The personalized health care service utilizes the relational patient data and big data analytics to tailor the medication recommendations. However, most of the health care data are in unstructured form and it consumes a lot of time and effort to pull them into relational form. This study proposes a novel data lake architecture to reduce the data ingestion time and improve the precision of healthcare analytics. It also removes the data silos and enhances the analytics by allowing the connectivity to the third-party data providers (such as clinical lab results, chemist, insurance company,etc.). The data lake architecture uses the Hadoop Distributed File System (HDFS) to provide the storage for both structured and unstructured data. This study uses K-means clustering algorithm to find the patient clusters with similar health conditions. Subsequently, it employs a support vector machine to find the most successful healthcare recommendations for the each cluster. Our experiment results demonstrate the ability of data lake to reduce the time for ingesting data from various data vendors regardless of its format. Moreover, it is evident that the data lake poses the potential to generate clusters of patients more precisely than the existing approaches. It is obvious that the data lake provides a unified storage location for the data in its native format. It can also improve the personalized healthcare medication recommendations by removing the data silos.
The above said healthcare system are using the well defined bussiness rules and vocabularies. But, health IT systems need different type of data management architecture to address its particular challenges. Particularly, healthcare IT needs a late binding model, which is flexible, time efficient, scalable, and adaptable @cite_18 .
@cite_18
2124399778 2031496381 2134273606 2022063165
As computer systems grow in size and complexity, their integration, while a necessity, becomes more difficult. Service oriented architectures and middleware systems in general deal with the issue by decoupling the components. However, these architectures are still designed and enacted from a centralised perspective: a single process invokes remote services, unaware of being part of a larger, more complex workflow. We claim that the orchestration-based approach does not scale well with increasing complexity and heterogeneity of the components, such as those required in the enactment of medical guidelines and workflows. Medical guidelines encode different aspects of a medical procedures, and they specify different level of abstraction in the procedure. They have to be adapted to the realities of different clinics and hospitals, to advances in knowledge, and to the changing of available resources within an institution. We address the problem of representing and enacting medical guidelines using a fully distributed approach. The framework provided by OpenKnowledge, based on sharing choreographies among actors, allows the representation and enactment of the coordination aspect of guidelines and the discovery of the medical knowledge provided by the distributed actors. Motivated by the privacy issues, curbing the adoption of electronic healthcare systems and the wild success of cloud service models, we propose to build privacy into mobile healthcare systems with the help of the private cloud. Our system offers salient features including efficient key management, privacy-preserving data storage, and retrieval, especially for retrieval at emergencies, and auditability for misusing health data. Specifically, we propose to integrate key management from pseudorandom number generator for unlinkability, a secure indexing method for privacy-preserving keyword search which hides both search and access patterns based on redundancy, and integrate the concept of attribute-based encryption with threshold signing for providing role-based access control with auditability to prevent potential misbehavior, in both normal and emergency cases. The semantic interoperability between health information systems is a major challenge to improve the quality of clinical practice and patient safety. In recent years many projects have faced this problem and provided solutions based on specific standards and technologies in order to satisfy the needs of a particular scenario. Most of such solutions cannot be easily adapted to new scenarios, thus more global solutions are needed. In this work, we have focused on the semantic interoperability of electronic healthcare records standards based on the dual model architecture and we have developed a solution that has been applied to ISO 13606 and openEHR. The technological infrastructure combines reference models, archetypes and ontologies, with the support of Model-driven Engineering techniques. For this purpose, the interoperability infrastructure developed in previous work by our group has been reused and extended to cover the requirements of data transformation. Data has value and is increasingly being exchanged for commercial and research purposes. Data, however, is typically accompanied by terms of use, which limit how it can be used. To date, there are only a few, ad-hoc methods to enforce these terms. We propose DataLawyer, a new system to formally specify usage policies and check them automatically at query runtime in a relational database management system (DBMS). We develop a new model to specify policies compactly and precisely. We introduce novel algorithms to efficiently evaluate policies that can cut policy-checking overheads to only a few percent of the total query runtime. We implement DataLawyer and evaluate it on a real database from the health-care domain.