An Eclipse-based development approach to health information technology

The rapid proliferation of applications--electronic health record and clinical decision support systems among them--cannot keep up with the growing needs of healthcare delivery organisations. The absence of uniform standards and interoperability has hindered the successful deployment and acceptance of these applications. Eclipse and other open source applications have the potential to fill some of these gaps. The benefits include acceptance of open standards, enabling interoperability and scalability, prevention of vendor lock-in and lower costs. In this paper, we describe an Eclipse-based open source electronic health record application, a prototype. We contrast the Eclipse approach to other development approaches. Implementation is feasible and provides customization, although there are challenges to overcome. We envision organisations adopting open source development tools as alternatives to vendor-driven, proprietary systems.

[1]  John W. Satzinger,et al.  The Object-Oriented Approach , 1995 .

[2]  Tim O'Reilly,et al.  Lessons from open-source software development , 1999, CACM.

[3]  Jeffrey M. Hausdorff,et al.  Physionet: Components of a New Research Resource for Complex Physiologic Signals". Circu-lation Vol , 2000 .

[4]  Karen Schlauch,et al.  GeneX: An Open Source gene expression database and integrated tool set , 2001, IBM Syst. J..

[5]  J. Herbsleb,et al.  Two case studies of open source software development: Apache and Mozilla , 2002, TSEM.

[6]  James F. Brinkley,et al.  Application of Information Technology: WIRM: An Open Source Toolkit for Building Biomedical Web Applications , 2002, J. Am. Medical Informatics Assoc..

[7]  Michael J. Karels Commercializing Open Source Software , 2003, ACM Queue.

[8]  G. Krogh Open-Source Software Development , 2003 .

[9]  S. Salzberg,et al.  Versatile and open software for comparing large genomes , 2004, Genome Biology.

[10]  J. Marc Overhage,et al.  Open Source software in medical informatics - why, how and what , 2003, Int. J. Medical Informatics.

[11]  Georg von Krogh,et al.  Open Source Software and the "Private-Collective" Innovation Model: Issues for Organization Science , 2003, Organ. Sci..

[12]  Gareth S. Kantor,et al.  Letter to the Editor: Open-source Software and the Primary Care EMR , 2003, J. Am. Medical Informatics Assoc..

[13]  Michael Krauthammer,et al.  GeneWays: a system for extracting, analyzing, visualizing, and integrating molecular pathway data , 2004, J. Biomed. Informatics.

[14]  David Botstein,et al.  GO: : TermFinder--open source software for accessing Gene Ontology information and finding significantly enriched Gene Ontology terms associated with a list of genes , 2004, Bioinform..

[15]  S. Shankar Sastry,et al.  GiPSi: An Open Source/Open Architecture Software Development Framework for Surgical Simulation , 2004, ISMS.

[16]  Jean YH Yang,et al.  Bioconductor: open software development for computational biology and bioinformatics , 2004, Genome Biology.

[17]  Kenneth D. Mandl,et al.  Model Formulation: The PING Personally Controlled Electronic Medical Record System: Technical Architecture , 2004, J. Am. Medical Informatics Assoc..

[18]  Joseph Tan,et al.  Mapping e-health strategies: thinking outside the traditional healthcare box , 2005, Int. J. Electron. Heal..

[19]  Kimberly D. Simon,et al.  The value of open standards and open-source software in government environments , 2005, IBM Syst. J..

[20]  Daniel P. Lorence,et al.  Toward a patientcentric medical information model: issues and challenges for US adoption , 2005, Int. J. Electron. Heal..

[21]  Kapil Gupta,et al.  The use of open-source software in the IBM corporate portal , 2005, IBM Syst. J..

[22]  Astrid M. van Ginneken,et al.  OpenSDE: A strategy for expressive and flexible structured data entry , 2005, Int. J. Medical Informatics.

[23]  Michael J. Ackerman,et al.  Open source software for medical image processing and visualization , 2005, CACM.

[24]  Peter J. Murray,et al.  osni.info - Using free/libre/open source software to build a virtual international community for open source nursing informatics , 2005, Int. J. Medical Informatics.

[25]  I-Chun Lin,et al.  A HL7 transformer application for vaccination data report , 2006, Int. J. Electron. Heal..

[26]  Georg von Krogh,et al.  The Promise of Research on Open Source Software , 2006, Manag. Sci..

[27]  Daniel P. Lorence,et al.  Technology assessment of resources for the emerging US e-health infrastructure: a proposed interoperability model , 2006, Int. J. Electron. Heal..

[28]  Steven John Simon,et al.  An examination of the financial feasibility of Electronic Medical Records (EMRs): a case study of tangible and intangible benefits , 2006, Int. J. Electron. Heal..

[29]  Andrew Dalley,et al.  The use of smart tokens to permit the secure, remote access of electronic health records , 2006, Int. J. Electron. Heal..

[30]  Christophe Garcia,et al.  WaveRead: Automatic measurement of relative gene expression levels from microarrays using wavelet analysis , 2006, J. Biomed. Informatics.

[31]  J BELLIKA,et al.  ropagation of program control : A tool for istributed disease surveillance ohan , 2007 .

[32]  Tharam S. Dillon,et al.  Framework and prototype for a secure XML-based electronic health records system , 2007, Int. J. Electron. Heal..