Riassunto analitico
This thesis examines the design and adaptation of healthcare information system transactions specific to ULSS1 Dolomiti, focusing on the transition towards a sophisticated Regional Health Information System (H.I.S.). It encapsulates the integration of laboratory information systems (LIS), anatomic pathology (AP), microbiology (MICRO), and Radiology Information System (RIS) within a robust Health Level Seven (HL7) messaging infrastructure, augmented with Security Assertion Markup Language (SAML) assertions for enhanced security measures. The study begins with a critical assessment of the pre-existing MLLP protocol-based communication, identifying its constraints and establishing the groundwork for advanced system specifications.
Central to this research are the UML sequence diagrams that delineate the complex interactions among diverse healthcare entities, including the Regional H.I.S., Picasso ESB, and various local healthcare applications such as Athena and DNLAB. These diagrams elucidate the custom-tailored transactions necessitated by the specificities of the ULSS1 Dolomiti framework, ensuring efficient transmission of patient data and laboratory orders. Additionally, the thesis articulates the processes involved in implementing and refining these transactions, signifying the nuanced communication channels essential to the new H.I.S. infrastructure.
The findings portray a successful adaptation to the ULSS1 Dolomiti scenario, with significant advancements in system interoperability and security. The modified architecture integrates key regional elements like the Anagrafe Zero for patient demographics and the Sistema di accoglienza regionale for managing medical prescriptions. This adaptation not only fosters improved patient care through seamless information flow but also serves as a model for comparable transformations in other healthcare systems.
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