Bruun-Rasmussen Morten, Bernstein Knut, Chronaki Catherine
Danish Centre for Health Telematics, Rugaardsvej 15, 5000 Odense C, Denmark.
Stud Health Technol Inform. 2002;90:815-20.
During the past 10-15 years, Regional Health Care Networks have been established in many regions throughout the world. Regional Health Care Networks build on well-known techniques, methodologies and appropriate standards. Most of the European Countries have today set up IT strategic plans, with focus on establishment of Regional Health Care Networks. The benefits of having access to all relevant information are tremendous and provide a more cost-effective and coherent health service. By the rapid spread and use of Internet the technology have made it possible to interconnect all kinds of applications. The most experienced regions in Europe have joined a European project PICNIC to develop the Next Generation Regional Health Care Networks to support their new ways of providing health and social care. The previous generation of Regional Health Care Networks, developed in the past 10-15 years, supported the interconnection of applications by transfer of messages. This service will also continue to be one of the most important services in the future health care networks. Messaging is an effective means of integration of isolated high-specialised systems that only needs to exchange data. Tighter coupling may be desirable in some instances to avoid replicating the same functionality in several applications. In other words, certain services can be common and used by a number of applications instead of building that service inside each application. These common services are called middleware services. In PICNIC a new middleware Collaboration IT-service has been identified. This service allows the end users to perform real time clinical Collaboration, with exchange of text, structured data, voice and images.
在过去的10到15年里，区域医疗保健网络已在全球许多地区建立。区域医疗保健网络建立在知名技术、方法和适当标准的基础之上。如今，大多数欧洲国家都制定了信息技术战略计划，重点是建立区域医疗保健网络。获取所有相关信息的益处是巨大的，能提供更具成本效益且连贯一致的医疗服务。通过互联网的迅速传播和使用，这项技术使各种应用程序之间的互连成为可能。欧洲最有经验的地区已加入一个欧洲项目PICNIC，以开发下一代区域医疗保健网络，来支持其提供医疗和社会护理的新方式。在过去10到15年里开发的上一代区域医疗保健网络，通过消息传递来支持应用程序的互连。这项服务在未来的医疗保健网络中也仍将是最重要的服务之一。消息传递是整合仅需交换数据的孤立高度专业化系统的有效手段。在某些情况下，可能需要更紧密的耦合，以避免在多个应用程序中重复相同的功能。换句话说，某些服务可以是通用的，由多个应用程序使用，而不是在每个应用程序内部构建该服务。这些通用服务被称为中间件服务。在PICNIC项目中，已确定了一种新的中间件协作信息技术服务。这项服务允许终端用户进行实时临床协作，交换文本、结构化数据、语音和图像。
