bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring Community Planning Thinking as a Model for Use Case Development
Authors: Wilson Marisa L.  , Procter Paula M.
Published: February 2025

There are many vetted technical and semantic standards promulgated within the United States and the United Kingdom to operationalize eHealth interoperability in order to improve care outcomes, manage population health, and provide efficient information exchange between providers, services, patients and consumers. However, consideration must be given to the complex real world use cases in which the data and information will be exchanged between a wide variety of interested parties, including the consumer or patient. In many instances, community based use cases need development in order to serve as the model. These use cases can only be accurately described and created by using a wide lens viewpoint such as community-planning engages, which requires that all interested parties be actively involved. This poster will introduce models of community planning that can be developed and led by the Nurse Informatician.
Is the ISO Reference Terminology Model for Nursing Actions Enough to Describe Nursing Actions?
Authors: Lee Joo Yun  , Park Hyeoun-Ae
Published: February 2025

The aim of this study is to test the applicability of the International Standards Organization (ISO) Reference terminology model (RTM) for nursing action to describe Detailed Clinical Models (DCMs) for nursing action. All verb and target terms were mapped to ‘Action’ and ‘Target’ category of RTM for nursing actions. Among 72 attributes qualifying the verb terms, 50 attributes were mapped to Means, Route, Timing, or Site categories of the nursing action model. Among 142 attributes qualifying the target terms, 20 attributes were mapped to Means, Timing, or Site categories of the nursing action model and 6 attributes were mapped to Degree or Judgment categories of the nursing diagnosis model. The findings suggest the need for an integrated RTM for nursing.
The Construction of a Subset of ICNP® for Patients with Dementia
Authors: Laukvik Lene Baagøe  , Mølstad Kathryn  , Fossum Mariann
Published: February 2025

This study identifies concepts for development of an ICNP® catalog for nursing documentation of dementia in nursing homes. A Delphi study and a focus group was used for data collection. A total of 301 concepts were identified and an increased focus on concepts related to basic psychosocial needs was recommended.
Computerization of a Nursing Chart According to the Nursing Process
Authors: Schachner María B.  , González Zulma A.  , Sommer Janine A.  , Recondo Francisco J.  , Gassino Fernando D.  , Luna Daniel R.  , Benítez Sonia E.
Published: February 2025

The benefits associated with the computerization of clinical records are known since a long time ago. Documentation evolution from paper to electronic format aims to always improve communication, reduce errors and facilitate continuity of care. Ideally when improvements to nursing records are contemplated, they should consider the nurses needs, new functionality workflow impacts and correspondence with representation models of standardized data that are specific to their domains practices. The aim of this study was to describe the development and implementation of computerized nursing record at Hospital Italiano de Buenos Aires.
Quality Evaluation of Nursing Observation Based on a Survey of Nursing Documents Using NursingNAVI
Authors: Tsuru Satoko  , Omori Miho  , Inoue Manami  , Wako Fumiko
Published: February 2025

We have identified three foci of the nursing observation and nursing action respectively. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions. We developed this structure based NursingNAVI®contents collaborated with some quality centred hospitals. Authors analysed the nursing care documentations of post-gastrectomy patients in light of the standardized nursing care plan in the “NursingNAVI®” developed by ourselves and revealed the “failure to observe” and “failure to document”, which leaded to the volatility of the patients' data, conditions and some situation. This phenomenon should have been avoided if nurses had employed a standardized nursing care plan. So, we developed thinking process support system for planning, delivering, recording and evaluating in daily nursing using NursingNAVI®contents. It is important to identify the problem of the volatility of the patients' data, conditions and some situation. We developed a survey tool of nursing documents using NursingNAVI®Content for quality evaluation of nursing observation. We recommended some hospitals to use this survey tool. Fifteen hospitals participated the survey using this tool. It is estimated that the volatilizing situation. A hospital which don't participate this survey, knew the result. So the hospital decided to use NursingNAVI®contents in HIS. It was suggested that the system has availability for nursing OJT and time reduction of planning and recording without volatilizing situation.
Nurses' Contribution to Health Information Technology of Iran's 2025 Health Map: A Review of the Document
Authors: Sadoughi Farahnaz  , Azadi Tania  , Azadi Tannaz
Published: February 2025

Implementation of eHealth strategy in Iran has a history less than 17 years. Iran's eHealth strategy is developed in 2011 and is called “Iran' 2025 Health Map: Health Information Technology”. Considering the important role of nurses in providing healthcare services as well as in future long term plans such as sustainable development, it is of high value to pay attention to nurses' contribution in developing eHealth strategies. Thus the purpose of this study was to investigate nurses' contribution to health information technology of Iran's 2025 health map. This study was a qualitative study conducted in 2015 through reviewing the “Iran' 2025 Health Map: Health Information Technology” official report. The strategy published in three volumes and in Persian language was downloaded through the official website of the office of Statistics and Information Technology of Iranian Ministry of Health and Medical Education (MOHME). Two main themes were identified in the report indicating areas which nurses' roles were clearly stated. The findings revealed that nurses' contribution is not clearly stated in the strategy. However, there are a few areas highlighting nurses' involvement such as “determining beneficiary groups” and “information dissemination”. It is suggested that more attention needs to be paid in contribution of nurses in further actions to revise the Iran's eHealth strategy.
Older Consumers' Readiness for e-Health in New Zealand
Authors: Honey Michelle  , Waterworth Susan  , Aung Htein
Published: February 2025

