Papers by Angelo Rossimori
A European Perspective on the Cultural and Political Context for Deploying the Electronic Health Record
Health Informatics
... ICT professionals, industry, and healthcare facilities Successful initiatives in the most rea... more ... ICT professionals, industry, and healthcare facilities Successful initiatives in the most reactivecountries demonstrate that ... These coun-tries have already completed their journey to the new context, and are now ready ... A European Perspective on the Cultural and Political Context ...
Lesson learned from the comparative analysis of the Service Models for a large set of technology-enhanced integrated care initiatives
International Journal of Integrated Care
Scaling-up Principles Leading to a Persistent Health Ecosystem, by a Coherent Sequence of Integrated Care Programmes
International Journal of Integrated Care
Action Group B3 Renovated Action Plan 2018-2020
Technological Solutions Potentially Influencing the Future of Long-Term Care
ABSTRACT This report provides a forecast of the potential direct and indirect influences of vario... more ABSTRACT This report provides a forecast of the potential direct and indirect influences of various kinds of technologies on the LTC milieu, answering the following question: from a technology-driven perspective: “Consider each technological solution. What could be its future usage in the LTC sector?” Future technological deployments will induce changes in the respective roles of the care recipient and of the formal and informal carers, with an impact on three major concerns: the transformation of the care recipient into a proactive subject, the augmented potentiality for home care and the new functions that informal carers could assume.
Despite underlying much of medicine, anatomical concepts are frequently not separated from other ... more Despite underlying much of medicine, anatomical concepts are frequently not separated from other aspects of terminology, leading to duplication and repetition. This paper describes the development of a re-usable terminological model of anatomy using the GALEN Representation And Integration Language (GRAIL), which embodies multiple subsumption hierarchies and constrained compositional statements. The model comprises elementary entities sanctioning statements connecting these entities. Of particular importance within the model are partonomic relationships, the degree of specification or uniqueness of a structure, and the way in which abnormality is represented. Although significant problems remain, the model is proving useful in providing a basis for a wider terminological system. The paper discusses progress to date, and prospects for the future.
Holistic health: Predicting our data future (from inter-operability among systems to co-operability among people)
International Journal of Medical Informatics, Jan 4, 2013
Data depend on processes; processes depend on organizational models; organizational models depend... more Data depend on processes; processes depend on organizational models; organizational models depend on regulations and policies. This position paper envisages the future data scenarios and the related research needs by addressing this whole logical chain. A 'smarter health and wellness future' requires the proactive engagement of citizens and of their caregivers, and the cooperation of health professionals across care facilities, with intense usage of mobile communication and connected devices. This ecosystem of people and organizations is currently extremely fragmented. Technology offers the possibility to mediate among the different actors in order to build a functional care team around the specific needs of each individual, i.e. a 'virtual facility'. However, this requires policies and regulations in every jurisdiction that motivate providers and their organizations to collaborate among themselves and with citizens according to explicit individual plans of care provision, to share their goals and negotiate their respective roles with respect to each citizen. Once a collaborative organizational context is established within integrated care models, policy makers could identify a critical mass of relevant shared processes and isolate a set of 'Attention Points' with predictable actors, concerns, activities, and thus highly precise information needs. For each Attention Point, a template for a Context-Specific Profile of the patient could be produced, e.g. as an HL7-CDA schema that fully specifies the mandatory and optional (clinical) data useful to support the care processes and to manage governance indicators. In relation to these predictable Attention Points data sources can be aligned to achieve reasonable coherence and consistency. Attention to data quality can be improved in a context of systematic re-use of the same data by different actors in different contexts. From a collection of profiles it could be possible to set up the core of a multi-purpose "Policy-Oriented" Health Record (POHR), shared by the functional care team in the citizen's ecosystem. In fact, the shared management of selected clinical data should be no more based on the a posteriori extraction from the personal notes of each professional, but on the cooperative construction of a systemic resource, together with the administrative and organizational data, able to support the management of innovative, integrated care models. In addition, the policy-oriented focus on routine data within a set of predictable situations makes it possible to stratify an appropriate number of citizens into homogeneous classes and to produce timely indicators of processes and outcomes from routine data for governance purposes, e.g. to optimize the allocation of resources, to drive continuous education, or to promote epidemiological studies.
