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Interoperable EHR systems – challenges, standards and solutions
Bernd Blobel
Jazyk angličtina Země Česko
- MeSH
- elektronické zdravotní záznamy * klasifikace normy trendy MeSH
- interoperabilita zdravotnických informací klasifikace normy trendy MeSH
- lidé MeSH
- zdravotnické informační systémy klasifikace normy trendy MeSH
- Check Tag
- lidé MeSH
Background: Electronic Health Record Systems (EHRS) and Personal Health Record Systems (PHRS) are core components of infrastructure needed to run any health system. Objectives: As health systems undergo paradigm changes, EHRS and PHRS have to advance as well to meet the related interoperability challenges. Methods: The paper discusses EHR types, implementations and standards, starting with different requirements specifications, systems and systems architectures, standards and solutions. Results: Existing standards and specifications are compared with changing requirements, presenting weaknesses and defining the advancement of EHRS, architectures and related services, embedded in advanced infrastructure systems. Conclusion: Future EHR systems are components in a layered architecture with open interfaces. The need of verifying data models at business domains level is specifically highlighted. Such approach is enabled by the ISO Interoperability Reference Architecture of a systemoriented, architecture-centric, ontology-based, policy- driven approach, meeting good modeling best practices.
1st Medical Faculty Charles University Prague Czech Republic
Health Competence Center Bavaria Deggendorf Institute of Technology Germany
Citace poskytuje Crossref.org
Jana Zvárová Memorial Conference, 4 May 2018 in Prague
Bibliografie atd.Literatura
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- $a Interoperable EHR systems – challenges, standards and solutions / $c Bernd Blobel
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- $a Background: Electronic Health Record Systems (EHRS) and Personal Health Record Systems (PHRS) are core components of infrastructure needed to run any health system. Objectives: As health systems undergo paradigm changes, EHRS and PHRS have to advance as well to meet the related interoperability challenges. Methods: The paper discusses EHR types, implementations and standards, starting with different requirements specifications, systems and systems architectures, standards and solutions. Results: Existing standards and specifications are compared with changing requirements, presenting weaknesses and defining the advancement of EHRS, architectures and related services, embedded in advanced infrastructure systems. Conclusion: Future EHR systems are components in a layered architecture with open interfaces. The need of verifying data models at business domains level is specifically highlighted. Such approach is enabled by the ISO Interoperability Reference Architecture of a systemoriented, architecture-centric, ontology-based, policy- driven approach, meeting good modeling best practices.
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