Peeter Ross
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Towards GraphQL-Based Interoperability Between Business Meta-Models and FHIR Resources Open
This paper presents a GraphQL-based solution for achieving interoperability between business meta-models and FHIR resources while reducing query complexity. A GraphQL API is implemented for data retrieval from the meta-model and tested usi…
Towards Person-Owned and Controlled Personal Health Records: Past, Present, and Future Research at eMedLab, TalTech Open
We explore a potential paradigm shift in personal health data management, where individuals gain ownership and sovereign control over their records. We assess the potential of decentralized content-addressable storage (DCAS) networks as a …
Possibilities for secondary data use of electronic health records with WiseSpace de-identification Open
Introduction The secondary use of Electronic Health Records (EHRs) holds significant potential for advancing research, public health, and innovation. However, data sharing is often limited by privacy regulations, requirements, and technica…
Towards Personal Health Data Spaces Open
This paper explores challenges and presents preliminary ideas for developing dependable, interoperable, and evolvable Personal Health Data Spaces (PHDS) within the European Health Data Space (EHDS).
WiseSpace: A Tool for Secure Healthcare Data De-Identification Open
Every day, the healthcare industry generates vast amounts of data that holds great value for secondary use, such as for research and business decision-making. However, data sharing is often restricted by privacy laws and technical complexi…
The opportunities and challenges of integrating health and social care in post-stroke patient journey: perceptions of Estonian professionals Open
Although strokes are one of the leading causes of death worldwide, their mortality is declining and the demand for integrated care is increasing. Therefore, changes in current health policy approaches are needed. In 2019, the Estonian Heal…
Experiences Translating and Introducing ISO 13940 ContSys in Estonia: Challenges and Perspectives Open
To ensure continuity of care, the care processes must become inter-connectable. This involves coordinating clear communication between a wide range of healthcare stakeholders, from policy-makers to software developers. Currently, communica…
RDB2RDF for Health Data: Advancing Semantic Interoperability Open
This paper addresses challenges in healthcare data interoperability by exploring Resource Description Framework (RDF) formats and proposing a C#-based algorithm for converting relational databases (RDB) to RDF. The study identifies the lim…
Method for ContSys-Based Semantic Annotation of the Estonian Law of Obligations Open
Collaboration is key to implementing continuity of care. In Estonia, the key aspects of healthcare provider obligations and their movement inside clinical processes are defined in the Law of Obligations Act. We have analyzed and annotated …
View article: AI-Based Mental Health Screening and Intervention in Disaster Settings: A Proposal for Emergency Medical Teams
AI-Based Mental Health Screening and Intervention in Disaster Settings: A Proposal for Emergency Medical Teams Open
Background/Introduction: Integrating mental health in disaster responses is crucial. Mental disorders are often neglected in the aftermath of a crisis. However, unmanaged psychiatric disorders increase individual and societal strain, makin…
Remote Monitoring of Psoriasis: Comparing Care Models and Evaluating Quality of Life Outcomes: Mixed Methods Study Open
Background Remote monitoring is increasingly used in psoriasis care, with the International Psoriasis Council endorsing teledermatology (TD) as a feasible alternative to in-person visits. While evidence supports specialist-led remote monit…
Remote Monitoring of Psoriasis: Comparing Care Models and Evaluating Quality of Life Outcomes: Mixed Methods Study (Preprint) Open
BACKGROUND Remote monitoring is increasingly used in psoriasis care, with the International Psoriasis Council endorsing teledermatology (TD) as a feasible alternative to in-person visits. While evidence supports specialist-led remote moni…
Interoperability of health data using FHIR Mapping Language: transforming HL7 CDA to FHIR with reusable visual components Open
Introduction Ecosystem-centered healthcare innovations, such as digital health platforms, patient-centric records, and mobile health applications, depend on the semantic interoperability of health data. This ensures efficient, patient-focu…
View article: Future Opportunities for Systematic AI Support in Healthcare
Future Opportunities for Systematic AI Support in Healthcare Open
Artificial Intelligence (AI) holds transformative potential to revolutionize healthcare delivery and outcomes. However, the literature suggests that focusing solely on AI algorithms leads to low adoption rates. AI needs to be introduced sy…
