Cuggia Marc, Bayat Sahar, Rossille Delphine, Poulain Patrice, Pladys Patrick, Robert Hélène, Duvauferrier Régis
Faculté de Médecine de Rennes, INSERM U986, IFR 140, Université Rennes1, 35000 Rennes, France.
Stud Health Technol Inform. 2009;150:250-4.
Semantic interoperability, a prerequisite to eHealth projects, relies on sharing both information and knowledge models between information systems. Two of the standards of information models are HL7 v3 and the European norm, EN13606/OpenEHR. The paper compares both standards on a fragment of the prenatal medical record, the APGAR score. Two factors are compared: the formal representation of both information models, and the binding to knowledge models. The HL7v3 perinatality DMIM specification and the OpenEHR APGAR archetype were used. HL7v3 appears to be more formal than OpenEHR and able to represent in an easier way the clinical context. For both standards, the binding to reference terminologies such as LOINC is poor. We provide recommendations to improve the standards.
语义互操作性是电子健康项目的一个先决条件，它依赖于信息系统之间共享信息模型和知识模型。信息模型的两个标准是HL7 v3和欧洲标准EN13606/OpenEHR。本文在产前医疗记录的一个片段——阿氏评分上对这两个标准进行了比较。比较了两个因素：两个信息模型的形式表示，以及与知识模型的绑定。使用了HL7v3围产期DMIM规范和OpenEHR阿氏评分原型。HL7v3似乎比OpenEHR更形式化，并且能够以更简单的方式表示临床背景。对于这两个标准，与诸如LOINC等参考术语的绑定都很差。我们提供了改进这些标准的建议。