The increase in numbers of older people in the population and their incidence of long term conditions means their readiness for e-health is imperative. This cross sectional survey set in primary health care in New Zealand sought to understand how older people are accessing health information. A convenience sample (n = 263) found one third had been on-line and this was more likely to be those with poorer health. Free telephone services and receiving health information in person were preferred, with little use of email or text messaging found. Information found on-line was considered useful to understand their health conditions, treatment options and for decision-making.
Interprofessional Student Perspectives of Online Social Networks in Health and Business Education
Authors: Doyle Glynda  , Jones Cyri  , Currie Leanne
Published: February 2025

The education sector is experiencing unprecedented change with the increasing use by students of mobile devices, social networks and e-portfolios as they prepare for future positions in the workforce. The purpose of this study was to examine student's preferences around these technologies. A mixed methods research strategy was used with an initial online survey using 29 Likert scale style questions to students from the School of Health Sciences and the School of Business at the British Columbia Institute of Technology (BCIT). Descriptive statistics and ANOVAs were performed to examine if there were any differences between groups regarding their overall responses to the survey questions. Content analysis was used for qualitative focus group data. Overall, students (n = 260) were enthusiastic about technology but wary of cost, lack of choice, increased workload and faculty involvement in their online social networks. Of note, students see significant value in face-to-face classroom time.
Educational Requirements for Mobile Applications in Nursing: Applying the User-Task-Context Matrix to Identify User Classes and Contexts of Use
Authors: Borycki Elizabeth M.  , Kushniruk Andre W.  , Turner Paul  , Kaipio Johanna  , Cummings Elizabeth
Published: February 2025

Mobile applications are increasingly being deployed in healthcare and nurses are expected to use them during their education, practice and during training of patients. In this paper we describe how an approach to modelling user needs known as the user-task-context matrix has been applied to help guide in developing requirements for new mobile applications as well as for selecting applications to be used in different aspects of nursing and patient education. The approach involves first brainstorming the different classes of users of an application and then specifying possible tasks the application can be used for. In addition, different contexts of use of the application are then specified. Application of the method is described for improving understanding of user needs in both design and procurement of healthcare apps related to nursing education.
Integration and Analysis of Heterogeneous Colorectal Cancer Data for Translational Research
Authors: Jonnagaddala Jitendra  , Croucher Joanne L.  , Jue Toni Rose  , Meagher Nicola S.  , Caruso Lena  , Ward Robyn  , Hawkins Nicholas J.
Published: February 2025

Cancer is the number one cause of death in Australia with colorectal cancer being the second most common cancer type. The translation of cancer research into clinical practice is hindered by the lack of integration of heterogeneous and autonomous data from various data sources. Integration of heterogeneous data can offer researchers a comprehensive source for biospecimen identification, hypothesis formulation, hypothesis validation, cohort discovery and biomarker discovery. Alongside the increasing prominence of big data, various translational research tools such as tranSMART have emerged that can converge and analyse different types of data. In this study, we show the integration of different data types from a significant Australian colorectal cancer cohort. Additionally, colorectal cancer datasets from The Cancer Genome Atlas were also integrated for comparison. These integrated data are accessible via http://www.tcrn.unsw.edu.au/transmart. The use of translational research tools for data integration can provide a cost-effective and rapid approach to translational cancer research.
Competency Skills Assessment: Successes and Areas for Improvement Identified During Collaboration Between Informaticists and a National Organization
Authors: Sipes Carolyn  , Hunter Kathy  , McGonigle Dee  , Hebda Toni  , Hill Taryn  , Lamblin Jean
Published: February 2025

The Association of periOperative Registered Nurses (AORN) approached the Nursing Informatics Research Team (NIRT) with a request to collaborate and conduct a competency assessment for their organization. An online tool was developed to determine current technology in perioperative settings. This presentation shares the process used to conduct research that led to a method for assessing perioperative nurses' competencies skills in their practice as well as identified gaps in curricula that faculty could address. Both successes and areas for improvement are detailed. The outcome of the process demonstrated a need to understand what skills are being assessed as AORN did not know what technology existed or how existing equipment was being used.
The Pilot Evaluation of Using the International Classification for Nursing Practice
Authors: Hou I-Ching  , Chen Meng-Jun
Published: February 2025

