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This paper outlines requirements for designing and managing transformed health ecosystems, referencing P5 medicine. It details systems theory, knowledge management, and modeling to introduce the ISO 23903 reference architecture.

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Area of Science:

  • Health Informatics
  • Systems Engineering
  • Knowledge Management

Background:

  • The healthcare landscape is transforming towards P5 medicine (Predictive, Personalized, Preventive, Participatory, Population-based).
  • Effective design and management of these transformed health ecosystems require robust frameworks.
  • Existing approaches may not fully address the complexities of integrated health systems.

Purpose of the Study:

  • To define requirements for designing and managing transformed health ecosystems.
  • To explore foundational concepts from systems theory, knowledge representation, and system development.
  • To introduce and evaluate the ISO 23903 reference architecture.

Main Methods:

  • Review of systems theory, knowledge representation, and management principles.
  • Analysis of system development processes and formal modeling techniques.
  • Introduction and comparative analysis of the ISO 23903 reference architecture.

Main Results:

  • Detailed consideration of theoretical underpinnings for health ecosystem design.
  • Identification of key requirements for managing complex, transformed health systems.
  • Introduction of the ISO 23903 as a potential reference architecture.

Conclusions:

  • The ISO 23903 reference architecture offers a structured approach to health ecosystem design.
  • Formal modeling and systems theory provide essential foundations for P5 medicine implementation.
  • Further research and adoption of standards like ISO 23903 are crucial for advancing transformed health ecosystems.