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Published in: Journal of Medical Systems 4/2010

01-08-2010 | Original Paper

Newborn Screening Healthcare Information System Based on Service-Oriented Architecture

Authors: Sung-Huai Hsieh, Sheau-Ling Hsieh, Yin-Hsiu Chien, Yung-Ching Weng, Kai-Ping Hsu, Chi-Huang Chen, Chien-Ming Tu, Zhenyu Wang, Feipei Lai

Published in: Journal of Medical Systems | Issue 4/2010

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Abstract

In this paper, we established a newborn screening system under the HL7/Web Services frameworks. We rebuilt the NTUH Newborn Screening Laboratory’s original standalone architecture, having various heterogeneous systems operating individually, and restructured it into a Service-Oriented Architecture (SOA), distributed platform for further integrity and enhancements of sample collections, testing, diagnoses, evaluations, treatments or follow-up services, screening database management, as well as collaboration, communication among hospitals; decision supports and improving screening accuracy over the Taiwan neonatal systems are also addressed. In addition, the new system not only integrates the newborn screening procedures among phlebotomy clinics, referral hospitals, as well as the newborn screening center in Taiwan, but also introduces new models of screening procedures for the associated, medical practitioners. Furthermore, it reduces the burden of manual operations, especially the reporting services, those were heavily dependent upon previously. The new system can accelerate the whole procedures effectively and efficiently. It improves the accuracy and the reliability of the screening by ensuring the quality control during the processing as well.
Literature
2.
go back to reference Ohkubo, S., Shimozawa, K., Matsumoto, M., Kitagawa, T., Analysis of blood spot 17α-hydroxyprogesterone concentration in premature infants -proposal for cut-off limits in screening for congenital adrenal hyperplasia-. Acta. Paediatr. Jpn. 34, 126–133 (1992) Ohkubo, S., Shimozawa, K., Matsumoto, M., Kitagawa, T., Analysis of blood spot 17α-hydroxyprogesterone concentration in premature infants -proposal for cut-off limits in screening for congenital adrenal hyperplasia-. Acta. Paediatr. Jpn. 34, 126–133 (1992)
3.
go back to reference John, A., Age-dependent cutoff values in screening newborns for Hypothyroidism. Clin. Biochem. 37(9), 791–797 (2004)CrossRef John, A., Age-dependent cutoff values in screening newborns for Hypothyroidism. Clin. Biochem. 37(9), 791–797 (2004)CrossRef
5.
go back to reference Weng, Y. –C., Hsieh, S. –L., Hsieh, S. –H., Lai, F., Design and Enhance a Dynamic Healthcare Portal Site. Web Intelligence and Intelligent Agent Technology Workshops, 2007 IEEE/WIC/ACM International Conferences, pp. 173–176, 2007. Weng, Y. –C., Hsieh, S. –L., Hsieh, S. –H., Lai, F., Design and Enhance a Dynamic Healthcare Portal Site. Web Intelligence and Intelligent Agent Technology Workshops, 2007 IEEE/WIC/ACM International Conferences, pp. 173–176, 2007.
6.
go back to reference Stoddard, J.J., Farrell, P.M., State-to-state variations in newborn screening policies. Arch. Pediatr. Adolesc. Med. 151, 561–564 (1997) Stoddard, J.J., Farrell, P.M., State-to-state variations in newborn screening policies. Arch. Pediatr. Adolesc. Med. 151, 561–564 (1997)
13.
go back to reference Georgia Newborn Screening Manual for Metabolic Diseases and Hemoglobinopathies. Georgia Department of Human Resources: Division of Public Health, 2007. Georgia Newborn Screening Manual for Metabolic Diseases and Hemoglobinopathies. Georgia Department of Human Resources: Division of Public Health, 2007.
15.
