Pazos Gutiérrez Pablo
openEHR en Español, Asociación Chilena de Informática en Salud, CaboLabs.
Stud Health Technol Inform. 2015;216:45-9.
Healthcare Information Systems are a big business. Currently there is an explosion of EHR/EMR products available on the market, and the best tools are really expensive. Many developing countries and healthcare providers cannot access such tools, and for those who can, there is not a clear strategy for the evolution, scaling, and cost of these electronic health products. The lack of standard-based implementations conduct to the creation of isolated information silos that cannot be exploited (i.e. shared between providers to promote a holistic view of each patient's medical history). This paper exposes the main elements behind a Standard-based Open Source EHR Platform that is future-proof and allows to evolve and scale with minimal cost. The proposed EHR Architecture is based on openEHR specifications, adding elements emerged from research and development experiences, leading to a design that can be implemented in any modern technology. Different implementations will be interoperable by design. This Platform will leverage contexts of scarce resources, reusing clinical knowledge, a common set of software components and services.
医疗保健信息系统是一项庞大的业务。目前市场上有大量的电子健康记录/电子病历（EHR/EMR）产品，而且最好的工具非常昂贵。许多发展中国家和医疗保健提供者无法使用这些工具，而对于那些能够使用的人来说，对于这些电子健康产品的演进、扩展和成本并没有明确的策略。缺乏基于标准的实施导致了孤立信息孤岛的形成，这些信息孤岛无法被利用（即提供者之间无法共享以促进对每个患者病史的整体了解）。本文阐述了一个基于标准的开源电子健康记录平台背后的主要要素，该平台具有前瞻性，能够以最小的成本进行演进和扩展。所提出的电子健康记录架构基于openEHR规范，并添加了从研发经验中得出的要素，从而形成一种可以在任何现代技术中实现的设计。不同的实现将通过设计实现互操作性。该平台将利用资源稀缺的环境，重用临床知识、一组通用的软件组件和服务。