International Classification for Nursing Practice (ICNP®) was developed as the standardized terminology by the International Council of Nursing (ICN) since 1999. It is important to evaluate the applicability of using ICNP®as the electronic nursing data exchange standardization when adopting in Taiwan. A total of 87% clinical nursing problems could be cross-mapped to DC axis of ICNP®version 2 in traditional Chinese language (Kappa = .96). Only five nursing problems (following care problem; blood transfusion; potential risk for unstable blood sugar level; hyperbilirubinemia; and caregiver anxiety) couldn't be matched. ICNP®could mostly support the electronic nursing data exchange standardization. Developing Taiwan-ICNP®as the local terminology was seemed to be the strategy to create a more adoptive standardization across the country for Taiwan health care data exchange in the future.
Standardized Nursing Documentation Supports Evidence-Based Nursing Management
Authors: Mykkänen Minna  , Miettinen Merja  , Saranto Kaija
Published: February 2025

Nursing documentation is crucial to high quality, effective and safe nursing care. According to earlier studies nursing documentation practices vary and nursing classifications used in electronic patient records (EPR) are not yet standardized internationally nor nationally. A unified national model for documenting patient care improves information flow in nursing practice, management, research and development toward evidence-based nursing care. Nursing documentation quality, accuracy and development requires follow-up and evaluation. An audit instrument is used in the Kuopio University Hospital (KUH) when evaluating nursing documentation. The results of the auditing process suggest that the national nursing documentation model fulfills nurses' expectations of electronic tools, facilitating their important documentation duty. This paper discusses the importance of using information about nursing documentation and how we can take advantage of structural information in evidence-based nursing management.
Dementia and Robotics: People with Advancing Dementia and Their Carers Driving an Exploration into an Engineering Solution to Maintaining Safe Exercise Regimes
Authors: Cooper Carol  , Penders Jacques  , Procter Paula M.
Published: February 2025

The merging of the human world and the information technology world is advancing at a pace, even for those with dementia there are many useful smart 'phone applications including reminders, family pictures display, GPS functions and video communications. This paper will report upon initial collaborative work developing a robotic solution to engaging individuals with advancing dementia in safe exercise regimes. The research team has been driven by the needs of people with advancing dementia and their carers through a focus group methodology, the format, discussions and outcomes of these groups will be reported. The plans for the next stage of the research will be outlined including the continuing collaboration with advancing dementia and their carers.
Effectiveness of an Internet Community for Severely Obese Women
Authors: Chomutare Taridzo  , Årsand Eirik  , Hartvigsen Gunnar
Published: February 2025

While Internet communities have become thriving sources of support, little is yet known about their effectiveness. We retrospectively sampled morbidly obese (Body Mass Index, BMI > 40) women who were active for at least a year in an Internet community. We compared self-reported weight changes between women who had high online participation levels (n = 71) versus those with low participation levels as control (n = 69). Women who actively participated online lost on average 7.52%, while those who were passive lost 5.39% of their original body weight. For active women, there was positive, albeit weak, correlation (r = 0.22, p < 0.05) between online participation levels and weight loss, while no significant correlation was noted for the control. Current results indicate modest evidence supporting active participation in Internet groups as an effective weight loss strategy for the target group.
Nurses Guidelines for Using Social Media by Finnish Nurses Association
Authors: Arifulla Dinah  , Olli Johanna  , Merasto Merja
Published: February 2025

To encourage the use of social media, Finnish Nurses Association worked on social media guidelines. The aim was to strengthen the use of social media as a tool for nurses for sharing of professional knowledge as well as the acquisition of knowledge in their free time and in the work field. Guidelines were based on Nurses Ethical Guidelines and was supplemented by literature review. To enforce the guidelines into action, was nursing twitter chat, #HOIchat, started. In addition, yearly held Finnish Nurses conference had a workshop where anybody could come for detailed information of social media tools and platforms as well as personal lessons how to get started and how to use various social media tools in everyday nursing.
Evaluation of Nursing Actions Documented in EHRs for Patients Falls Against Clinical Practice Guidelines in a Korean Tertiary Hospital
Authors: Lee Youngshin  , Choi Eunju  , Yang Eunjung  , Kim Jihui  , Kim YeonHee  , Park Hyeoun-Ae
Published: February 2025

Purpose: Many fall prevention strategies have been used for reducing fall rates. The purpose was to evaluate fall prevention nursing against clinical practice guidelines and effectiveness of preventing strategies according to risk group.
Information Content Across Types of Nurse Cognitive Artifacts
Authors: Blaz Jacquelyn W.  , Doig Alexa K.  , Cloyes Kristin G.  , Staggers Nancy
Published: February 2025

