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Principles of Health Interoperability HL7 and SNOMED [Hardcover]

Tim Benson
5.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

Dec 14 2009 1848828020 978-1848828025 1st Edition.
Joined-up healthcare makes information available when and where it is needed to improve safety, efficiency and effectiveness. Politicians may take interoperability between healthcare computer systems for granted, but it is non-trivial. Healthcare integration projects are notoriously under-estimated and come in over-budget and over-time. Joined-up healthcare depends on standards. The two leading standards are the SNOMED CT, which is a clinical terminology (semantics) and HL7 Version 3, which is a specialised healthcare interoperability language (syntax). Both are new, complex and fit for purpose. Tim Benson believes there is an unmet need for a book on Healthcare Integration. Some health informatics textbooks include chapters on HL7 and/or SNOMED, but these are usually quite short and cannot provide even an adequate introduction. There is little of much value on the Internet, or in journals or conference proceedings.

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Aus.den Rezensionen: “... Der Autor führt in die Grundlagen der Interoperabilität ein, geht ausführlich auf Sprachen wie UML (Unified Modeling Language) und XML (Extensible Markup Language) ein und erklärt ... Benson erklärt alle relevanten Details des Standards und veranschaulicht die verschiedenen Ebenen und Hierarchien mit Diagrammen. ... Durch die klare Gliederung eignet sich das Buch ... zum schnellen Nachschlagen. ... Mit SNOMED werden Begriffe aus der Medizin nach einem hierarchischen Aufbau eindeutig beschrieben. ... Ein umfangreiches Glossar und eine lange Literaturliste runden dieses Werk ab.“ (in: E-HEALTH-COM, April/2010, Issue 2, S. 79)

From the Back Cover

Interoperability between healthcare computer systems depends on us developing, implementing and deploying appropriate standards, such as HL7 and SNOMED CT, working together as a tightly specified language. The documentation of HL7 and SNOMED runs to tens of thousands of pages and creates a steep learning curve and barrier to entry. Principles of Health Interoperability HL7 and SNOMED provides a clear introduction to these standards, explaining the core principles for the health IT professional, student, clinician and healthcare manager.

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Most helpful customer reviews
5.0 out of 5 stars Great resource May 10 2010
Very complete, easy to read, Hl7 and SNOWMED concepts. A must read for anyone working on systems sharing healthcare information.
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5.0 out of 5 stars Covers important aspects of interoperability April 3 2011
Many aspects of interoperability are covered, including semantics, sharing meanings and different clinical context. Provides a very comprehensive section on CDA. Good overview of all the aspects of HL7 : modeling, V2, V3, RIM, CDA and integration withh SNOMED-CT.
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Most Helpful Customer Reviews on (beta) 4.8 out of 5 stars  4 reviews
22 of 22 people found the following review helpful
4.0 out of 5 stars A good introduction to a very tough subject April 5 2010
By John Faughnan - Published on
Format:Hardcover|Verified Purchase
This is a revised review. I reviewed this book shortly after it came out and give it four stars. That was, however, a bit of a grumpy review. Since then I've made this book the mainstay of the health informatics lectures I do for the U of Minnesota. I would now give it four stars without reservation. In this domain there's no rival to this text.

Overall it is a book aimed at an informatics student, written in a telegraphic style that is a good fit for a rather dry but terribly important topic. Only a portion of the book is about HL7 and SNOMED however. Of the 225 pages I found

- 74 on modeling and markup topics better addressed in other books
- 12 pages on SDOs
- 81 pages on HL7 and CDA/CCR/CCD
- 26 on SNOMED
- 8 pages on using HL7 and SNOMED together

Although I would prefer much less coverage of modeling and markup and more on HL7/SNOMED integration, there's still more than enough material to occupy a typical first class in health informatics. This is a better book for my purposes that the informatics textbooks I've used to date.

I hope there will be a 2nd edition. I know I'd buy it!
11 of 11 people found the following review helpful
5.0 out of 5 stars Required Reading For Anyone Involved in Health IT Sept. 14 2010
By Amazon Customer - Published on
Format:Hardcover|Verified Purchase
Health Interoperability is a very timely topic in the USA in large part because of the HITECH act and the huge amount of tax dollars that are going for Electronic Health Records and Information exchanges. Interoperability is impossible without sophisticated standards for both a grammar and vocabulary for health care that can be semantically interpreted by machines. HL7 V3 RIM is the grammar, and SNOMED-CT is the vocabulary that are needed accomplish the goal of semantic interoperability.

Before this book, a newcomer would have to read thousands of pages of white papers from HL7, IHE, and IHTSDO (International Standards Development Organizations), and attend meetings for years before seeing how these non trivial standards work together.

I'm involved in projects at Kaiser Permanente that rely on SNOMED-CT and HL7. Most of our project managers, or even physician leaders in the organization are not experts in UML, XML, HL7, CDA, or SNOMED. They do not have the opportunity to spend hours reading separate books, attending tutorials or otherwise obtaining the knowledge in this book in an efficient way.

Of course if you really want to know UML, or XML or any of these subjects in great depth, there are "better books" available. But this is the only book that put's it all together. I find it an advantage that it is under 300 pages. An interested person can read this book in just a few days, and will then know what otherwise would have been an epic effort to learn. I have given separate talks on many of these subjects, but in any single talk you could not hope to cover all of the material in this book.
I have just ordered copies of this book to distribute to my project managers and developers.
1 of 1 people found the following review helpful
5.0 out of 5 stars Great book! Feb. 19 2013
By End User - Published on
Format:Hardcover|Verified Purchase
Does a great job of easing into the details of why EHR is such a big deal, and how HL7 and SNOMED play an integral part in a successful EHR strategy. Honestly, I thought this book was going to be torturously dry and boring, but I actually enjoyed the read.

As an aside, I had this book on my desk today at work, and one of the ladies picked it up, read the back cover, told me I must be really smart, smiled, and turned and swished away. If I end up getting lucky because of this book, I'll be sure to come back and post an update.
2 of 3 people found the following review helpful
5.0 out of 5 stars Basis for interoperability of healthcare records May 27 2010
By Raymond Simkus - Published on
Format:Hardcover|Verified Purchase
This is an excellent book that provides some interesting historical details and the reasons that make interoperability important. There are some interesting and perhaps tongue in cheek comments on ways that health care has not taken up some technology that was developed 500 years ago. Terminology and information exchange are parts of the foundation that needs to be in place before there can be meaningful use of computerized patient records. This book provides a nice introduction to these topics.
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