IHE based Interoperability - Benefits and Challenges

Q3 Health Professions Studies in Health Technology and Informatics Pub Date : 2008-01-01 DOI:10.3233/978-1-58603-864-9-771

F. Wozak, E. Ammenwerth, A. Hörbst, P. Sögner, Richard Mair, T. Schabetsberger

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引用次数: 18

Abstract

INTRODUCTION Optimized workflows and communication between institutions involved in a patient's treatment process can lead to improved quality and efficiency in the healthcare sector. Electronic Health Records (EHRs) provide a patient-centered access to clinical data across institutional boundaries supporting the above mentioned aspects. Interoperability is regarded as vital success factor. However a clear definition of interoperability does not exist. The aim of this work is to define and to assess interoperability criteria as required for EHRs. METHODS The definition and assessment of interoperability criteria is supported by the analysis of existing literature and personal experience as well as by discussions with several domain experts. RESULTS Criteria for interoperability addresses the following aspects: Interfaces, Semantics, Legal and organizational aspects and Security. The Integrating the Healthcare Enterprises initiative (IHE) profiles make a major contribution to these aspects, but they also arise new problems. Flexibility for adoption to different organizational/regional or other specific conditions is missing. Regional or national initiatives should get a possibility to realize their specific needs within the boundaries of IHE profiles. Security so far is an optional element which is one of IHE greatest omissions. An integrated security approach seems to be preferable. DISCUSSION Irrespective of the so far practical significance of the IHE profiles it appears to be of great importance, that the profiles are constantly checked against practical experiences and are continuously adapted.

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基于IHE的互操作性——好处和挑战

参与患者治疗过程的机构之间优化的工作流程和沟通可以提高医疗保健部门的质量和效率。电子健康记录(Electronic Health Records, EHRs)提供以患者为中心的跨机构边界的临床数据访问，支持上述方面。互操作性被认为是至关重要的成功因素。然而，互操作性的明确定义并不存在。这项工作的目的是定义和评估电子病历所需的互操作性标准。方法通过对现有文献和个人经验的分析以及与几位领域专家的讨论，支持互操作性标准的定义和评估。结果互操作性的标准涉及以下方面:接口、语义、法律和组织方面以及安全性。整合医疗保健企业计划(IHE)概要文件在这些方面做出了重大贡献，但它们也产生了新的问题。缺乏对不同组织/地区或其他特定条件采用的灵活性。区域或国家倡议应该有可能在IHE概况的范围内实现其具体需求。到目前为止，安全性是一个可选的元素，这是他最大的遗漏之一。综合安全方法似乎更可取。讨论:不管到目前为止IHE概要的实际意义如何，似乎非常重要的是，概要要不断地根据实际经验进行检查，并不断地进行调整。

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来源期刊

Studies in Health Technology and Informatics Health Professions-Health Information Management

CiteScore

1.20

自引率

0.00%

发文量

1463

期刊介绍： This book series was started in 1990 to promote research conducted under the auspices of the EC programmes’ Advanced Informatics in Medicine (AIM) and Biomedical and Health Research (BHR) bioengineering branch. A driving aspect of international health informatics is that telecommunication technology, rehabilitative technology, intelligent home technology and many other components are moving together and form one integrated world of information and communication media.