电子健康记录的范围审查 互操作性水平,期望,方法和问题
Raghid El-Yafouri1, Leslie Klieb2,3
1Fanooce LLC, Palm Harbor, FL, USA.
Health informatics journal
|October 24, 2025
概括
实现电子健康记录 (EHR) 互操作性需要关注语义意义,而不仅仅是系统集成. 优先考虑健康记录状态而不是全系统连接可以加速进展.
科学领域:
- 医疗信息学 医疗信息学
- 计算机科学 计算机科学
背景情况:
- 电子健康记录 (EHR) 系统在实现互操作性方面面临重大挑战.
- 现有的方法还没有为无数据交换提供最终解决方案.
研究的目的:
- 审查当前的EHR互操作性期望,实践和挑战.
- 为了利用概念互操作性模型 (LCIM) 的层次来获得洞察力.
- 提出加速电子健康系统互操作性的方法.
主要方法:
- 从2014年到2023年,对24篇出版物的范围审查.
- 与LCIM框架相比,分析了EHR互操作性水平.
- 识别EHR互操作性的常见和新兴方法.
主要成果:
- 在EHR中存在四个互操作性级别 (技术,语法,语义,过程/组织),而在LCIM中只有七个.
- 语义互操作性,保护数据的意义,是由于复杂的期望而面临的关键挑战.
- 对数据结构,术语和本体学的标准缺乏共识,阻碍了进步.
结论:
- 标准化数据结构对于有用的EHR互操作性是不必要的.
- 专注于健康记录状态,而不是完全的系统集成,可以加快互操作性.
- 像人工智能和监管指导这样的新兴技术对未来的进步至关重要.
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