Exchanging personal health data with electronic health records: A standardized information model for patient generated health data and observations of daily living
Exchanging personal health data with electronic health records: A standardized information model for patient generated health data and observations of daily living
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DOI：
10.1016/j.ijmedinf.2018.10.006
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发表时间：
2018-12-01
影响因子：
4.9
通讯作者：
O'Sullivan, Dympna
中科院分区：
文献类型：
--
作者：
Plastiras, Panagiotis;O'Sullivan, Dympna
目的：一个中间件信息模型的发展，以促进更好的个人和电子健康记录系统之间的互操作性，以允许交换患者生成的健康数据和观察患者和供应商之间的日常离开，以鼓励患者自我management.Materials和方法：HL7标准的互操作性的基础上的信息模型已扩展到支持PGHD和ODL数据类型。新的信息模型使用HL7 CDA来表示数据，被实例化为Protege本体，并使用一组映射规则来传输个人和电子健康记录systems.Results之间的数据：信息模型进行了评估，通过执行一组用例场景，其中包含从三个消费者健康应用程序导出的数据，根据开发的映射规则转换为CDA，并对CDA模式进行验证。这允许出现各种挑战，以及在使用中的当前标准和信息模型已被细化相应的差距。讨论和结论：我们提出的中间件解决方案提供了一些优势。当对个人或健康电子健康记录系统或任何集成的消费者应用程序进行修改时，可以通过仅更改信息模型的实例化来合并它们。我们的建议使用当前使用的标准，如CDA。该解决方案适用于任何具有HL7 CDA支持的EHR系统。
Objective: The development of a middleware information model to facilitate better interoperability between Personal and Electronic Health Record systems in order to allow exchange of Patient Generated Health Data and Observations of Daily Leaving between patients and providers in order to encourage patient self-management.Materials and methods: An information model based on HL7 standards for interoperability has been extended to support PGHD and ODL data types. The new information models uses HL7 CDA to represent data, is instantiated as a Protege ontology and uses a set of mapping rules to transfer data between Personal and Electronic Health Record systems.Results: The information model was evaluated by executing a set of use case scenarios containing data exported from three consumer health apps, transformed to CDA according to developed mapping rules and validated against a CDA schema. This allowed various challenges to emerge as well as revealed gaps in current standards in use and the information model has been refined accordingly.Discussion and conclusion: Our proposed middleware solution offers a number of advantages. When modifications are made to either a Personal or Health Electronic Health Record system or any integrated consumer app, they can be incorporated by altering only the instantiation of the information model. Our proposition uses current standards in use such as CDA. The solution is applicable to any EHR system with HL7 CDA support.