go back to reference Wisconsin Newborn Screening Laboratory Newsletter, No. 63, “2006 Testing Summary”, July 2007. Wisconsin Newborn Screening Laboratory Newsletter, No. 63, “2006 Testing Summary”, July 2007.
22.
32.
go back to reference Liu, N., Marenco, L., Miller, P.L., ResourceLog: An Embeddable Tool for Dynamically Monitoring the Usage of Web-Based Bioscience Resources. J. Am. Med. Inform. Assoc. 2006 13(4), 432–437 (2006). doi:10.1197/jamia.M2013 CrossRef Liu, N., Marenco, L., Miller, P.L., ResourceLog: An Embeddable Tool for Dynamically Monitoring the Usage of Web-Based Bioscience Resources. J. Am. Med. Inform. Assoc. 2006 13(4), 432–437 (2006). doi:10.​1197/​jamia.​M2013 CrossRef
33.
go back to reference Sean, A., McGhee, E. Stiehm, R., Cowan, M., Krogstad, P. McCabe, E. R. B., “Two-tiered universal newborn screening strategy for severe combined immunodeficiency”, Nov. 2, 2005; http: www.sciencedirect.com Sean, A., McGhee, E. Stiehm, R., Cowan, M., Krogstad, P. McCabe, E. R. B., “Two-tiered universal newborn screening strategy for severe combined immunodeficiency”, Nov. 2, 2005; http:​ www.​sciencedirect.​com
34.
go back to reference Webster, D., Quality performance of newborn screening systems: Strategies for improvement. J. Inherit. Meta. Dis. 30, 576–584 (2007)CrossRefMathSciNet Webster, D., Quality performance of newborn screening systems: Strategies for improvement. J. Inherit. Meta. Dis. 30, 576–584 (2007)CrossRefMathSciNet
35.
go back to reference Olgemoller, B., et al., Screening for congenital adrenal hyperplasia: adjustment of 17-Hydroxyprogesterone cut-off values to both age and birth weight markedly improves the predictive value. J. Clin. Endocrinol. Metab. 88(12), 5790–5794 (2003). doi:10.1210/jc.2002-021732 CrossRef Olgemoller, B., et al., Screening for congenital adrenal hyperplasia: adjustment of 17-Hydroxyprogesterone cut-off values to both age and birth weight markedly improves the predictive value. J. Clin. Endocrinol. Metab. 88(12), 5790–5794 (2003). doi:10.​1210/​jc.​2002-021732 CrossRef
37.
go back to reference Ko, L. F., Lin, J. C., et al., “HL7 middleware framework for healthcare information system”, IEEE Healthcare, pp 152–156, 2006. Ko, L. F., Lin, J. C., et al., “HL7 middleware framework for healthcare information system”, IEEE Healthcare, pp 152–156, 2006.
38.
go back to reference Hsieh, S. L., Feipei Lai, S. H., Hsieh et al., “An Integrated Healthcare Enterprise Information Portal and Healthcare Information System Framework”. IEEE EMBC, pp 4731–4734, 2006. Hsieh, S. L., Feipei Lai, S. H., Hsieh et al., “An Integrated Healthcare Enterprise Information Portal and Healthcare Information System Framework”. IEEE EMBC, pp 4731–4734, 2006.
39.
go back to reference Hsieh, S. H., Hsieh, S. L., Weng, Y. C., et al., “Middleware based Inpatient Healthcare Information System”, Bioinformatics and Bioengineering, BIBE 2007, Proceedings of the 7th IEEE International Conference, pp. 1230–1234, 2007. Hsieh, S. H., Hsieh, S. L., Weng, Y. C., et al., “Middleware based Inpatient Healthcare Information System”, Bioinformatics and Bioengineering, BIBE 2007, Proceedings of the 7th IEEE International Conference, pp. 1230–1234, 2007.
40.
go back to reference Yang, T. H., Cheng, P. H., et al., “A Scalable Multi-tier Architecture for the National Taiwan University Hospital Information System based on HL7 Standard”, CBMS August 2006, Proceedings of the 19th IEEE Symposium on Computer-Based Medical Systems, pp. 99–104, 2006. Yang, T. H., Cheng, P. H., et al., “A Scalable Multi-tier Architecture for the National Taiwan University Hospital Information System based on HL7 Standard”, CBMS August 2006, Proceedings of the 19th IEEE Symposium on Computer-Based Medical Systems, pp. 99–104, 2006.
41.