Acute care nurses commonly use personalized cognitive artifacts to organize information during a shift. The purpose of this content analysis is to compare information content across three formats of cognitive artifacts used by acute care nurses in a medical oncology unit: hand-made free-form, preprinted skeleton, and EHR-generated. Information contained in free-form and skeleton artifacts is more tailored to specific patient context than the NSR. Free-form and skeleton artifacts provide a space for synthesizing information to construct a “story of the patient” that is missing in the NSR. Future design of standardized handoff tools will need to take these differences into account for successful adoption by acute care nurses, including tailoring of information by patient, not just unit type, and allowing a space for nurses to construct a narrative describing the patients “story.”
Analytic Strategies of Streaming Data for eHealth
Authors: Yoon Sunmoo
Published: February 2025

New analytic strategies for streaming big data from wearable devices and social media are emerging in ehealth. We face challenges to find meaningful patterns from big data because researchers face difficulties to process big volume of streaming data using traditional processing applications.1 This introductory 180 minutes tutorial offers hand-on instruction on analytics2 (e.g., topic modeling, social network analysis) of streaming data. This tutorial aims to provide practical strategies of information on reducing dimensionality using examples of big data. This tutorial will highlight strategies of incorporating domain experts and a comprehensive approach to streaming social media data.
User-Centred Design Using Gamestorming
Authors: Currie Leanne
Published: February 2025

User-centered design (UX) is becoming a standard in software engineering and has tremendous potential in healthcare. The purpose of this tutorial will be to demonstrate and provide participants with practice in user-centred design methods that involve ‘Gamestorming’, a form of brainstorming where ‘the rules of life are temporarily suspended’. Participants will learn and apply gamestorming methods including persona development via empathy mapping and methods to translate artefacts derived from participatory design sessions into functional and design requirements.
Nursing Informatics Beyond 2020; An Interactive Workshop Exploring Our Futures
Authors: Murray Peter J.
Published: February 2025

This interactive workshop will reflect on and update participants' views on possible future scenarios for the development of health and nursing informatics. The NI2006 Post Congress Conference discussed the future nature and scope of nursing informatics, nursing and healthcare, as viewed from likely developments between 2006 and 2020 [1]. Brief synposes from the NI2006 conference will be presented, with summaries of speakers' views on changes and progress since. Workshop participants will discuss major themes and changes, with a view to updating views on possible futures for nursing, healthcare and informatics.
Improving EMR Usability: Critical Elements When Designing Perioperative Emergencies Template
Authors: Romero Mary Rachel  , Staub Allison
Published: February 2025

Perianesthesia nursing care involves monitoring of unexpected outcomes before and after surgical and anesthetic procedures. When adverse events occur, reviewing patient data is critical to provide appropriate intervention. Current EMR software systems are limited in structure and are not cohesive in recording adverse events. Users tend to develop workarounds when systems fail to capture workflow. Analysis of adverse incident is incomplete because data entered is not retrievable. Narrative data, while sometimes necessary, cannot easily be analyzed or linked to the structured portion of the record. Designing templates to capture essential data during emergency situations improves usability and compliance. The presentation of information in terms of layout and structure is important because it can influence data retrieval, interpretation and clinical decision making in fundamental ways.
Evaluation of a Fall Risk Prediction Tool Using Large-Scale Data
Authors: Yokota Shinichiroh  , Tomotaki Ai  , Mohri Ohmi  , Endo Miyoko  , Ohe Kazuhiko
Published: February 2025

To support nursing care for the prevention of falls among inpatients at our institution, we developed and implemented a fall risk prediction tool. To evaluate its effectiveness, we compared the number of falls among inpatients before and after its implementation. The odds ratio for the probability of falling was 0.79 (95% confidence interval: 0.69–0.91) (p < 0.001), which was adjusted based on institutional data comprising 573,216 records from 25,039 patients in 24 general wards. Although whether nurses used the tool completely or whether the dissemination of fall prevention measures led to behavioral changes among the nurses in relation to their care remained unclear, the fall risk of inpatients appeared to be reduced after implementation of the prediction tool.
Nurses' Experiences of an Initial and Re-Implemented Electronic Health Record Use
Authors: Lee Ting-Ting  , Chang Chi-Ping
Published: February 2025

The Electronic Health Record (EHR) is a key component of healthcare information systems (HISs). In EHR implementation, smooth adoption can streamline nursing activities. In order to explore the adoption process, a qualitative study design and focus group interviews were conducted 3-month post and two years after EHR system implementation (system aborted one year in between) in one hospital located in Taiwan. Content analysis was performed to analyze the interview data and six main themes were derived, in the first stage: 1) liability, work stress and anticipation for EHR, 2) slow network speed and user unfriendly design, 3) insufficient information technology/organization support; on the second stage: 4) getting used to EHR and further system requirements 5) benefits of EHR in time saving and documentation 6) unrealistic IT competence expectation and future use. It concluded that user friendly design and support by information technology and manpower backup would facilitate this adoption process.
Discussion on the Initial Use of Nursing Information Systems Related Factors of Satisfaction
Authors: Peng Shu-Ting  , Jhan Shu-Jina  , Chen Siou-Jia
Published: February 2025

