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Methods Of Healthcare Delivery System01:26

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Principles and Standards for Designing and Managing Integrable and Interoperable Transformed Health Ecosystems.

Bernd Blobel1,2,3, Pekka Ruotsalainen4, Frank Oemig5

  • 1Medical Faculty, University of Regensburg, 93053 Regensburg, Germany.

Journal of Personalized Medicine
|November 25, 2023
PubMed
Summary
This summary is machine-generated.

The global health and social care sectors are transforming towards personalized, preventive, predictive, and participative precision (5P) medicine. This paper outlines standards and principles for designing integrated 5P medicine ecosystems, moving beyond data-centric to knowledge-centric approaches.

Keywords:
5P medicineecosystemintegrationinteroperabilityknowledge managementknowledge representationmodelingsystem architecture

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Area of Science:

  • Health Informatics
  • Digital Health
  • Systems Engineering

Background:

  • Global health and social care are undergoing radical transformation driven by technological advancements and evolving patient expectations.
  • The shift is towards ubiquitous personalized, preventive, predictive, and participative precision (5P) medicine.
  • Effective design and implementation of these advanced ecosystems require a comprehensive understanding of component structures, functions, and interrelations.

Purpose of the Study:

  • To summarize 15 years of engagement in the evolution of personalized health (pHealth) in Europe and beyond.
  • To discuss concepts, principles, and standards for designing, implementing, and managing 5P medicine ecosystems.
  • To present a knowledge-centric approach for integrating multi-domain health ecosystems, overcoming limitations of current data-centric methods.

Main Methods:

  • Review of foundational concepts and principles for 5P medicine ecosystem design.
  • Analysis of international standards, particularly ISO 23903:2021, for health ecosystem interoperability.
  • Exemplification of the approach through practical projects focusing on multi-domain integration and interoperability.

Main Results:

  • ISO 23903:2021 is identified as a core standard for representing and managing transformed health ecosystems.
  • The proposed approach facilitates comprehensive and consistent integration across domains, systems, actors, and standards.
  • Demonstration of practical solutions for interoperability and integration in multi-domain health settings.

Conclusions:

  • The presented knowledge-centric approach enables robust integration and interoperability in complex health ecosystems.
  • Adoption of international standards like ISO 23903:2021 is crucial for consistent and conformant health informatics processes.
  • This framework supports the transition from data-centric to more effective knowledge-centric health and social care solutions.