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引用次数: 6

摘要

电子健康记录(EHRs)的多样性使互操作性成为医疗保健领域的全球趋势,这是巴西卫生部最关心的问题。特别是,语义互操作性受到特别关注,因为它确保不同的卫生信息系统对交换的信息做出相同的解释。尽管已经编写了一些支持互操作性的标准(例如HL7和IHE),但实现语义上的互操作性仍然是一个挑战。在这种情况下,本文通过结合不同的健康标准(OpenEHR、IHE和HL7),向支持无缝语义互操作性迈出了一步。它描述了一个软件体系结构,说明了不同的健康标准在语义互操作性环境中的作用。此外,它还介绍了一个旨在支持临床文件的语义验证的过程。最后,它记录了几个发现,例如结合使用OpenEHR和IHE配置文件的好处。
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Towards a semantic interoperability environment
The variety of Electronic Health Records (EHRs) makes interoperability a global trend in healthcare, which is of a paramount interest to the Brazilian Ministry of Health. In particular, semantic interoperability receives a special attention since it ensures that different health information systems make the same interpretation of the exchanged information. Although several standards have been documented to support interoperability (e.g. HL7 and IHE), achieving the semantic one is still a challenge. In this context, this paper represents a step towards supporting seamless semantic interoperability by combining different health standards (OpenEHR, IHE and HL7). It describes a software architecture that illustrates the role of different health standards in a semantic interoperability environment. Moreover, it introduces a process aiming at supporting the sematic validation of clinical documents. Finally, it documents several findings, such as benefits of the combined use of OpenEHR and IHE profiles.
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