Information technological advances to develop health care-related systems, Improve clinical efficiency through introducing information technology, Simplify processes to enhance the quality of nursing care. Study investigated the regional hospital nurses after initial information system the use of satisfaction surveys, Study for unit 50-bit nurse the use questionnaires collection, not satisfied is 30%, For analysis in found to be not satisfied. 1. Aged between 38–50 years old. 2. The operating practices are not familiar. 3. Typing is siow the fee time is more long. 4. The slow operation of the system. 5. Information ability is low. For the above reasons and after improvement and guidance dissatisfaction reduced to 5%, multi-enhancing information related to education and training in future, Increase nurses information literacy competency.
Using Rapid Prototyping to Design a Smoking Cessation Website with End-Users
Authors: Ronquillo Charlene  , Currie Leanne  , Rowsell Derek  , Phillips J. Craig
Published: February 2025

Rapid prototyping is an iterative approach to design involving cycles of prototype building, review by end-users and refinement, and can be a valuable tool in user-centered website design. Informed by various user-centered approaches, we used rapid prototyping as a tool to collaborate with users in building a peer-support focused smoking-cessation website for gay men living with HIV. Rapid prototyping was effective in eliciting feedback on the needs of this group of potential end-users from a smoking cessation website.
The Research and Application of Information Platform About Community Support Intervention for Patients with Alcohol Dependence
Authors: Yang Liqun
Published: February 2025

Objectives. Through the establishment of electronic health records, health education and measures such as regional information sharing platform, we explored the management of patients with alcohol dependence living in communities and established a medical information resource sharing model between mental hospital–community to strengthen the supportive intervention management of patients with alcohol dependence, improve the effect of intervention and reduce the rate of compound drink.
Information Sharing and the Nursing Practice for the Certified Nurse in Radiation Therapy Nursing
Authors: Inoue Manami  , Tsuru Satoko
Published: February 2025

This study is conducted in order to clarify, however practice and get or sharing information in the Radiation Therapy Nursing of Certified Nurses. We have the group interviews from the four members the Certified Nurses in Radiation Therapy Nursing. It was found that Certified Nurses in Radiation Therapy Nursing felt that don't have the information about the patients who receives radiation therapy. In addition, they thought not able to even determine about whether time required, and not provide the professional nursing care practice. They say that we need the time, place and information. They were determined to be there to be necessary in for exhibiting their abilities. In particular, the most important problems that there aren't systematic information of the patients who receives radiation therapy. It's mean that, not have described the information for Radiation Therapy Nursing, and not obviously structure of nursing process or important assessment's, yet.
Defining Relations: A General Incremental Approach with Spatial Temporal Case Studies
Authors: Bennett Brandon  , Du Heshan  , Gómez Álvarez Lucía  , Cohn Anthony G.
Published: February 2025

This paper aims to lay a foundation for a systematic study of mechanisms for construction of definitions within a formal theory, by investigating operators for incremental construction of definitions of new relations from an existing set of primitives and previously defined relations. To illustrate our method, we apply it to two of the best known relation sets studied in KRR: Allen's Interval Algebra and Region Connection Calculus. We also show that systematic exploration of definitional possibilities can yield interesting insights into relation sets that were originally defined in a more ad hoc way, and opens the possibility for discovering new vocabulary for extending or refining existing calculi or for developing completely new calculi.
Using Event Trees to Inform Quantitative Analysis of Healthcare Services
Authors: Despotou George  , Jones Richard W.  , Arvanitis Theodoros N.
Published: February 2025

The paper illustrates how event tree diagrams, used in safety engineering, can be applied to test the design of a healthcare service. Event tree diagrams can be employed to inform quantitative approaches to quality, by providing justification with respect to safety, of operational aspects to be monitored and measured.
Smoking Cessation: Services and Applications for Mobile Devices
Authors: Kefaliakos Antonios  , Pliakos Ioannis  , Chardalias Kostis  , Charalampidou Martha  , Diomidous Marianna
Published: February 2025

The aim of this review is to present mobile health applications which help individuals to change their smoking habit. An online search on scientific databases and mobile application stores was conducted to collect information about m-Health and the smoking cessation. 12 papers found discussing about mobile applications and solutions for quit smoking referred to 4 different technological approaches. Based on the research results, mobile devices and their applications constitute an excellent mean that can help smokers by providing counseling and give them the necessary motivation to smoking cessation.
The Impact of Twitter and Facebook on Nursing Practice and Education: A Systematic Review of the Literature
Authors: Asiri Hanan  , Househ Mowafa
Published: February 2025

