ITACA Institute, Universitat Politècnica de València, CP 46022 Valencia, Spain.
J Biomed Inform. 2012 Aug;45(4):746-62. doi: 10.1016/j.jbi.2011.11.004. Epub 2011 Nov 28.
Possibly the most important requirement to support co-operative work among health professionals and institutions is the ability of sharing EHRs in a meaningful way, and it is widely acknowledged that standardization of data and concepts is a prerequisite to achieve semantic interoperability in any domain. Different international organizations are working on the definition of EHR architectures but the lack of tools that implement them hinders their broad adoption. In this paper we present ResearchEHR, a software platform whose objective is to facilitate the practical application of EHR standards as a way of reaching the desired semantic interoperability. This platform is not only suitable for developing new systems but also for increasing the standardization of existing ones. The work reported here describes how the platform allows for the edition, validation, and search of archetypes, converts legacy data into normalized, archetypes extracts, is able to generate applications from archetypes and finally, transforms archetypes and data extracts into other EHR standards. We also include in this paper how ResearchEHR has made possible the application of the CEN/ISO 13606 standard in a real environment and the lessons learnt with this experience.
支持卫生专业人员和机构之间协作工作的最重要要求之一是能够以有意义的方式共享电子健康记录,并且广泛认为标准化数据和概念是实现任何领域语义互操作性的前提。不同的国际组织正在致力于定义电子健康记录架构,但缺乏实现这些架构的工具阻碍了它们的广泛采用。在本文中,我们介绍了 ResearchEHR,这是一个软件平台,其目标是促进电子健康记录标准的实际应用,以此实现所需的语义互操作性。该平台不仅适用于开发新系统,也适用于提高现有系统的标准化程度。本文所描述的工作说明了平台如何允许编辑、验证和搜索原型,将遗留数据转换为标准化的原型提取,能够从原型生成应用程序,最后将原型和数据提取转换为其他电子健康记录标准。我们还包括了 ResearchEHR 如何在实际环境中应用 CEN/ISO 13606 标准以及从该经验中学到的教训。