de la Cruz Edgar, Lopez Diego M, Uribe Gustavo, Gonzalez Carolina, Blobel Bernd
Electronics and Telecommunication Faculty, University of Cauca, Colombia.
Stud Health Technol Inform. 2011;169:305-9.
The implementation of national EHR infrastructures has to start by a detailed definition of the overall structure and behavior of the EHR system (system architecture). Architectures have to be open, scalable, flexible, user accepted and user friendly, trustworthy, based on standards including terminologies and ontologies. The GCM provides an architectural framework created with the purpose of analyzing any kind of system, including EHR system´s architectures. The objective of this paper is to propose a reference architecture for the implementation of an integrated EHR in Colombia, based on the current state of system´s architectural models, and EHR standards. The proposed EHR architecture defines a set of services (elements) and their interfaces, to support the exchange of clinical documents, offering an open, scalable, flexible and semantically interoperable infrastructure. The architecture was tested in a pilot tele-consultation project in Colombia, where dental EHR are exchanged.
国家电子健康记录（EHR）基础设施的实施必须从详细定义EHR系统的整体结构和行为（系统架构）开始。架构必须是开放的、可扩展的、灵活的、用户可接受且用户友好的、值得信赖的，基于包括术语和本体在内的标准。通用组件模型（GCM）提供了一个架构框架，其创建目的是分析任何类型的系统，包括EHR系统架构。本文的目的是基于系统架构模型和EHR标准的现状，为在哥伦比亚实施综合EHR提出一个参考架构。所提出的EHR架构定义了一组服务（元素）及其接口，以支持临床文档的交换，提供一个开放的、可扩展的、灵活的和语义可互操作的基础设施。该架构在哥伦比亚的一个试点远程会诊项目中进行了测试，在该项目中交换牙科EHR。
