journal of biomedical informatics
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Standardization on for Mastering Healthcare Transformation on - Challenges and Solutions

Author(s): Bernd Blobel*

Background: The ongoing healthcare transformation results in systems medicine and personalized care. This requires advanced interoperability scenarios.

Objectives: The paper aims at introducing a reference architecture model to enable the harmonization of existing and future specifications and standards.

Methods: For enabling the harmonization of standards and specifications, they have to be correctly and formally represented using a system-theoretical, architecture-centric, ontology-based, policy-driven approach.

Results: An Interoperability Reference Architecture Model has been developed and standardized at ISO TC 215 and CEN TC 251. It is used for re-engineering specifications and standards, that way enabling harmonization with any other specification. The proposed modeling methodology has also been introduced in several HL7 specifications. It is demonstrated by re-engineering the ISO 13606 reference model.

Conclusion: The approach presented in the paper off ers a solution for comprehensive interoperability at any interoperability level also including user domains and the individual user. That way, never-ending revision cycles and negotiation rounds for integrating diff erent specifications in complex eHealth solutions become obsolete.