Blobel Bernd, Ruotsalainen Pekka, Lopez Diego M, Oemig Frank
Medical Faculty, University of Regensburg, Germany.
School of Information Sciences, University of Tampere, Finland.
Stud Health Technol Inform. 2017;237:3-21.
Organizational, methodological and technological paradigm changes enable a precise, personalized, predictive, preventive and participative approach to health and social services supported by multiple actors from different domains at diverse level of knowledge and skills. Interoperability has to advance beyond Information and Communication Technologies (ICT) concerns, including the real world business domains and their processes, but also the individual context of all actors involved. The paper introduces and compares personalized health definitions, summarizes requirements and principles for pHealth systems, and considers intelligent interoperability. It addresses knowledge representation and harmonization, decision intelligence, and usability as crucial issues in pHealth. On this basis, a system-theoretical, ontology-based, policy-driven reference architecture model for open and intelligent pHealth ecosystems and its transformation into an appropriate ICT design and implementation is proposed.
组织、方法和技术范式的变革使得能够采用一种精确、个性化、预测性、预防性和参与性的方法来提供健康和社会服务，这一方法得到了来自不同领域、具有不同知识和技能水平的多个行为主体的支持。互操作性必须超越信息和通信技术（ICT）的范畴，涵盖现实世界的业务领域及其流程，以及所有相关行为主体的个人背景。本文介绍并比较了个性化健康的定义，总结了个人健康系统的要求和原则，并探讨了智能互操作性。它将知识表示与协调、决策智能和可用性视为个人健康中的关键问题。在此基础上，提出了一种基于系统理论、本体论和政策驱动的开放式智能个人健康生态系统参考架构模型，以及将其转化为适当的ICT设计和实施的方法。
