| dc.contributor.author | Paterson, Grace I. | en_US |
| dc.date.accessioned | 2014-10-21T12:38:08Z | |
| dc.date.available | 2007 | |
| dc.date.issued | 2007 | en_US |
| dc.identifier.other | AAINR27167 | en_US |
| dc.identifier.uri | http://hdl.handle.net/10222/54871 | |
| dc.description | An exchange of electronic health resources among users from different communities of practice that is mediated by boundary objects is made more meaningful and interoperable than one that is not. Boundary objects are objects that are flexible enough to be used in more than one context and to communicate between contexts, such as those depicted in the CHAMP Community of Learners model (clinicians, health informaticians, administrators, medical educators, patients). Boundary infostructures are built from networks of boundary objects. | en_US |
| dc.description | Two types of boundary objects are used to construct the boundary infostructures for chronic disease: methods of common communication and repositories. The methods are terminology systems (ICD-9, ICD-10-CA, CCP, CCI, Primary Renal Diagnosis, SNOMED 3.5, SNOMED CT, ATC, UMLS) and information architecture standards (HL7 Clinical Document Architecture and topic maps). The Clinical Document Repository is formed from Nova Scotian and Quebec hospital records for patients with chronic kidney disease, diabetes and hypertension (ICD-10-CA codes N18.9, E11.22 and I12, or SNOMED codes D3-02000, DB-61030 and DB-63130 plus ICD-9/9-CM codes 250.30/250.40 and 403.91/403.91). The Patient Information Repository is constructed from texts in a patient portal for inflammatory bowel disease patients (ICD-10-CA codes K50-K52). The two repositories are used for semantic interoperability and completeness evaluations. | en_US |
| dc.description | This exploratory research examines how semantic interoperability among electronic health resources is enabled by a boundary infostructure. The goal is to increase the semantic interoperability of electronic health resources through a boundary infostructure designed to improve the pragmatic proficiency of authors and the pragmatic competency of learners. The thesis explores the question: How might the creation of a boundary infostructure bridge perspectival differences among communities of practice and produce electronic health resources that are more semantically interoperable than those produced by current infostructures? | en_US |
| dc.description | Thesis (Ph.D.)--Dalhousie University (Canada), 2007. | en_US |
| dc.language | eng | en_US |
| dc.publisher | Dalhousie University | en_US |
| dc.publisher | | en_US |
| dc.subject | Information Science. | en_US |
| dc.subject | Health Sciences, Health Care Management. | en_US |
| dc.title | Boundary infostructures for chronic disease. | en_US |
| dc.type | text | en_US |
| dc.contributor.degree | Ph.D. | en_US |