go back to reference Pierce, M., Fox, G., Youn, C., Mock, S., Mueller, K., Balsoy, O., Interoperable Web Services for Computational Portals. Proceedings of Supercomputing 2002, Baltimore. Pierce, M., Fox, G., Youn, C., Mock, S., Mueller, K., Balsoy, O., Interoperable Web Services for Computational Portals. Proceedings of Supercomputing 2002, Baltimore.
42.
go back to reference Murray, M., “Strategies for the successful implementation of workflow systems within healthcare: a cross case comparison”, System Sciences, 2003. Proceedings of the 36th Annual Hawaii International Conference, pp. 10, 2003. Murray, M., “Strategies for the successful implementation of workflow systems within healthcare: a cross case comparison”, System Sciences, 2003. Proceedings of the 36th Annual Hawaii International Conference, pp. 10, 2003.
43.
go back to reference Bunge, R., Chung, S., Endicott-Popovsky, B., McLane, D., “An operational framework for service oriented architecture network security”, Hawaii International Conference on System Sciences, Proceedings of the 41st Annual, pp. 312–312, 2008. Bunge, R., Chung, S., Endicott-Popovsky, B., McLane, D., “An operational framework for service oriented architecture network security”, Hawaii International Conference on System Sciences, Proceedings of the 41st Annual, pp. 312–312, 2008.
44.
go back to reference Lewis, G. A., Morris, E., Simanta, S., et al., “Common Misconceptions about Service-Oriented Architecture”, Commercial-off-the-Shelf (COTS)-Based Software Systems, ICCBSS ‘07, Sixth International IEEE Conference, pp. 123–130, 2007 Lewis, G. A., Morris, E., Simanta, S., et al., “Common Misconceptions about Service-Oriented Architecture”, Commercial-off-the-Shelf (COTS)-Based Software Systems, ICCBSS ‘07, Sixth International IEEE Conference, pp. 123–130, 2007
45.
go back to reference Millington, D. S., Tandem Mass Spectrometry in Clinical Diagnosis. Millington, D. S., Tandem Mass Spectrometry in Clinical Diagnosis.
46.
go back to reference Pinheiro, M., Oliveira, J. L., Santos, M. A. S., Rocha, H., Cardoso, M. L., Vilarinho, L., “NeoScreen: A software application for MS/MS newborn screening analysis”, in Biological and Medical Data Analysis (ISBMDA'2004), Lecture Notes in Computer Science - Volume 3337, Barcelona, Spain, 2004. Pinheiro, M., Oliveira, J. L., Santos, M. A. S., Rocha, H., Cardoso, M. L., Vilarinho, L., “NeoScreen: A software application for MS/MS newborn screening analysis”, in Biological and Medical Data Analysis (ISBMDA'2004), Lecture Notes in Computer Science - Volume 3337, Barcelona, Spain, 2004.
47.
go back to reference Pinheiro, M., Oliveira, J.L., Santos, M.A.S., Rocha, H., Cardoso, M.L., Vilarinho, L., A computer-based solution for screening of inherited metabolic diseases. J. Inherit. Metab. Dis 27(1), 4 (2004). abstract Pinheiro, M., Oliveira, J.L., Santos, M.A.S., Rocha, H., Cardoso, M.L., Vilarinho, L., A computer-based solution for screening of inherited metabolic diseases. J. Inherit. Metab. Dis 27(1), 4 (2004). abstract
49.
go back to reference Hurley, A.C., Lancaster, D., Hayes, J., Wilson-Chase, C., Bane, A., Griffin, M., Warden, V., Duffy, M.E., Poon, E.G., Gandhi, T.K., The medication administration system—nurses assessment of satisfaction (MAS—NAS) scale. J. Nurs. Scholarsh. 38, 298–300 (2006). doi:10.1111/j.1547-5069.2006.00117.x CrossRef Hurley, A.C., Lancaster, D., Hayes, J., Wilson-Chase, C., Bane, A., Griffin, M., Warden, V., Duffy, M.E., Poon, E.G., Gandhi, T.K., The medication administration system—nurses assessment of satisfaction (MAS—NAS) scale. J. Nurs. Scholarsh. 38, 298–300 (2006). doi:10.​1111/​j.​1547-5069.​2006.​00117.​x CrossRef
52.
go back to reference Knights, M., “Web 2.0”, Communications Engineer, 5(1), 30–35, 2007. Knights, M., “Web 2.0”, Communications Engineer, 5(1), 30–35, 2007.
53.
