An Architecture for Semantically Interoperable Electronic Health Records

摘要：

　　Despite the increasing adhesion of electronic health records, the challenge of semantic interoperability remains unsolved. The fact that different parties can exchange messages does not mean they can understand the underlying clinical meaning, therefore, it cannot be assumed or treated as a requirement. This work introduces an architecture designed to achieve semantic interoperability, in a way which organizations that follow different policies may still share medical information through a common infrastructure comparable to an ecosystem, whose organisms are exemplified within the Brazilian scenario. Nonetheless, the proposed approach describes a service-oriented design with modules adaptable to different contexts. We also discuss the establishment of an enterprise service bus to mediate a health infrastructure defined on top of international standards, such as openEHR and IHE. Moreover, we argue that, in order to achieve truly semantic interoperability in a wide sense, a proper profile must be published and maintained.

关键词： Electronic Health Records Health Information Exchange Vocabulary,Controlled

作者: André Toffanello Ricardo Gon(c)alves Adriana Kitajima Ricardo Puttini Atualpa Aguiar

作者单位: Core Consulting,Brasília,Distrito Federal,Brazil Hospital Alem(a)o Oswaldo Cruz,S(a)o Paulo,S(a)o Paulo,Brazil

会议类型: 国际会议

会议名称: 第十六届世界医药健康信息学大会((MEDINFO2017)、第二届世界医药健康信息学华语论坛(WCHIS 2017)、第15届全国医药信息学大会(CMIA 2017)

会议地点: 苏州

会议语种:英文

页码: 235-239

在线出版日期: 2017-08-21（万方平台首次上网日期，不代表论文的发表时间）