将数据和网络标准集成到可互操作的电子医疗解决方案中

Carlos Pereira, S. Frade, P. Brandão, R. Correia, Ana Aguiar
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引用次数: 12

摘要

电子保健提高了人们对提高保健服务质量的期望,同时使保健服务能够降低成本。为了实现这些愿景,必须获得相关利益攸关方、医生和其他医务人员、患者、家属、卫生保健提供者和监管机构的信任。尽管一个关键需求是所涉及的各种系统之间的互操作性,但目前现有的解决方案在很大程度上仍然是垂直筒仓。在本文中,我们提出了一种电子医疗解决方案,该解决方案通过集成符合ICT基础设施各个级别不断提高的标准的组件:用于连接设备和服务的机器对机器(M2M)通信,用于与健康平台通信的健康级别7 (HL7),以及用于数据语义、存储和提供数据的openEHR。具体来说,我们按照这三个标准提供了一个可互操作和可扩展的电子医疗服务,并给出了体系结构设计。我们将服务映射到基础设施构建块的各种组件,从而演示如何成功地完成集成。我们目前正在开发一种原型解决方案,将在15位老年人的试点项目中使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating data and network standards into an interoperable e-Health solution
E-health has raised a great deal of expectations on improving the quality of health services while simultaneously enabling health services cost reductions. To advance towards those visions, it is imperative to gain the trust of the involved stakeholders, doctors and other medical personnel, patients, families, health care providers and regulators. Even though one critical requirement is interoperability among the various systems involved, currently existing solutions are still vertical silos to a large extent. In this paper, we present an E-health solution that results from the integration of components that comply with rising standards at the various levels of the ICT infrastructure: Machine-to-Machine (M2M) communications for interconnecting devices and services, Health Level 7 (HL7) for communicating with health platforms and openEHR for data semantics, storing and making data available. Concretely, we provide an interoperable and extensible e-health service following these three uprising standards and present the architecture design. We map the service to the various components of the infrastructure building blocks, thus demonstrating how the integration can be successfully accomplished. We are currently developing a prototype solution to be used in a pilot project with 15 elders.
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