Health and social care ecosystems are currently a matter of foundational organizational, methodological and technological paradigm changes towards personalized, preventive, predictive, participative precision (5P) medicine. For designing and implementing such advanced ecosystems, an understanding and correct representation of structure, function and relations of their components is inevitable. To guarantee consistent and conformant processes and outcomes, the specifications and principles must be internationally standardized. Summarizing the first author's Keynotes over the last 15 years of pHealth conferences, the paper discusses concepts, standards and principles of 5P medicine ecosystems including their design and implementation. Furthermore, a guidance to find and to deploy corresponding international standards in practical projects is provided.

1st Medical Faculty Charles University Prague Czech Republic

Department of Informatics Bioengineering Robotics and System Engineering University of Genoa Italy

eHealth Competence Center Bavaria Deggendorf Institute of Technology Germany

Faculty of Information Technology and Communication Sciences Tampere University Finland

Medical Faculty University of Regensburg Germany

References provided by Crossref.org

Principles and Standards for Designing and Managing Integrable and Interoperable Transformed Health Ecosystems

Designing and Managing Advanced, Intelligent and Ethical Health and Social Care Ecosystems

Linguistic and ontological challenges of multiple domains contributing to transformed health ecosystems