Application of the openEHR reference model for PGHD: A case study on the DH-Convener initiative

IF 3.7 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-11-02 DOI:10.1016/j.ijmedinf.2024.105686
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Abstract

Objectives

Patient-Generated Health Data (PGHD) is increasingly influential in therapy and diagnostic decisions. PGHD should be integrated into electronic health records (EHR) to maximize its utility. This study evaluates the openEHR Reference Model (RM) compatibility with the DH-Convener initiative’s modules (Data Collection Module and Data Connector Module) as a potential concept for standardizing PGHD across wearable health devices, focusing on achieving interoperability.

Materials and Methods

The study analyzes various types of PGHD, assessing the data formats and structures used by wearable tools. We evaluate openEHR RM specification with our initiative, DH-Convenor, focusing on PGHD semantic interoperability challenges. We evaluated current Archetypes and Templates that are now created and exist on openEHR Clinical Knowledge Management (CKM) and mapped them to our requirements. The DH-Convener modules are examined for their compatibility in standardizing PGHD integration into openEHR clinical workflows and compared with other existing standards for flexibility, scalability, and interoperability.

Results

The findings indicate that the diversity in data formats across wearable tools and openEHR shows strong potential as unifying data models based on the DH-Convener’s modules. It supports a wide range of PGHD types in existing archetypes and aligns well with our initiative’s requirements for storing PGHD, enabling more seamless integration into EHR systems.

Discussion

Integrating PGHD into EHR is crucial for personalized healthcare, but inconsistent device formats hinder interoperability. The DH-Convener leverages openEHR to provide a strong solution, though stakeholder collaboration remains essential. Our initiative demonstrates openEHR’s ability to ensure consistency, particularly in Europe.

Conclusion

We aligned the openEHR layers with the DH-Convener modules, demonstrating openEHR’s compatibility for storing PGHD and supporting interoperability goals, such as standardized storage and seamless data transfer to Austria’s national EHR. Future efforts should prioritize promoting these models and ensuring their adaptability to emerging wearable devices.
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将开放式电子病历参考模型应用于 PGHD:关于 DH-Convener 计划的案例研究
目的患者生成的健康数据 (PGHD) 对治疗和诊断决策的影响越来越大。应将 PGHD 整合到电子健康记录 (EHR) 中,以最大限度地发挥其效用。本研究评估了 openEHR 参考模型 (RM) 与 DH-Convener 计划模块(数据收集模块和数据连接器模块)的兼容性,将其作为实现可穿戴健康设备 PGHD 标准化的潜在概念,重点关注实现互操作性。我们评估了 openEHR RM 规范和我们的倡议 DH-Convenor,重点关注 PGHD 语义互操作性方面的挑战。我们评估了目前在 openEHR 临床知识管理 (CKM) 上创建和存在的原型和模板,并将其与我们的要求进行了映射。我们检查了 DH-Convener 模块在将 PGHD 标准化集成到 openEHR 临床工作流中的兼容性,并就灵活性、可扩展性和互操作性与其他现有标准进行了比较。结果研究结果表明,可穿戴工具和 openEHR 数据格式的多样性显示出基于 DH-Convener 模块的统一数据模型的强大潜力。它支持现有原型中广泛的 PGHD 类型,并与我们的倡议对存储 PGHD 的要求非常吻合,从而能够更无缝地集成到 EHR 系统中。讨论将 PGHD 集成到 EHR 中对个性化医疗保健至关重要,但不一致的设备格式阻碍了互操作性。DH-Convener 利用 openEHR 提供了一个强大的解决方案,但利益相关者的合作仍然至关重要。结论我们将 openEHR 层与 DH-Convener 模块进行了统一,证明 openEHR 在存储 PGHD 和支持互操作性目标(如标准化存储和将数据无缝传输到奥地利国家 EHR)方面具有兼容性。未来的工作应优先考虑推广这些模式,并确保它们能适应新兴的可穿戴设备。
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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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