构建健康社会决定因素语义模型，提升跨系统医疗数据互通能力
CSSDH: An Ontology for Social Determinants of Health to Operational Continuity of Care Data Interoperability
- 融合国际标准与世卫框架，建立统一健康数据语义模型
- 解决医疗系统间编码差异问题，支持连续性照护数据共享
- 适合医疗信息化、数据互通研究者参考
数字平台兴起推动居家医疗解决方案发展，使个体能实时监测健康并共享信息。但高效管理照护计划不仅需分析医院摘要和电子健康记录（EHR），还需纳入个体需求及社会决定因素，如居住条件、跨机构医疗信息流转等。当前复杂医疗网络面临结构多样性（如EHR、个人健康记录）与术语多样性（如ICD、SNOMED-CT）挑战。实现系统间互操作至关重要，欧洲互操作性框架（EIF）强调以患者为中心的数据访问与控制。本文提出集成语义模型CSSDH，结合ISO/DIS 13940:2024 ContSys与世卫组织社会决定因素框架，旨在实现连续性照护网络中的互操作性。
原文摘要 · Abstract (English)
The rise of digital platforms has led to an increasing reliance on technology-driven, home-based healthcare solutions, enabling individuals to monitor their health and share information with healthcare professionals as needed. However, creating an efficient care plan management system requires more than just analyzing hospital summaries and Electronic Health Records (EHRs). Factors such as individual user needs and social determinants of health, including living conditions and the flow of healthcare information between different settings, must also be considered. Challenges in this complex healthcare network involve schema diversity (in EHRs, personal health records, etc.) and terminology diversity (e.g., ICD, SNOMED-CT) across ancillary healthcare operations. Establishing interoperability among various systems and applications is crucial, with the European Interoperability Framework (EIF) emphasizing the need for patient-centric access and control of healthcare data. In this paper, we propose an integrated ontological model, the Common Semantic Data Model for Social Determinants of Health (CSSDH), by combining ISO/DIS 13940:2024 ContSys with WHO Social Determinants of Health. CSSDH aims to achieve interoperability within the Continuity of Care Network.
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