Visão Clínica Integrada: interoperabilidade em e-health
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2021-06-07
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Com o crescimento digital sentido nos últimos anos vemos a necessidade de adaptar rapidamente a área de saúde ao futuro. Isto porque, além de ser necessário uma digitalização/mecanização dos meios de trabalho e aplicações complexas para inserção e manipulação de dados clínicos e hospitalares, vê-se um grande crescimento ao nível de tratamento de dados para estatísticas gerais. É necessário preparar o software de maneira que o fluxo transacional entre entidades seja o mais fluído, transparente e seguro possível, para que as empresas possam comunicar entre si naturalmente, por via de serviços e/ou API. Para isso, devemos adotar políticas com recurso a standards comuns entre essas mesmas entidades. Neste estágio ao abrigo da Altran e dos Serviços Partilhados do Ministério da Saúde, o principal foco foi criar competências necessárias para integrar sistemas distribuídos na área da saúde. Numa breve introdução ao processo prático será necessária uma investigação aos standards atualmente utilizados, nomeadamente o HIE (Health Information Exchange), HL7 (Health Level 7) e EHR (Electronic Health Record). Com uma análise aprofundada aos mesmos, foi possível descortinar uma vasta biblioteca de conteúdos deles derivados, que nos permitem tratar objetos generalizados ao nível dos sistemas de saúde, assim como manter esses sistemas interoperáveis, com fluxos de comunicação integrados e funcionais. Ingressando na pragmática do tema e absorvendo os seus conteúdos teóricos, seguir-se-á a arquitetura duma solução de integração em microsserviços, de maneira a trabalhar cada componente para que, a troca de dados seja o mais transparente possível entre várias entidades garantindo, sobretudo, a interoperabilidade do ecossistema. Assim, o objetivo principal traduzirse-á pela elaboração de um documento que integre, no mínimo, os standards de HL7 com implementação em Java (FHIR) para consumo de serviços da API da SPMS, seguido pela criação do componente Patient Summary. Este será responsável por apresentar o sumário clínico e/ou hospitalar de todas as interações participadas de um determinado utente a nível europeu para que, doentes de diferentes nacionalidades e não incluídos no Sistema Nacional de Saúde, possam ter os seus registos na nossa plataforma.
With digital growth felt in past years, we need to quickly adapt health area to the future. This is because, in addition to be necessary to digitize and mechanize our work mechanism and designed software to insertion and manipulation of clinical and hospital data, we are seeing the greatest growth in level of data treatment for statistics. It is necessary to prepare the software, contributing to a transactional flow between entities as fluid, transparent and secure as possible. Like this, companies could communicate with each other naturally, through services and/or API. To this happen, we must adopt policies using commons standards between those same entities. At this internship under Altran and the Ministry of Health’s Shared Services, the focus will be to create the necessary skills to integrate distributed systems in health area. In a brief introduction to the practical process, will be necessary to investigate standards currently used, namely HIE (Health Information Exchange), HL7 (Health Level 7) and HER (Electronic Health Record). With a thorough analysis of them, it was possible to unveil a vast library of contents derived from them, which allow us to treat generalized objects in terms of health systems, as well as to maintain these same systems interoperable, with integrated and functional communication flows. Entering the pragmatics of the theme and absorbing its theoretical contents, the architecture of an integration solution in micro-services will follow, to dismember each component so that the data exchange is as transparent as possible between multiple entities, guaranteeing, above all, the interoperability of the ecosystem. Thus, the main goal will be translated by the elaboration of a document that integrates, at least, the standards of HL7 with implementation in Java (FHIR) for consumption of services in SPMS API, followed by the creation of Patient Summary component. This will be responsible for presenting the clinical and/or hospital summary of all the participant interactions at European level, so that patients of different nationalities and not included in National Health System, can have their records on our platform.
With digital growth felt in past years, we need to quickly adapt health area to the future. This is because, in addition to be necessary to digitize and mechanize our work mechanism and designed software to insertion and manipulation of clinical and hospital data, we are seeing the greatest growth in level of data treatment for statistics. It is necessary to prepare the software, contributing to a transactional flow between entities as fluid, transparent and secure as possible. Like this, companies could communicate with each other naturally, through services and/or API. To this happen, we must adopt policies using commons standards between those same entities. At this internship under Altran and the Ministry of Health’s Shared Services, the focus will be to create the necessary skills to integrate distributed systems in health area. In a brief introduction to the practical process, will be necessary to investigate standards currently used, namely HIE (Health Information Exchange), HL7 (Health Level 7) and HER (Electronic Health Record). With a thorough analysis of them, it was possible to unveil a vast library of contents derived from them, which allow us to treat generalized objects in terms of health systems, as well as to maintain these same systems interoperable, with integrated and functional communication flows. Entering the pragmatics of the theme and absorbing its theoretical contents, the architecture of an integration solution in micro-services will follow, to dismember each component so that the data exchange is as transparent as possible between multiple entities, guaranteeing, above all, the interoperability of the ecosystem. Thus, the main goal will be translated by the elaboration of a document that integrates, at least, the standards of HL7 with implementation in Java (FHIR) for consumption of services in SPMS API, followed by the creation of Patient Summary component. This will be responsible for presenting the clinical and/or hospital summary of all the participant interactions at European level, so that patients of different nationalities and not included in National Health System, can have their records on our platform.
Descrição
Relatório de Estágio do Mestrado em Engenharia Informática
Palavras-chave
saúde , Software