Evidence map›Paper›PMID 25995962›Full record

ArticleHealthcare informatics research2015

Architecture Design of Healthcare Software-as-a-Service Platform for Cloud-Based Clinical Decision Support Service.

Sungyoung Oh, Jieun Cha, Myungkyu Ji, Hyekyung Kang, Seok Kim, Eunyoung Heo, Jong Soo Han, Hyunggoo Kang, Hoseok Chae, Hee Hwang and 1 more

Abstract read
In one paragraph

Article in Healthcare informatics research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sungyoung OhR&D Institute, ezCaretech Co. Ltd., Seoul, Korea.
Jieun ChaR&D Institute, ezCaretech Co. Ltd., Seoul, Korea.
Myungkyu JiR&D Institute, ezCaretech Co. Ltd., Seoul, Korea.
Hyekyung KangR&D Institute, ezCaretech Co. Ltd., Seoul, Korea.
Seok KimCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Korea.
Eunyoung HeoCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Korea.
Jong Soo HanHealth Promotion Center & Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Hyunggoo KangOnSecurity Co. Ltd., Seoul, Korea.
Hoseok ChaeR&D Institute, ezCaretech Co. Ltd., Seoul, Korea.
Hee HwangCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Korea.
Sooyoung YooCenter for Medical Informatics, Seoul National University Bundang Hospital, Seongnam, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo design a cloud computing-based Healthcare Software-as-a-Service (SaaS) Platform (HSP) for delivering healthcare information services with low cost, high clinical value, and high usability.

methodsWe analyzed the architecture requirements of an HSP, including the interface, business services, cloud SaaS, quality attributes, privacy and security, and multi-lingual capacity. For cloud-based SaaS services, we focused on Clinical Decision Service (CDS) content services, basic functional services, and mobile services. Microsoft's Azure cloud computing for Infrastructure-as-a-Service (IaaS) and Platform-as-a-Service (PaaS) was used.

resultsThe functional and software views of an HSP were designed in a layered architecture. External systems can be interfaced with the HSP using SOAP and REST/JSON. The multi-tenancy model of the HSP was designed as a shared database, with a separate schema for each tenant through a single application, although healthcare data can be physically located on a cloud or in a hospital, depending on regulations. The CDS services were categorized into rule-based services for medications, alert registration services, and knowledge services.

conclusionsWe expect that cloud-based HSPs will allow small and mid-sized hospitals, in addition to large-sized hospitals, to adopt information infrastructures and health information technology with low system operation and maintenance costs.

Indexed as

Clinical Decision Support SystemsComputer SystemsElectronic Health RecordsMedical Order Entry Systems

Identifiers

PMID25995962
PMCPMC4434058

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.