This systematic review aims to answer the following question: What is the impact of Twitter and Facebook on nursing practice and education? Any article that was written in English and was published in PubMed and Computers Informatics Nursing (CIN) journal from 2011 up to 2016 and discussed the impact of Twitter and Facebook on nursing practice and education was included, while any opinion and review articles were excluded. The results show three themes that are covered by the literature: (1) using social media to enhance students' confidence and /or self-efficacy, (2) characteristics of nurses who use social media, and (3) preferred modes of communication. Further research is still needed to reveal the impact of Twitter and Facebook on nursing education as well as other specialties of nursing practice.
Development of an At-Risk Assessment Approach to Dietary Data Quality in a Food-Based Clinical Trial
Authors: Guan Vivienne  , Probst Yasmine  , Neale Elizabeth  , Martin Allison  , Tapsell Linda
Published: February 2025

Accurate and valid dietary data is the basis to investigate diet-disease relationships. Potential data discrepancies may be introduced when collecting and analysing data, despite rigorous quality assurance protocols. The aim of this study was to identify at-risk areas of dietary data in a food-based clinical trial. Source data verification was performed on a 10% random sample (n=38) of paper-based baseline diet history interview records in a registered clinical trial. All items listed in the source data underwent 100% manual verification based on the food input data from FoodWorks nutrient analysis software. Food item discrepancies were explored using food categories and summarised based on meals. The differences in identified discrepancies for energy and macronutrient output generated from FoodWorks software between previously entered data and re-entered data were compared. An overall discrepancy rate of 4.88% was identified. It was found that dinner intake data were more prone to discrepancy incidences than breakfast, lunch and snacks. Furthermore, assessing intake based on reported quantity and frequency may be more effective to correct discrepancies for quality improvement. Therefore, the dinner meal appeared to be an at risk area of dietary data. The method implemented in this study offers a systematic approach to evaluating dietary data in a research setting.
Cuilt: A Scalable, Mix-and-Match Framework for Local Iterative Approximate Best-Response Algorithms
Authors: Verman Mihaela  , Stutz Philip  , Hafen Robin  , Bernstein Abraham
Published: February 2025

We implement CUILT, a scalable mix-and-match framework for Local Iterative Approximate Best-Response Algorithms for DCOPs, using the graph processing framework SIGNAL/COLLECT, where each agent is modeled as a vertex and communication pathways are represented as edges. Choosing this abstraction allows us to exploit the generic graph-oriented distribution/optimization heuristics and makes our proposed framework scalable, configurable, as well as extensible. We found that this approach allows us to scale to problems more than 3 orders of magnitude larger than results commonly published so far, to easily create hybrid algorithms by mixing components, and to run the algorithms fast, in a parallel fashion.
Using Petri Net Plans for Modeling UAV-UGV Cooperative Landing
Authors: Bertolaso Andrea  , Raeissi Masoume M.  , Farinelli Alessandro  , Muradore Riccardo
Published: February 2025

Use of cooperative multi vehicle team including aerial and ground vehicles has been growing rapidly over the last years, ranging from search and rescue to logistics. In this paper, we consider a cooperative landing task problem, where an unmanned aerial vehicle (UAV) must land on an unmanned ground vehicle (UGV) while such ground vehicle is moving in the environment to execute its own mission. To solve this challenging problem we consider the Petri Net Plans (PNPs) framework, an advanced planning specification framework, to effectively use different controllers in different conditions and to monitor the evolution of the system during mission execution so that the best controller is always used even in face of unexpected situations. Empirical simulation results show that our system can properly monitor the joint mission carried out by the UAV/UGV team, hence confirming that the use of a formal planning language significantly helps in the design of such complex scenarios.
Cluster-Driven Model for Improved Word and Text Embedding
Authors: Zhao Zhe  , Liu Tao  , Li Bofang  , Du Xiaoyong
Published: February 2025

Most of the existing word embedding models only consider the relationships between words and their local contexts (e.g. ten words around the target word). However, information beyond local contexts (global contexts), which reflect the rich semantic meanings of words, are usually ignored. In this paper, we present a general framework for utilizing global information to learn word and text representations. Our models can be easily integrated into existing local word embedding models, and thus introduces global information of varying degrees according to different downstream tasks. Moreover, we view our models in the co-occurrence matrix perspective, based on which a novel weighted term-document matrix is factorized to generate text representations. We conduct a range of experiments to evaluate word and text representations learned by our models. Experimental results show that our models outperform or compete with state-of-the-art models. Source code of the paper is available at https://github.com/zhezhaoa/cluster-driven.
A Development Tool Chain for Reconfigurable WSNs
Authors: Grichi Hanen  , Mosbahi Olfa  , Khalgui Mohamed
Published: February 2025

