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Information models related to electronic health records have proliferated in the last two decades and many of these have made significant contributions within the standardisation domain. However, the virtually separate development of these complex specifications has resulted in unique characteristics that make the desirable objective of interoperability so challenging. Furthermore, the inherent complexity of these record specifications makes it difficult for would-be adopters to easily understand or to position these information products with respect to the wider landscape. Paradoxically, these specifications have an unintentional side effect of inhibiting take-up and implementation of the very artefacts they describe and promote.
Given the considerable investment in time and effort expended in developing these models, there is an understandable reluctance to simply, and perhaps prematurely re-engineer the models. Initiatives that follow publication therefore attempt to harmonise the differing artefacts via implementation guides and object mappings. Whereas these are welcome and add value to the implementor, it is also true that they tend to further complicate matters and the proffered solutions become more complex and convoluted. These attempts may in effect defeat the simplicity and purity of the original design, confounding the implementors and making the implementations less efficient. The resource and expertise required to complete these guides and mappings is also a scarce one and consequently the time to market is slow and measured in years. The impact of the completed guide is diminished.
Other standardisation initiatives in this area offer orthogonal framings of the electronic health record. For example, whereas 13606 and CDA have focussed upon architecture, the more recent functional model is a specification that readily complements an essentially structural representation. Further initiatives that relate to requirements, types,
[...]
Reģistrācijas numurs (WIID)
35365
Darbības sfēra
Information models related to electronic health records have proliferated in the last two decades and many of these have made significant contributions within the standardisation domain. However, the virtually separate development of these complex specifications has resulted in unique characteristics that make the desirable objective of interoperability so challenging. Furthermore, the inherent complexity of these record specifications makes it difficult for would-be adopters to easily understand or to position these information products with respect to the wider landscape. Paradoxically, these specifications have an unintentional side effect of inhibiting take-up and implementation of the very artefacts they describe and promote.
Given the considerable investment in time and effort expended in developing these models, there is an understandable reluctance to simply, and perhaps prematurely re-engineer the models. Initiatives that follow publication therefore attempt to harmonise the differing artefacts via implementation guides and object mappings. Whereas these are welcome and add value to the implementor, it is also true that they tend to further complicate matters and the proffered solutions become more complex and convoluted. These attempts may in effect defeat the simplicity and purity of the original design, confounding the implementors and making the implementations less efficient. The resource and expertise required to complete these guides and mappings is also a scarce one and consequently the time to market is slow and measured in years. The impact of the completed guide is diminished.
Other standardisation initiatives in this area offer orthogonal framings of the electronic health record. For example, whereas 13606 and CDA have focussed upon architecture, the more recent functional model is a specification that readily complements an essentially structural representation. Further initiatives that relate to requirements, types,
[...]
