Blobel Bernd, Oemig Frank, Gonzáles Carolina, López Diego
eHealth Competence Center, University Hospital Regensburg, Germany.
Stud Health Technol Inform. 2010;156:3-12.
Health systems turn everywhere, but with different speed, from organization-centered to personalized eHealth or pHealth, i.e. ubiquitous care delivery independent of time and location of the resources involved. As interoperability is an important issue in such distributed, fully integrated, intelligent and individualized environment, pHealth solutions have to comply with advanced architectural solutions based on international standards. Representing concepts and their interrelations, such architectural framework perspectives' system architecture, domains, and development process can be described by the domains' ontologies. Therefore, advanced interoperability approaches have to refer to ontology principles, finally resulting in ontology-driven approaches to semantically interoperable and sustainable health information systems. The paper investigates functional requirements, interoperability levels, architectural approaches to pHealth systems, thereby analyzing and classifying related existing or emerging standards.
各地的卫生系统都在转型，但速度不同，正从以组织为中心转向个性化电子健康或个人健康（pHealth），即不受所涉资源的时间和地点限制的普遍医疗服务提供。由于互操作性在这种分布式、完全集成、智能且个性化的环境中是一个重要问题，个人健康解决方案必须符合基于国际标准的先进架构解决方案。通过领域本体可以描述此类架构框架视角的系统架构、领域和开发过程，即表示概念及其相互关系。因此，先进的互操作性方法必须参考本体原则，最终形成本体驱动的方法，以实现语义互操作性和可持续的健康信息系统。本文研究了个人健康系统的功能需求、互操作性水平和架构方法，从而分析和分类相关的现有或新兴标准。
