Institute of Clinical Physiology, National Research Council, Pisa, Italy.
Inform Health Soc Care. 2011 Sep;36(3):147-60. doi: 10.3109/17538157.2011.584997.
The patients' clinical and healthcare data should virtually be available everywhere, both to provide a more efficient and effective medical approach to their pathologies, as well as to make public healthcare decision makers able to verify the efficacy and efficiency of the adopted healthcare processes. Unfortunately, customised solutions adopted by many local Health Information Systems in Italy make it difficult to share the stored data outside their own environment. In the last years, worldwide initiatives have aimed to overcome such sharing limitation. An important issue during the passage towards standardised, integrated information systems is the possible loss of previously collected data. The herein presented project realises a suitable architecture able to guarantee reliable, automatic, user-transparent storing and retrieval of information from both modern and legacy systems. The technical and management solutions provided by the project avoid data loss and overlapping, and allow data integration and organisation suitable for data-mining and data-warehousing analysis.
患者的临床和医疗保健数据应该几乎在任何地方都可以获得，这不仅可以为他们的疾病提供更高效和有效的医疗方法，还可以使公共医疗保健决策者能够验证所采用的医疗保健流程的效果和效率。不幸的是，意大利许多本地健康信息系统采用的定制解决方案使得难以在其自身环境之外共享存储的数据。在过去的几年中，全球范围内的举措旨在克服这种共享限制。在迈向标准化、集成信息系统的过程中，一个重要的问题是可能会丢失之前收集的数据。本文提出的项目实现了一种合适的架构，能够可靠、自动、透明地存储和检索来自现代和遗留系统的信息。该项目提供的技术和管理解决方案可避免数据丢失和重叠，并允许进行数据集成和组织，以适用于数据挖掘和数据仓库分析。
