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采用快速医疗互操作性资源(Fast Healthcare Interoperability Resources,FHIR)进行肌肉骨骼疾病(Musculoskeletal Disorder,MSD)健康数据采集、个性化管理和交换。

Musculoskeletal Disorder (MSD) Health Data Collection, Personalized Management and Exchange Using Fast Healthcare Interoperability Resources (FHIR).

机构信息

Centre of Technology and Systems (UNINOVA-CTS) and Associated Lab of Intelligent Systems (LASI), 2829-516 Caparica, Portugal.

Department of Electrical and Computer Engineering, NOVA School of Science and Technology, NOVA University Lisbon, 2829-516 Caparica, Portugal.

出版信息

Sensors (Basel). 2024 Aug 10;24(16):5175. doi: 10.3390/s24165175.

Abstract

With the proliferation and growing complexity of healthcare systems emerges the challenge of implementing scalable and interoperable solutions to seamlessly integrate heterogenous data from sources such as wearables, electronic health records, and patient reports that can provide a comprehensive and personalized view of the patient's health. Lack of standardization hinders the coordination between systems and stakeholders, impacting continuity of care and patient outcomes. Common musculoskeletal conditions affect people of all ages and can have a significant impact on quality of life. With physical activity and rehabilitation, these conditions can be mitigated, promoting recovery and preventing recurrence. Proper management of patient data allows for clinical decision support, facilitating personalized interventions and a patient-centered approach. Fast Healthcare Interoperability Resources (FHIR) is a widely adopted standard that defines healthcare concepts with the objective of easing information exchange and enabling interoperability throughout the healthcare sector, reducing implementation complexity without losing information integrity. This article explores the literature that reviews the contemporary role of FHIR, approaching its functioning, benefits, and challenges, and presents a methodology for structuring several types of health and wellbeing data, that can be routinely collected as observations and then encapsulated in FHIR resources, to ensure interoperability across systems. These were developed considering health industry standard guidelines, technological specifications, and using the experience gained from the implementation in various study cases, within European health-related research projects, to assess its effectiveness in the exchange of patient data in existing healthcare systems towards improving musculoskeletal disorders (MSDs).

摘要

随着医疗保健系统的普及和日益复杂化,需要实施可扩展和互操作的解决方案,以便无缝集成来自可穿戴设备、电子健康记录和患者报告等各种来源的异构数据,从而提供患者健康的全面和个性化视图。缺乏标准化会阻碍系统和利益相关者之间的协调,影响护理的连续性和患者的结果。常见的肌肉骨骼疾病影响各个年龄段的人,会对生活质量产生重大影响。通过体育活动和康复,可以减轻这些疾病,促进康复和预防复发。妥善管理患者数据可实现临床决策支持,有助于实施个性化干预和以患者为中心的方法。Fast Healthcare Interoperability Resources (FHIR) 是一个广泛采用的标准,它定义了医疗保健概念,旨在简化信息交换并实现整个医疗保健部门的互操作性,同时降低实施的复杂性而不失信息的完整性。本文探讨了 FHIR 的当代作用的文献,探讨了其功能、优点和挑战,并提出了一种用于构建几种类型的健康和幸福数据的方法,这些数据可以作为观察结果常规收集,然后封装在 FHIR 资源中,以确保在系统之间的互操作性。这些方法是在考虑健康行业标准指南、技术规范的基础上,并利用在各种欧洲健康相关研究项目中实施所获得的经验开发的,以评估其在现有医疗保健系统中交换患者数据以改善肌肉骨骼疾病 (MSD) 的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0575/11360422/aa608717c7b3/sensors-24-05175-g001.jpg

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