Di Giacomo P, Ricci Fabrizio L, Bocchi Leonardo
University La Sapienza of Rome-Center for Biomedical Research.
Stud Health Technol Inform. 2006;121:228-41.
Computer systems and communication technologies are making a strong and influential presence in the different fields of medicine. The cornerstone of a functional medical information system represents the electronic health records management system. Due to a very sensitive nature of medical information, such systems are faced with a number of stringent requirements, like security and confidentiality of patients' related data, different media type's management, diversity of medical data that need to be processed etc. At present most clinical software systems are closed with little or no operability between them, and the medical information are locked in a variety of different incompatible databases. As the result of these facts, it is very hard for the developers to provide the solution for an integrated health computing environment, which would considerably improve the quality of medical care in general. This paper presents the framework for a functional EHR management system that meets these demands, but also follows the initiative taken by the Next Generation Network (NGN) approach, which includes user mobility, service transparency and common communication platform for transferring and serving different types of information, services and media.
计算机系统和通信技术正在医学的不同领域中占据强大且有影响力的地位。功能性医疗信息系统的基石是电子健康记录管理系统。由于医疗信息具有非常敏感的性质，此类系统面临着许多严格的要求，如患者相关数据的安全性和保密性、不同媒体类型的管理、需要处理的医疗数据的多样性等。目前，大多数临床软件系统都是封闭的，它们之间几乎没有或根本没有可操作性，医疗信息被锁定在各种不同的不兼容数据库中。由于这些事实，开发人员很难提供一个集成健康计算环境的解决方案，而这将总体上显著提高医疗质量。本文提出了一个功能性电子健康记录管理系统的框架，该框架既能满足这些需求，又遵循下一代网络（NGN）方法所采取的举措，其中包括用户移动性、服务透明度以及用于传输和提供不同类型信息、服务和媒体的通用通信平台。
