Wagholikar Kavishwar B, Ainsworth Layne, Vernekar Vishal P, Pathak Ameet, Glynn Corey, Zelle David, Zagade Akshay, Karipineni Neelima, Herrick Christopher D, McPartlin Marian, Bui Tiffany V, Mendis Mike, Klann Jeffery, Oates Michael, Gordon William, Cannon Christopher, Patel Rahul, Aronson Samuel J, MacRae Calum A, Scirica Benjamin M, Murphy Shawn N
Harvard Medical School, Boston, MA.
Massachusetts General Hospital, Boston, MA.
AMIA Jt Summits Transl Sci Proc. 2019 May 6;2019:370-378. eCollection 2019.
The wide gap between a care provider's conceptualization of electronic health record (EHR) and the structures for electronic health record (EHR) data storage and transmission, presents a multitude of obstacles for development of innovative Health IT applications. While developers model the EHR view of the clinicians at one end, they work with a different data view to construct health IT applications. Although there has been considerable progress to bridge this gap by evolution of developer friendly standards and tools for terminology mapping and data warehousing, there is a need for a simplified framework to facilitate development of interoperable applications. To this end, we propose a framework for creating a layer of semantic abstraction on the EHR and describe preliminary work on the implementation of this framework for management of hyperlipidemia and hypertension. Our goal is to facilitate the rapid development and portability of Health IT applications.
医疗服务提供者对电子健康记录（EHR）的概念化与电子健康记录（EHR）数据存储和传输结构之间的巨大差距，为创新的健康信息技术应用开发带来了诸多障碍。开发者一端按照临床医生对电子健康记录的视图进行建模，而另一端他们却要使用不同的数据视图来构建健康信息技术应用。尽管通过开发对开发者友好的术语映射和数据仓库标准及工具，在弥合这一差距方面已取得了相当大的进展，但仍需要一个简化框架来促进可互操作应用的开发。为此，我们提出了一个在电子健康记录上创建语义抽象层的框架，并描述了该框架在高脂血症和高血压管理实施方面的初步工作。我们的目标是促进健康信息技术应用的快速开发和可移植性。