go back to reference Schroth, C., Janner, T., “Web 2.0 and SOA: Converging concepts enabling the internet of services”. IT Professional 9(3), 36–41 (2007)CrossRef Schroth, C., Janner, T., “Web 2.0 and SOA: Converging concepts enabling the internet of services”. IT Professional 9(3), 36–41 (2007)CrossRef
54.
go back to reference Ping, X.-O., Ko, L.-F., Shang, R.-J., Lai, F., et al., “Dynamic messages creation method for HL7 based healthcare information system”, 9th International Conference on e-Health Networking, Application and Services, June 2007, pp. 150–155. Ping, X.-O., Ko, L.-F., Shang, R.-J., Lai, F., et al., “Dynamic messages creation method for HL7 based healthcare information system”, 9th International Conference on e-Health Networking, Application and Services, June 2007, pp. 150–155.
55.
go back to reference Hsieh, S.-H., Hsieh, S.-L., et al., “Web services based newborn screening system with support vector machines”, ICITA 2008, June, 2008. Hsieh, S.-H., Hsieh, S.-L., et al., “Web services based newborn screening system with support vector machines”, ICITA 2008, June, 2008.
56.
go back to reference Tu, C. -M., Chang, H. -Y., Tang, M. -Y., Lai, F., et al., “The design and implementation of a next generation information system for newborn Screening”, HEALTHCOM 2007, June, 2007. Tu, C. -M., Chang, H. -Y., Tang, M. -Y., Lai, F., et al., “The design and implementation of a next generation information system for newborn Screening”, HEALTHCOM 2007, June, 2007.
57.
go back to reference Tu, C.-M., The new generation of information system for newborn screening—A case study of National Taiwan University Hospital. Dept. of Computer Science and Information Engineering, National Taiwan University, Taiwan, Master Thesis, June (2007) Tu, C.-M., The new generation of information system for newborn screening—A case study of National Taiwan University Hospital. Dept. of Computer Science and Information Engineering, National Taiwan University, Taiwan, Master Thesis, June (2007)
60.
go back to reference Michie, D., Spiegelhalter, D. J., Taylor, C. C., Campbell, J., “Machine learning, neural and statistical classification”, 1995. Michie, D., Spiegelhalter, D. J., Taylor, C. C., Campbell, J., “Machine learning, neural and statistical classification”, 1995.
61.
go back to reference Cortes, C., Vapnik, V., Support-vector network, 1995. Cortes, C., Vapnik, V., Support-vector network, 1995.
63.
go back to reference Chen, P. H., Fan, R. E., Lin, C. J., “A Study on SMO-type Decomposition Methods for Support Vector Machines,” January 2005. Chen, P. H., Fan, R. E., Lin, C. J., “A Study on SMO-type Decomposition Methods for Support Vector Machines,” January 2005.
65.
go back to reference Mike, P., Papazoglou, “Service -Oriented Computing: Concepts, Characteristics and Directions”, Proceedings of the Fourth International Conference on Web Information Systems Engineering, p. 3, December 10–12, 2003. Mike, P., Papazoglou, “Service -Oriented Computing: Concepts, Characteristics and Directions”, Proceedings of the Fourth International Conference on Web Information Systems Engineering, p. 3, December 10–12, 2003.
66.
go back to reference Krafzig, D., Banke, K., Slama, D., Enterprise SOA: Service Oriented Architecture Best Practices. Prentice-Hall, Englewood Cliffs (2005) Krafzig, D., Banke, K., Slama, D., Enterprise SOA: Service Oriented Architecture Best Practices. Prentice-Hall, Englewood Cliffs (2005)
Metadata
Title
Newborn Screening Healthcare Information System Based on Service-Oriented Architecture
Authors
Sung-Huai Hsieh
Sheau-Ling Hsieh
Yin-Hsiu Chien
Yung-Ching Weng
Kai-Ping Hsu
Chi-Huang Chen
Chien-Ming Tu
Zhenyu Wang
Feipei Lai
Publication date
01-08-2010
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 4/2010
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-009-9265-x

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