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基于HL7 RIM的普适电子健康应用中的个性化消息路由策略

Personalized Message Routing Policy in Pervasive eHealth Applications Based on HL7 RIM.

作者信息

Guizani Nachoua, Fayn Jocelyne

机构信息

SFR Santé Lyon-Est: eTechSanté, Université Lyon 1, INSERM US7, Lyon, France.

出版信息

Stud Health Technol Inform. 2015;211:265-70.

Abstract

The design of relevant message routing strategies that provide reliable communications between different healthcare actors is deemed among one of the most challenging requirements to enhance QoS in eHealth applications. In this paper, we propose a data and context-driven model that aims to support the design of personalized, intelligent and adaptive eHealth message routing policies. Our model is suitably complying with HL7 v3, an international standard for healthcare information exchange. In the proposed model, we highlight the sensitivity of routing services applications to message, source and target ecosystems contextual information. We point out the relevant HL7 Reference Information Model (RIM) elements that are related to our research objective which is to deliver the message to the right healthcare provider with respect to the required delays for message reception, reading and reply, according to the content of the message and to the clinical and social situation of the patient. Moreover, we include AmI to make the routing policy intelligently adaptive to context changes at run-time.

摘要

设计相关的消息路由策略以在不同医疗保健参与者之间提供可靠通信,被认为是提高电子健康应用程序中服务质量最具挑战性的要求之一。在本文中,我们提出了一种数据和上下文驱动的模型,旨在支持个性化、智能和自适应的电子健康消息路由策略的设计。我们的模型适当地符合HL7 v3,这是医疗保健信息交换的国际标准。在所提出的模型中,我们强调了路由服务应用程序对消息、源和目标生态系统上下文信息的敏感性。我们指出了与我们的研究目标相关的HL7参考信息模型(RIM)元素,即根据消息内容以及患者的临床和社会状况,在消息接收、读取和回复所需的延迟方面,将消息传递给合适的医疗保健提供者。此外,我们纳入了环境智能以使路由策略在运行时能够智能地适应上下文变化。

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