic Pump Requirements Documentation.","authors":"Brian R Larson,&nbsp;John Hatcliff,&nbsp;Patrice Chalin","doi":"10.1109/SEHC.2013.6602474","DOIUrl":"https://doi.org/10.1109/SEHC.2013.6602474","url":null,"abstract":"<p><p>The dynamic nature of the medical domain is driving a need for continuous innovation and improvement in techniques for developing and assuring medical devices. Unfortunately, research in academia and communication between academics, industrial engineers, and regulatory authorities is hampered by the lack of realistic non-proprietary development artifacts for medical devices. In this paper, we give an overview of a detailed requirements document for a Patient-Controlled Analgesic (PCA) pump developed under the US NSF's Food and Drug Administration (FDA) Scholar-in-Residence (SIR) program. This 60+ page document follows the methodology outlined in the US Federal Aviation Administrations (FAA) Requirements Engineering Management Handbook (REMH) and includes a domain overview, use cases, statements of safety & security requirements, and formal top-level system architectural description. Based on previous experience with release of a requirements document for a cardiac pacemaker that spawned a number of research and pedagogical activities, we believe that the described PCA requirements document can be an important research enabler within the formal methods and software engineering communities.</p>","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":" ","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/SEHC.2013.6602474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32425155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Towards electronic health record support for collaborative processes 朝着支持协作过程的电子健康记录的方向发展
C. Kuziemsky, James Bryan Williams, J. Weber
{"title":"Towards electronic health record support for collaborative processes","authors":"C. Kuziemsky, James Bryan Williams, J. Weber","doi":"10.1145/1987993.1988002","DOIUrl":"https://doi.org/10.1145/1987993.1988002","url":null,"abstract":"As more healthcare delivery is provided by collaborative care teams, there is a need to design tools such as electronic health records to support teams. Much of the existing EHR work has focused on semantic interoperability. While that work is important, collaborative care delivery is largely process driven, meaning that process interoperability must also be considered. This paper takes a first step towards engineering EHR requirements to support collaborative care delivery by defining a set of collaborative competencies. These competencies emphasize process interoperability through separation of data and processes. The findings from this paper can help inform EHR design to support collaborative care delivery.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"22 1","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83305696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
On effective testing of health care simulation software 浅谈医疗仿真软件的有效测试
Christian Murphy, M. Raunak, Andrew L. King, Sanjian Chen, Chris Imbriano, G. Kaiser, Insup Lee, O. Sokolsky, L. Clarke, L. Osterweil
{"title":"On effective testing of health care simulation software","authors":"Christian Murphy, M. Raunak, Andrew L. King, Sanjian Chen, Chris Imbriano, G. Kaiser, Insup Lee, O. Sokolsky, L. Clarke, L. Osterweil","doi":"10.1145/1987993.1988003","DOIUrl":"https://doi.org/10.1145/1987993.1988003","url":null,"abstract":"Health care professionals rely on software to simulate anatomical and physiological elements of the human body for purposes of training, prototyping, and decision making. Software can also be used to simulate medical processes and protocols to measure cost effectiveness and resource utilization. Whereas much of the software engineering research into simulation software focuses on validation (determining that the simulation accurately models real-world activity), to date there has been little investigation into the testing of simulation software itself, that is, the ability to effectively search for errors in the implementation. This is particularly challenging because often there is no test oracle to indicate whether the results of the simulation are correct. In this paper, we present an approach to systematically testing simulation software in the absence of test oracles, and evaluate the effectiveness of the technique.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"17 1","pages":"40-47"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91311240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
Leveraging performance analytics to improve integration of care 利用性能分析来改进护理的集成
Alain Mouttham, L. Peyton, C. Kuziemsky
{"title":"Leveraging performance analytics to improve integration of care","authors":"Alain Mouttham, L. Peyton, C. Kuziemsky","doi":"10.1145/1987993.1988005","DOIUrl":"https://doi.org/10.1145/1987993.1988005","url":null,"abstract":"The need for healthcare systems to provide efficient, effective and integrated care has put an emphasis on performance analytics. However while performance analytics can measure outcomes and suggest policy and protocol for achieving efficiency; it does not drive the actual integration of care processes. There is a need for research that develops fine-grained metrics and illustrates how to link them into the underlying clinical care processes in order to drive and support integration of care. An integrated case study of cardiac care processes and performance analytics we have been developing at a community hospital in Ontario is used to illustrate our approach. We analyze how fine-grained metrics can be linked into cardiac care processes to address high level performance objectives, and present a technology assessment to identify how software engineering support for the collection and communication of these fine-grained metrics can be provided.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"18 1","pages":"56-62"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90803907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Reducing the footprint of certifiable health software during early stage development 在早期开发阶段减少可认证健康软件的占用空间
J. Weber, James Bryan Williams, C. Kuziemsky
{"title":"Reducing the footprint of certifiable health software during early stage development","authors":"J. Weber, James Bryan Williams, C. Kuziemsky","doi":"10.1145/1987993.1988001","DOIUrl":"https://doi.org/10.1145/1987993.1988001","url":null,"abstract":"Due to its critical nature with respect to patient safety, privacy and other quality attribute, healthcare software is often subject to third party certification. To take a solitary example, Health Canada deems patient management systems (such as Electronic Medical Records) to be subject to mandatory certification and licensing. One strategy to reduce the cost of certifying large software products is to dislocate the implementation of functions that require certification from those functions that do not require certification. While this strategy has been recommended, no systematic method has been proposed on how to integrate this notion into the overall system design process. This paper addresses this gap. We present a process that takes a requirements specification and pertinent certification criteria as input and produces a set of constraints on potential architecture designs, ensuring that the size of software that must undergo certification is reduced. We demonstrate the approach using a real-world case study involving Electronic Health Record software in the context of the Canadian regulatory framework.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"1 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90854499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing a virtual-world simulation 开发虚拟世界模拟
