Beštek Mate, Stanimirović Dalibor
Mate Beštek, National Institute of Public Health,Trubarjeva 2 1000 Ljubljana, Slovenia, IT University of Copenhagen, Email
Appl Clin Inform. 2017 Aug 9;8(3):810-825. doi: 10.4338/ACI-2017-01-RA-0011.
The main aims of the paper comprise the characterization and examination of the potential approaches regarding interoperability. This includes openEHR, SNOMED, IHE, and Continua as combined interoperability approaches, possibilities for their incorporation into the eHealth environment, and identification of the main success factors in the field, which are necessary for achieving required interoperability, and consequently, for the successful implementation of eHealth projects in general.
The paper represents an in-depth analysis regarding the potential application of openEHR, SNOMED, IHE and Continua approaches in the development and implementation process of eHealth in Slovenia. The research method used is both exploratory and deductive in nature. The methodological framework is grounded on information retrieval with a special focus on research and charting of existing experience in the field, and sources, both electronic and written, which include interoperability concepts and related implementation issues.
The paper will try to answer the following inquiries that are complementing each other: 1. Scrutiny of the potential approaches, which could alleviate the pertinent interoperability issues in the Slovenian eHealth context. 2. Analyzing the possibilities (requirements) for their inclusion in the construction process for individual eHealth solutions. 3. Identification and charting the main success factors in the interoperability field that critically influence development and implementation of eHealth projects in an efficient manner.
Provided insights and identified success factors could serve as a constituent of the strategic starting points for continuous integration of interoperability principles into the healthcare domain. Moreover, the general implementation of the identified success factors could facilitate better penetration of ICT into the healthcare environment and enable the eHealth-based transformation of the health system especially in the countries which are still in an early phase of eHealth planning and development and are often confronted with differing interests, requirements, and contending strategies.
本文的主要目的包括对互操作性潜在方法的特征描述与审视。这包括将openEHR、SNOMED、IHE和Continua作为联合互操作性方法，探讨将它们纳入电子健康环境的可能性，以及确定该领域的主要成功因素，这些因素对于实现所需的互操作性至关重要，进而对于总体上成功实施电子健康项目也是必要的。
本文对openEHR、SNOMED、IHE和Continua方法在斯洛文尼亚电子健康发展和实施过程中的潜在应用进行了深入分析。所采用的研究方法本质上兼具探索性和演绎性。方法框架基于信息检索，特别关注该领域现有经验的研究与梳理，以及包括互操作性概念和相关实施问题在内的电子和书面资料来源。
本文将尝试回答以下相互补充的问题：1. 审视可能缓解斯洛文尼亚电子健康背景下相关互操作性问题的潜在方法。2. 分析将它们纳入各个电子健康解决方案构建过程的可能性（要求）。3. 识别并梳理互操作性领域中对高效开展电子健康项目的开发与实施有重大影响的主要成功因素。
所提供的见解和确定的成功因素可作为将互操作性原则持续整合到医疗领域的战略起点的组成部分。此外，确定的成功因素的普遍实施可促进信息通信技术更好地渗透到医疗环境中，并使基于电子健康的卫生系统转型成为可能，特别是在那些仍处于电子健康规划和发展早期阶段、经常面临不同利益、要求和相互竞争战略的国家。
