An OAIS-Based Hospital Information System on the Cloud: Analysis of a NoSQL Column-Oriented Approach

The Open Archive Information System (OAIS) is a reference model for organizing people and resources in a system, and it is already adopted in care centers and medical systems to efficiently manage clinical data, medical personnel, and patients. Archival storage systems are typically implemented usin...

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Bibliographic Details
Published in:IEEE journal of biomedical and health informatics Vol. 22; no. 3; pp. 912 - 918
Main Authors: Celesti, Antonio, Fazio, Maria, Romano, Agata, Bramanti, Alessia, Bramanti, Placido, Villari, Massimo
Format: Journal Article
Language:English
Published: United States IEEE 01.05.2018
The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subjects:
Archives & records
Big Data
Cassandra
clinical record
Cloud Computing
Computer architecture
Electronic Health Records
HL7
hospital information system
Hospital Information Systems
Hospitals
Information systems
Medical personnel
OAIS
Object oriented programming
Patients
Relational data bases
Security
Storage systems
ISSN:2168-2194, 2168-2208, 2168-2208
Online Access:Get full text
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Summary:The Open Archive Information System (OAIS) is a reference model for organizing people and resources in a system, and it is already adopted in care centers and medical systems to efficiently manage clinical data, medical personnel, and patients. Archival storage systems are typically implemented using traditional relational database systems, but the relation-oriented technology strongly limits the efficiency in the management of huge amount of patients' clinical data, especially in emerging cloud-based, that are distributed. In this paper, we present an OAIS healthcare architecture useful to manage a huge amount of HL7 clinical documents in a scalable way. Specifically, it is based on a NoSQL column-oriented Data Base Management System deployed in the cloud, thus to benefit from a big tables and wide rows available over a virtual distributed infrastructure. We developed a prototype of the proposed architecture at the IRCCS, and we evaluated its efficiency in a real case of study.
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ISSN:2168-2194
2168-2208
2168-2208
DOI:10.1109/JBHI.2017.2681126