Lipid-Lowering Treatment Gaps in Patients after Acute Myocardial Infarction: Using Global Database TriNetX Open
Background and Objectives: Patients with previous acute myocardial infarction are at significantly higher risk of recurrent events. Early and intensive lipid-lowering therapy targeting low-density lipoprotein cholesterol is a key strategy …
Patient Input into the Electronic Health Record: Co-Designing Solutions with Patients and Healthcare Professionals Open
Patient-generated health data (PGHD) is the person’s health-related data collected outside the clinical environment. Integrating this data into the electronic health record (EHR) supports better patient-provider communication and shared de…
TermX: A Game Changer in the Healthcare Interoperability Open
The necessity for robust, enduring, and relevant healthcare interoperability is universal across all clinical domains. However, we identified a gap in the availability of open-source, no-cost, high-quality tools that offer multilingual sup…
Standardizing X-Ray and Angiography Procedure Coding in Estonia: Validating TermX Through the Implementation of SNOMED CT Open
Background: The existence of multiple code systems and standards has highlighted the necessity for innovative solutions to bridge these discrepancies. Objectives: This research investigates the utilisation of TermX to tackle the challenges…
Distributed Ledger-Based System to Support Health Data Integrity and Transparency Open
This article addresses critical health data integrity by proposing an HF (Hyperledger Fabric)-based architecture with integration into the global health data architecture based on distributed content-addressable storage networks.
TermX: The semantic interoperability, knowledge management and sharing platform Open
TermX is an open-source knowledge management and sharing platform, including a terminology server, a Wiki, a model designer, a transformation editor, and tools for authoring and publishing. The core development goals of TermX were to enhan…
A reference architecture for personal health data spaces using decentralized content-addressable storage networks Open
Introduction This paper addresses the dilemmas of accessibility, comprehensiveness, and ownership related to health data. To resolve these dilemmas, we propose and justify a novel, globally scalable reference architecture for a Personal He…
Assessing Opportunities and Barriers to Improving the Secondary Use of Health Care Data at the National Level: Multicase Study in the Kingdom of Saudi Arabia and Estonia Open
Background Digitization shall improve the secondary use of health care data. The Government of the Kingdom of Saudi Arabia ordered a project to compile the National Master Plan for Health Data Analytics, while the Government of Estonia ord…
View article: A Nordic Perspective on Patient Online Record Access and the European Health Data Space
A Nordic Perspective on Patient Online Record Access and the European Health Data Space Open
The Nordic countries are, together with the United States, forerunners in online record access (ORA), which has now become widespread. The importance of accessible and structured health data has also been highlighted by policy makers inter…
Sociotechnical Cross-Country Analysis of Contextual Factors That Impact Patients’ Access to Electronic Health Records in 4 European Countries: Framework Evaluation Study Open
Background The NORDeHEALTH project studies patient-accessible electronic health records (PAEHRs) in Estonia, Finland, Norway, and Sweden. Such country comparisons require an analysis of the sociotechnical context of these services. Althoug…
Finding Predictors of Success for Remote Monitoring in Psoriasis: Insights from A Cross-Care Level Multi-Site Study and Country-Wide Insurance Database (Preprint) Open
BACKGROUND Psoriasis is a lifelong, relapsing, quick-to-flare skin disease that requires personalised, continuous management. Due to its unpredictable nature, there is an increased interest in employing electronic patient-reported outcome…
General practitioners’ user experience of the nationwide digital decision support system in primary care Open
Objectives The aim of the study is to describe the user experiences of a nationwide digital decision support system (DDSS). Summary of background data DDSSs have the potential to improve the quality and safety of healthcare services by sup…
Sociotechnical Cross-Country Analysis of Contextual Factors That Impact Patients’ Access to Electronic Health Records in 4 European Countries: Framework Evaluation Study (Preprint) Open
BACKGROUND The NORDeHEALTH project studies patient-accessible electronic health records (PAEHRs) in Estonia, Finland, Norway, and Sweden. Such country comparisons require an analysis of the sociotechnical context of these services. Althou…
Preserving Decentralized EHR-s Integrity Open
A blockchain and decentralized storage technology-based architecture is proposed to support the integrity of Electronic Health Records (EHRs).