David Chodos, Eleni Stroulia, S. King
{"title":"Developing a virtual-world simulation","authors":"David Chodos, Eleni Stroulia, S. King","doi":"10.1145/1987993.1988007","DOIUrl":"https://doi.org/10.1145/1987993.1988007","url":null,"abstract":"Simulation-based training has been an integral part of health-sciences education for many years, and is becoming increasingly important with the shift towards competency-based education. Virtual worlds have emerged as an effective way to deliver realistic, collaborative training in complex processes, which is consistent with competency-based training and assessment. We have developed MeRiTS, a virtual world-based platform for creating training simulations, to provide students in a wide range of disciplines with this kind of training. Furthermore, through these student training experiences, we will be able to provide a rigorous, comprehensive evaluation of the effectiveness of conducting scenario-based training in virtual worlds.\u0000 In this paper, we briefly present the MeRiTS architecture, and the underlying theories, components and models that support the system. We then present a detailed description of our most mature scenario, which trains paramedics in proper rescue and patient handoff procedures. We also provide an in-depth discussion of the development process for this scenario, and conclude with some lessons learned from the experience.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"15 1","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88182365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Investigating the influence of personal values on requirements for health care information systems 调查个人价值观对卫生保健信息系统需求的影响
R. Proynova, B. Paech, S. H. Koch, A. Wicht, T. Wetter
{"title":"Investigating the influence of personal values on requirements for health care information systems","authors":"R. Proynova, B. Paech, S. H. Koch, A. Wicht, T. Wetter","doi":"10.1145/1987993.1988004","DOIUrl":"https://doi.org/10.1145/1987993.1988004","url":null,"abstract":"Stakeholder requirements for health care information systems cannot be defined purely objectively. Instead they are influenced by personal and social factors. In this paper, we present preliminary insights into one such factor, namely personal values. Based on work from psychology, we have developed first instruments to elicit personal values and their relationships to software requirements by interviewing nurses and physicians. We report on these instruments and the results of applying them in two small case studies.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"6 1","pages":"48-55"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81233649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 20
Evaluating access control of open source electronic health record systems 评估开放源代码电子健康记录系统的访问控制
Eric Helms, L. Williams
{"title":"Evaluating access control of open source electronic health record systems","authors":"Eric Helms, L. Williams","doi":"10.1145/1987993.1988006","DOIUrl":"https://doi.org/10.1145/1987993.1988006","url":null,"abstract":"Incentives and penalties for healthcare providers as laid out in the American Recovery and Reinvestment Act of 2009 have caused tremendous growth in the development and installation of electronic health record (EHR) systems in the US. For the benefit of protecting patient privacy, regulations and certification criteria related to EHR systems stipulate the use of access control of protected health information. The goal of this research is to guide development teams, regulators, and certification bodies by assessing the state of the practice in EHR access control. In this paper, we present a compilation of 25 criteria relative to access control in EHR systems found in the Health Insurance Portability and Accountability Act (HIPAA) regulation, meaningful use certification criteria, best practices embodied in the National Institute for Standards and Technology (NIST) role-based access control standard, and other best practices found in the literature. We then examine the state of the practice in access control by evaluating four open source EHR systems using these 25 evaluation criteria. Our research indicates that the NIST Meaningful Use criteria provide HIPAA compliance, but none of the regulatory and certification criteria address the implementation standards, and best practices related to access control. Additionally, our results indicate that open source EHR system designers are not implementing robust access control mechanisms for the adequate protection of patient data.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"44 1","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75845009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
HCMS: conceptual description of a health content management system HCMS:健康内容管理系统的概念性描述
Hamman W. Samuel, Osmar R Zaiane
{"title":"HCMS: conceptual description of a health content management system","authors":"Hamman W. Samuel, Osmar R Zaiane","doi":"10.1145/1987993.1988000","DOIUrl":"https://doi.org/10.1145/1987993.1988000","url":null,"abstract":"Health is a hot topic on the Internet. Health websites are unique from other websites because they require a more acute awareness of ethical issues due to potential life threatening risks from misuse of information. We propose and give a high-level description of a Health Content Management System (HCMS) that addresses these issues and other functional needs found in most health websites. In addition, we suggest unique features that are not available in most existing health websites. Surveys of existing health websites and content management systems demonstrate the need for the proposed system. Moreover, the novelty of the proposed HCMS is appraised and asserted in comparison with similar health framework concepts. Our contributions include survey results of more than 50 health websites, a taxonomy of health websites' characteristics, and a blueprint for typical and novel features for health websites.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"14 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79011499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
A personalized medical information system 个性化医疗信息系统
S. Klenk, Jürgen Dippon, P. Fritz, G. Heidemann
{"title":"A personalized medical information system","authors":"S. Klenk, Jürgen Dippon, P. Fritz, G. Heidemann","doi":"10.1145/1987993.1987997","DOIUrl":"https://doi.org/10.1145/1987993.1987997","url":null,"abstract":"Shared decision making is not just a question of collecting enough information, but mostly of gathering the right information and evaluating it correctly. The ever growing amount of available data and the constantly increasing specialization in medicine makes it almost impossible for a patient to get personalized medical information even though this is crucial for a self determined decision. We therefore propose a system that combines epidemiological data, personal medical data, personal data and publicly available data to form one central source of information. We argue that, with currently available methods and data, a patient adapted information system is attainable.","PeriodicalId":90080,"journal":{"name":"... International Workshop on Software Engineering in Health Care. International Workshop on Software Engineering in Health Care","volume":"2017 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2011-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72688814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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