Hägglund Maria, Scandurra Isabella, Moström Dennis, Koch Sabine
Department of Medical Sciences, Uppsala University, University Hospital 82:1, S751 85 Uppsala, Sweden.
Int J Integr Care. 2007 Jun 27;7:e26. doi: 10.5334/ijic.191.
The coexistence of different information systems that are unable to communicate is a persistent problem in healthcare and in integrated home care in particular.
Physically federated integration is used for design of the underlying technical architecture to implement a mobile virtual health record for integrated home care. A user centered system development approach is followed during design and development of the system.
A technical platform based on a service-oriented approach where database functionality and services are separated has been developed. This guarantees flexibility with regard to changed functional demands and allows third party systems to interact with the platform in a standardized way. A physically federated integration enables point-of-care documentation, integrated presentation of information from different feeder systems, and offline access to data on handheld devices. Feeder systems deliver information in XML-files that are mapped against an ideal XML schema, published as an interface for integration with the information broker, and inserted into the mediator database.
A seamless flow of information between both different care professionals involved in integrated home care and patients and relatives is provided through mobile information access and interaction with different feeder systems using the virtual health record.
不同信息系统之间无法通信的共存问题在医疗保健领域，尤其是在综合家庭护理中一直存在。
物理联合集成用于设计底层技术架构，以实现综合家庭护理的移动虚拟健康记录。在系统设计和开发过程中遵循以用户为中心的系统开发方法。
已开发出一个基于面向服务方法的技术平台，其中数据库功能和服务是分开的。这保证了在功能需求变化方面的灵活性，并允许第三方系统以标准化方式与该平台进行交互。物理联合集成实现了床边护理文档记录、不同输入系统信息的集成呈现以及手持设备上数据的离线访问。输入系统以XML文件形式提供信息，这些文件根据理想的XML模式进行映射，作为与信息中介集成的接口发布，并插入到中介数据库中。
通过使用虚拟健康记录进行移动信息访问以及与不同输入系统进行交互，为综合家庭护理中涉及的不同护理专业人员以及患者和亲属之间提供了无缝的信息流。
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