A multi-tiered perspective on healthcare interoperability

Craig Kuziemsky*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)


The current healthcare delivery paradigm is defined by integrative care delivery across disparate providers and services. Therefore the ability to deliver efficient and effective healthcare services is dependent on designing and implementing interoperable systems. However, the notion of interoperability is multifaceted and complex. Although the exchange of data is often described as analogous with interoperability it must be remembered that healthcare is a process oriented domain and clinical, management, organizational and other processes must be considered as part of interoperability. This chapter discusses healthcare delivery and the role interoperability plays in supporting its delivery. First, the chapter provides a background on healthcare interoperability from multiple perspectives. Then it presents a case study of collaborative care delivery and uses it to outline specific interoperability requirements. The chapter then uses these requirements to develop a multi-tiered framework of healthcare interoperability, concluding with a discussion of the implications of the framework for interoperability research and for systems design to support integrated healthcare delivery.

Original languageEnglish
Title of host publicationStandards and standardization
Subtitle of host publicationconcepts, methodologies, tools, and applications
EditorsInformation Resources Management Association
Place of PublicationHershey, Pennsylvania
PublisherIGI Global
Number of pages16
ISBN (Electronic)9781466681125
ISBN (Print)9781466681118
Publication statusPublished - 2015
Externally publishedYes

Publication series

NamePremier reference source

Bibliographical note

Previously published in 'Interoperability in healthcare information systems: standards, management, and technology' edited by Miguel-Angel Sicilia and Pablo Serrano Balazota, pages 1-18 (2013) by Medical Information Science Reference (an imprint of IGI Global).


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