Blobel Bernd, Oemig Frank, Ruotsalainen Pekka, Lopez Diego M
Medical Faculty, University of Regensburg, Regensburg, Germany.
eHealth Competence Center Bavaria, Deggendorf Institute of Technology, Deggendorf, Germany.
Front Med (Lausanne). 2022 Mar 7;9:802487. doi: 10.3389/fmed.2022.802487. eCollection 2022.
For realizing pervasive and ubiquitous health and social care services in a safe and high quality as well as efficient and effective way, health and social care systems have to meet new organizational, methodological, and technological paradigms. The resulting ecosystems are highly complex, highly distributed, and highly dynamic, following inter-organizational and even international approaches. Even though based on international, but domain-specific models and standards, achieving interoperability between such systems integrating multiple domains managed by multiple disciplines and their individually skilled actors is cumbersome.
Using the abstract presentation of any system by the universal type theory as well as universal logics and combining the resulting Barendregt Cube with parameters and the engineering approach of cognitive theories, systems theory, and good modeling best practices, this study argues for a generic reference architecture model moderating between the different perspectives and disciplines involved provide on that system. To represent architectural elements consistently, an aligned system of ontologies is used.
The system-oriented, architecture-centric, and ontology-based generic reference model allows for re-engineering the existing and emerging knowledge representations, models, and standards, also considering the real-world business processes and the related development process of supporting IT systems for the sake of comprehensive systems integration and interoperability. The solution enables the analysis, design, and implementation of dynamic, interoperable multi-domain systems without requesting continuous revision of existing specifications.
为了以安全、高质量以及高效且有效的方式实现普及和无处不在的健康与社会护理服务，健康与社会护理系统必须适应新的组织、方法和技术范式。由此产生的生态系统高度复杂、高度分散且高度动态，遵循跨组织甚至国际方法。尽管基于国际但特定领域的模型和标准，但要在整合多个学科管理的多个领域及其各自熟练的参与者的此类系统之间实现互操作性却很麻烦。
本研究利用通用类型理论以及通用逻辑对任何系统进行抽象表示，并将由此产生的巴伦德雷格特立方体与参数以及认知理论、系统理论和良好建模最佳实践的工程方法相结合，主张建立一个通用参考架构模型，以协调涉及该系统的不同视角和学科。为了一致地表示架构元素，使用了一个对齐的本体系统。
面向系统、以架构为中心且基于本体的通用参考模型允许对现有和新兴的知识表示、模型和标准进行重新设计，同时考虑实际业务流程以及支持信息技术系统的相关开发过程，以实现全面的系统集成和互操作性。该解决方案能够分析、设计和实现动态、可互操作的多领域系统，而无需不断修订现有规范。