This paper deals with reconfigurable wireless sensor networks (RWSN) in which a reconfiguration scenario is assumed to be any run-time adaptation of the software execution according to user requirements. We present a Reconfigurable Wireless Network Environment (RWiN-Environment) which is a visual tool allowing for designers to develop RWSN by starting from the initial specification and modeling of the architecture, then the required formal verification based on UPPAAL to verify temporal and functional properties described in user requirements. RWiN-Environment allows also the software design as well as the constraints validation by using an extension of OCL for optimization. The last step in the development process deals with the code generation and also the final deployment on STM32F4-based WSN. The developed tool is applied to a simulated case study in order to control an irrigation system in the agriculture domain.
Human-Centered Development of an Online Social Network for Metabolic Syndrome Management
Authors: Núñez-Nava Jefersson  , Orozco-Sánchez Paola A.  , López Diego M.  , Ceron Jesus D.  , Alvarez-Rosero Rosa E.
Published: February 2025

Problem: According to the International Diabetes Federation (IDF), a quarter of the world's population has Metabolic Syndrome (MS).
Implementing PEHR: Design and Integration of a Consent Creator Service
Authors: Weiss Nicolas  , Aguduri Lakshmi S.  , Yüksekogul Nilay  , Schreiweis Björn  , Brandner Antje  , Bronsch Tobias  , Pensold Peter  , Stein Katharina E.  , Bergh Björn  , Heinze Oliver
Published: February 2025

Giving the patient full control over his medical data electronically remains one of the most discussed topics in healthcare today. The INFOPAT project in the Rhine-Neckar region focuses on a personal cross-enterprise electronic health record (PEHR) in which the patient plays a major role. Thus, he should be provided with the possibility of granting access to his medical data which could be realized using a consent creator service. This paper presents a user interface concept for such a service as well as aspects for the technical implementation. In addition, a pattern for integrating the service into an existing IHE based infrastructure is shown. These concepts could be further adapted for improving patient empowerment in health care projects.
Persian mHealth Apps: A Cross Sectional Study Based on Use Case Classification
Authors: Saeedi Marjan Ghazi  , Kalhori Sharareh Rostam Niakan  , Nouria Rasool  , Yasini Mobin
Published: February 2025

Mobile health apps play an important role in healthcare processes and health promotion. In recent years many Persian mhealth apps were developed and are available in various national app markets. Cafebazaar is the largest Persian app store that contains more than 3500 android apps in medical and health & fitness categories. In this study some characteristics of 200 top Persian medical apps of Cafebazaar were investigated and then categorized by their use cases. Results showed that only 6% of apps declare the involvement of at least one health professional in the conception or development of the apps. In 35% of studied apps, no contact information was provided for the users and 10.5% applied reliable sources for their content. 13 distinct use cases were found in all 200 apps of which two were new to an already published use-case model. This study shows that Persian mHealth apps, like other existing apps in the world, have a long way to improve and reach some basic standards. Lack of regulatory agencies and absence of a dynamic evaluation system for mHealth apps might be the main reason of these defects. This study also shows that 20 use cases existing in international health related apps are not yet used in Persian apps and therefore there is a reach potential of creating new apps in mHealth field.
Collect Once, Use Many Times: End-Users Don't Practice What They Preach
Authors: Joukes Erik  , Cornet Ronald  , de Keizer Nicolette  , de Bruijne Martine
Published: February 2025

Data in an Electronic Health Record must be recorded once, in a standardized and structured way at the point of care to be reusable within the care process as well as for secondary purposes (‘collect once, use many times’ (COUMT) paradigm). COUMT has not yet been fully adopted by staff in every organization. Our study intends to identify concepts that underlie its adoption and describe its current status in Dutch academic hospitals. Based on literature we have constructed a model that describes these concepts and that guided the development of a questionnaire investigating COUMT adoption. The questionnaire was sent to staff working with patient data or records in seven out of eight Dutch university hospitals. Results show high willingness of end-users to comply to COUMT in the care process. End-users agree that COUMT is important, and that they want to work in a structured and standardized way. However, end-users indicate to not actually use terminology or information standards, but often register diagnoses and procedures in free text, and experience repeated recording of data. In conclusion, we found that COUMT is currently well adopted in mind, but not yet in practice.
Modeling Requirements for Cohort and Register IT
Authors: Stäubert Sebastian  , Weber Ulrike  , Michalik Claudia  , Dress Jochen  , Ngouongo Sylvie  , Stausberg Jürgen  , Winter Alfred
Published: February 2025

Background: The project KoRegIT (funded by TMF e.V.) aimed to develop a generic catalog of requirements for research networks like cohort studies and registers (KoReg). The catalog supports such kind of research networks to build up and to manage their organizational and IT infrastructure.
Key Data Elements in Myeloid Leukemia
Authors: Varghese Julian  , Holz Christian  , Neuhaus Phillip  , Bernardi Massimo  , Boehm Alexandra  , Ganser Arnold  , Gore Steven  , Heaney Mark  , Hochhaus Andreas  , Hofmann Wolf-Karsten  , Krug Utz  , Müller-Tidow Carsten  , Smith Alexandra  , Weltermann Ansgar  , de Witte Theo  , Hehlmann Rüdiger  , Dugas Martin
Published: February 2025

