National Research Council, Institute for Biomedical Technology, Circ. Nomentana, 496, 00162 Rome, Italy.
J Biomed Inform. 2011 Aug;44(4):621-36. doi: 10.1016/j.jbi.2011.02.011. Epub 2011 Feb 27.
In the paper an IT infrastructure for supporting the shift from organization-centric to patient-centric model of healthcare service delivery to facilitate collaborative, multidisciplinary and cross-organizational healthcare delivery processes is presented. The core of this infrastructure is an internet platform that provides e-services and promotes the interoperability by enabling not only inter-communication among authorized healthcare professionals, but also sharing the Virtual Healthcare Record, an authoritative, multi-dimensional view on the patient health state. The platform is implemented in the LuMiR project for Basilicata, an Italian region where integration of healthcare applications is required. The LUMIR approach, its origin and peculiarities are briefly presented. The project's final target is the regional health digital ecosystem that interacts with the healthcare system for better supporting it. The agent-oriented paradigm emerges as a promising approach to map the autonomic healthcare systems and their users in virtual entities, and to add values such as flexibility, adaptability, and reusability. over traditional object- or service-oriented approaches.
本文提出了一种支持从以组织为中心向以患者为中心的医疗服务提供模式转变的 IT 基础设施，以促进协作、多学科和跨组织的医疗服务流程。该基础设施的核心是一个互联网平台，它提供电子服务，并通过不仅实现授权医疗专业人员之间的相互通信，而且还共享虚拟医疗记录，从而促进互操作性，这是对患者健康状况的权威、多维视图。该平台在意大利 Basilicata 的 LuMiR 项目中实现，该项目需要整合医疗应用程序。简要介绍了 LUMIR 方法的起源和特点。该项目的最终目标是与医疗保健系统交互的区域卫生数字生态系统，以更好地支持它。面向代理的范例似乎是一种很有前途的方法，可以将自主医疗系统及其用户映射到虚拟实体中，并添加灵活性、适应性和可重用性等价值，而不是传统的面向对象或面向服务的方法。
