eHealth Competence Center, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
Int J Med Inform. 2011 Feb;80(2):e17-25. doi: 10.1016/j.ijmedinf.2010.10.004. Epub 2010 Oct 30.
The paradigm shift from organization-centered to managed care and on to personal health settings increases specialization and distribution of actors and services related to the health of patients or even citizens before becoming patients. As a consequence, extended communication and cooperation is required between all principals involved in health services such as persons, organizations, devices, systems, applications, and components. Personal health (pHealth) environments range over many disciplines, where domain experts present their knowledge by using domain-specific terminologies and ontologies. Therefore, the mapping of domain ontologies is inevitable for ensuring interoperability. The paper introduces the care paradigms and the related requirements as well as an architectural approach for meeting the business objectives. Furthermore, it discusses some theoretical challenges and practical examples of ontologies, concept and knowledge representations, starting general and then focusing on security and privacy related services. The requirements and solutions for empowering the patient or the citizen before becoming a patient are especially emphasized.
从以组织为中心到管理式医疗再到个人健康环境的范式转变，增加了与患者甚至公民健康相关的参与者和服务的专业化和分布。因此，在成为患者之前，所有涉及医疗服务的主要方（如个人、组织、设备、系统、应用程序和组件）之间需要进行扩展的沟通和合作。个人健康（pHealth）环境涵盖了许多学科，领域专家通过使用特定于领域的术语和本体来展示他们的知识。因此，为了确保互操作性，必须进行领域本体的映射。本文介绍了护理范式以及相关要求，以及一种满足业务目标的体系结构方法。此外，它还讨论了本体、概念和知识表示的一些理论挑战和实际示例，从一般开始，然后重点关注与安全和隐私相关的服务。特别强调了在成为患者之前赋予患者或公民权力的需求和解决方案。
