Khan Wajahat Ali, Khattak Asad Masood, Hussain Maqbool, Amin Muhammad Bilal, Afzal Muhammad, Nugent Christopher, Lee Sungyoung
Department of Computer Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, Yongin-si, Gyeonggi-do, 446-701, Republic of Korea,
J Med Syst. 2014 Aug;38(8):28. doi: 10.1007/s10916-014-0028-y. Epub 2014 Jun 26.
Heterogeneity in the management of the complex medical data, obstructs the attainment of data level interoperability among Health Information Systems (HIS). This diversity is dependent on the compliance of HISs with different healthcare standards. Its solution demands a mediation system for the accurate interpretation of data in different heterogeneous formats for achieving data interoperability. We propose an adaptive AdapteR Interoperability ENgine mediation system called ARIEN, that arbitrates between HISs compliant to different healthcare standards for accurate and seamless information exchange to achieve data interoperability. ARIEN stores the semantic mapping information between different standards in the Mediation Bridge Ontology (MBO) using ontology matching techniques. These mappings are provided by our System for Parallel Heterogeneity (SPHeRe) matching system and Personalized-Detailed Clinical Model (P-DCM) approach to guarantee accuracy of mappings. The realization of the effectiveness of the mappings stored in the MBO is evaluation of the accuracy in transformation process among different standard formats. We evaluated our proposed system with the transformation process of medical records between Clinical Document Architecture (CDA) and Virtual Medical Record (vMR) standards. The transformation process achieved over 90 % of accuracy level in conversion process between CDA and vMR standards using pattern oriented approach from the MBO. The proposed mediation system improves the overall communication process between HISs. It provides an accurate and seamless medical information exchange to ensure data interoperability and timely healthcare services to patients.
复杂医学数据管理中的异质性阻碍了健康信息系统（HIS）之间数据层面的互操作性。这种多样性取决于HIS对不同医疗保健标准的遵循情况。其解决方案需要一个中介系统，用于准确解释不同异构格式的数据以实现数据互操作性。我们提出了一种名为ARIEN的自适应适配器互操作性引擎中介系统，它在符合不同医疗保健标准的HIS之间进行仲裁，以实现准确且无缝的信息交换，从而达成数据互操作性。ARIEN使用本体匹配技术在中介桥接本体（MBO）中存储不同标准之间的语义映射信息。这些映射由我们的并行异构系统（SPHeRe）匹配系统和个性化详细临床模型（P-DCM）方法提供，以确保映射的准确性。对存储在MBO中的映射有效性的实现是评估不同标准格式之间转换过程中的准确性。我们使用临床文档架构（CDA）和虚拟病历（vMR）标准之间的病历转换过程对我们提出的系统进行了评估。使用来自MBO的面向模式的方法，转换过程在CDA和vMR标准之间的转换过程中达到了90%以上的准确率。所提出的中介系统改善了HIS之间的整体通信过程。它提供了准确且无缝的医疗信息交换，以确保数据互操作性并为患者提供及时的医疗服务。
