지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 286 - 292 (7page)
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초록· 키워드
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Objectives: The objective is to introduce ‘clinical archetype’ which is a formal and agreed way of representing clinical information to ensure interoperability across and within Electronic Health Records (EHRs). The paper also aims at presenting the challenges building quality labeled clinical archetypes and the challenges towards achieving semantic interoperability between EHRs. Methods: Twenty years of international research, various European healthcare informatics projects and the pioneering work of the openEHR Foundation have led to the following results. Results: The requirements for EHR information architectures have been consolidated within ISO 18308 and adopted within the ISO 13606 EHR interoperability standard. However, a generic EHR architecture cannot ensure that the clinical meaning of information from heterogeneous sources can be reliably interpreted by receiving systems and services. Therefore, clinical models called ‘clinical archetypes’ are required to formalize the representation of clinical information within the EHR. Part 2 of ISO 13606 defines how archetypes should be formally represented. The current challenge is to grow clinical communities to build a library of clinical archetypes and to identify how evidence of best practice and multi-professional clinical consensus should best be combined to define archetypes at the optimal level of granularity and specificity and quality label them for wide adoption. Standardizing clinical terms within EHRs using clinical terminology like Systematized Nomenclature of Medicine Clinical Terms is also a challenge. Conclusions: Clinical archetypes would play an important role in achieving semantic interoperability within EHRs. Attempts are being made in exploring the design and adoption challenges for clinical archetypes.
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참고문헌 (22)
참고문헌 신청
/ / SemanticHealthNet / SemanticHealthNet
/ / openEHR
Audit Commission for Local Authorities and the National Health Service in England and Wales / 2001 / A spoonful of sugar: medicines management in NHS hospitals / Audit Commission
Bates DW / 2000 / Using information technology to reduce rates of medication errors in hospitals / BMJ 320 (7237) : 788 ~ 791
Hammond WE / 1998 / Managing healthcare: a view of tomorrow / Stud Health Technol Inform 52 (Pt 1) : 26 ~ 30
/ / openEHR
Audit Commission for Local Authorities and the National Health Service in England and Wales / 2001 / A spoonful of sugar: medicines management in NHS hospitals / Audit Commission
Bates DW / 2000 / Using information technology to reduce rates of medication errors in hospitals / BMJ 320 (7237) : 788 ~ 791
Hammond WE / 1998 / Managing healthcare: a view of tomorrow / Stud Health Technol Inform 52 (Pt 1) : 26 ~ 30
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