Data standards consisting of key data elements for clinical routine and trial documentation harmonize documentation within and across different health care institutions making documentation more efficient and improving scientific data analysis. This work focusses on the field of myeloid leukemia (ML), where a semantic core of common data elements (CDEs) in routine and trial documentation is established by automatic UMLS-based form analysis of existing documentation models. These CDEs (n = 227) were initially reviewed and commented by leukemia experts before they were systematically surveyed by an international voting process through seven hematologists of four countries. The total agreement score was 86%. 116 elements (51%) of these share an agreement score of 100%. This work generated CDEs with language-independent semantic codes and international clinical expert review to build a first approach towards an international data standard for ML. A first version of the CDE list is implemented in the data standard Operational Data Model and additional other data formats for reuse in different medical information systems.
Requirements on Clinical Trial Management Systems for Academic Site Management Organizations
Authors: Schöbel Martin  , Stäubert Sebastian  , Löbe Matthias  , Meinel Kirsti  , Winter Alfred
Published: February 2025

As a part of the introduction of a Clinical Trial Management System (CTMS) for an Academic Site Management Organization (SMO) we had to determine the requirements such a system has to meet. By performing extensive Requirements Engineering, we aimed at raising the success of the future system and the user satisfaction. Investigations revealed the existence of TORE (Task and Object-oriented Requirements Engineering), a task-driven approach for determining requirements on user interface- and information-intensive systems. In this paper, we present an adoption of this method for our purposes, resulting in a reasonable list of requirements for CTMS acquisition.
A Generic Method for Assessing the Quality of De-Identified Health Data
Authors: Prasser Fabian  , Bild Raffael  , Kuhn Klaus A.
Published: February 2025

Data sharing plays an important role in modern biomedical research. Due to the inherent sensitivity of health data, patient privacy must be protected. De-identification means to transform a dataset in such a way that it becomes extremely difficult for an attacker to link its records to identified individuals. This can be achieved with different types of data transformations. As transformation impacts the information content of a dataset, it is important to balance an increase in privacy with a decrease in data quality. To this end, models for measuring both aspects are needed. Non-Uniform Entropy is a model for data quality which is frequently recommended for de-identifying health data. In this work we show that it cannot be used in a meaningful way for measuring the quality of data which has been transformed with several important types of data transformation. We introduce a generic variant, which overcomes this limitation. We performed experiments with real-world datasets, which show that our method provides a unified framework in which the quality of differently transformed data can be compared to find a good or even optimal solution to a given data de-identification problem. We have implemented our method into ARX, an open source anonymization tool for biomedical data.
A Conformance Test Suite for Arden Syntax Compilers and Interpreters
Authors: Wolf Klaus-Hendrik  , Klimek Mike
Published: February 2025

The Arden Syntax for Medical Logic Modules is a standardized and well-established programming language to represent medical knowledge. To test the compliance level of existing compilers and interpreters no public test suite exists. This paper presents the research to transform the specification into a set of unit tests, represented in JUnit. It further reports on the utilization of the test suite testing four different Arden Syntax processors. The presented and compared results reveal the status conformance of the tested processors. How test driven development of Arden Syntax processors can help increasing the compliance with the standard is described with two examples. In the end some considerations how an open source test suite can improve the development and distribution of the Arden Syntax are presented.
The Costs and Benefits of SNOMED CT Implementation: An Economic Assessment Model
Authors: Thiel Rainer  , Birov Strahil  , Piesche Klaus  , Højen Anne Randorff  , Gøeg Kirstine Rosenbeck  , Dewenter Heike  , Nejad Reza Fathollah  , Thun Sylvia  , Volkert Pim  , Kufrin Vesna Kronstein  , Stroetmann Veli
Published: February 2025

As part of its investigations, the EU-funded ASSESS CT project developed an Economic Assessment Model for assessing SNOMED CT's and other terminologies' socio-economic impact in a systematic approach. Methodology and key elements of the model are presented: cost and benefit indicators for assessing deployment, and a cost-benefit analysis tool to collect, estimate, and evaluate data.
Implementation of an Execution Engine for SNOMED CT Expression Constraint Language
Authors: Giménez-Solano V.M.  , Maldonado J.A.  , Salas-García S.  , Boscá D.  , Robles M.
Published: February 2025

The need to achieve high levels of semantic interoperability in the health domain is regarded as a crucial issue. Nowadays, one of the weaknesses when working in this direction is the lack of a coordinated use of information and terminological models to define the meaning and content of clinical data. IHTSDO is aware of this problem and has recently developed the SNOMED CT Expression Constraint Language to specify subsets of concepts. In this paper, we describe an implementation of an execution engine of this language. Our final objective is to allow advanced terminological binding between archetypes and SNOMED CT as a fundamental pillar to get semantically interoperable systems. The execution engine is available at http://snquery.veratech.es.