Extend the ContSys standard to support the continuity of care across health and social care contexts
International Journal of Integrated Care
Technology-enabled strategies for a fully integrated health system
International Journal of Integrated Care
A systematic analysis of the multi-annual journey of Badalona towards integrated care
International Journal of Integrated Care
The MeDEA project: supporting coding of medical documents
Images of the Twenty-First Century. Proceedings of the Annual International Engineering in Medicine and Biology Society, 1989
... Angelo Rossi-Mori, Domenico M. Pisanelli, Paolo Chiappetta, Marco Riccardi* ... Medical Infor... more ... Angelo Rossi-Mori, Domenico M. Pisanelli, Paolo Chiappetta, Marco Riccardi* ... Medical Informatics Europe", (Springer Verlag, Berlin, 1988) Riccardi M, Rossi-Mori A, "A Background Knowledge Base to Assist Coding of Medical Documents", in: Rienhoff 0, Piccolo U, Schneider ...
The Role of Knowledge Based Systems in Medicine
Lecture Notes in Medical Informatics, 1991
International Journal of Medical Informatics, 1998
We apply the principles included in two CEN standards (ENV 12265, ENV 12264) to the analysis of t... more We apply the principles included in two CEN standards (ENV 12265, ENV 12264) to the analysis of the semantic structure of health record systems, to support their semantic interoperability. This result was made possible by dramatic methodological progress in the field of terminological systems-due to a worldwide evolution towards a new generation-and by the experience we acquired in the GALEN-IN-USE (formerly GALEN) project. The meaning behind names, content and context of record items and record item complexes can be considered as a 'semantic continuum'. This continuum is made explicit, by building a suitable paraphrase in a controlled language. We can then apply the principles we previously elaborated for the second generation of terminological system. Methodology and tools for generating a controlled language and a second-generation terminological system were developed and successfully used in the GALEN-IN-USE project and promising experiments were performed on elements of record structure listed in LOINC and SDM. In this way, the semantic structures of different record systems can be expressed by the resulting common formalism and thus, information units can be faithfully exchanged among different structures.
Evaluation stages and design steps for knowledge-based systems in medicine
Informatics for Health and Social Care, 1990
The design of an information system on thalassemia
Informatics for Health and Social Care, 1984
person.hst.aau.dk
Abstract. New models of care, as Disease Management and Chronic Care Model, with an appropriate P... more Abstract. New models of care, as Disease Management and Chronic Care Model, with an appropriate Patient Engagement, are being introduced to face the increasing requirements of long-term care. Integration of health and social care requires:(i) Integrated vertical ...
Syntactic-semantic tagging as a mediator between linguistic representations and formal models: an exercise in linking SNOMED to GALEN
Artificial Intelligence in Medicine, 1999
Natural language understanding applications are good candidates to solve the knowledge acquisitio... more Natural language understanding applications are good candidates to solve the knowledge acquisition bottleneck when designing large scale concept systems. However, a necessary condition is that systems are built that transform sentences into a meaning representation that is independent of the subtleties of linguistic structure that nevertheless underly the way language works. The Cassandra II syntactic-semantic tagging system fulfills this goal partially. Within the GALEN-IN-USE project, it is used to transform linguistic representations of surgical procedure expressions into conceptual representations. In this paper, the proctology chapter of the SNOMED V3.1 procedure axis was used as a testbed to evaluate the usefulness of this approach. A quantitative and qualitative analysis of the data obtained is presented, showing that the Cassandra system can indeed complement the manual modelling efforts being conducted in the GALEN-IN-USE project. The different requirements related to linguistic modelling versus conceptual modelling can partly be accounted for by using an interface ontology, of which the fine tuning will however remain an important effort.
The physician's needs versus the system features in the design of an effective Knowledge Based System
On the Assessment of Medical Expert Systems
Lecture Notes in Medical Informatics, 1988
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Papers by Angelo Rossimori