Resumo

CASTRILLON-BETANCUR, Juan Camilo  e  FLOREZ-ARANGO, José Fernando. Archetypes, terminologies and semantic interoperability in health. Rev Cubana Invest Bioméd [online]. 2015, vol.34, n.4, pp. 365-377. ISSN 1561-3011.

The lack of application of standards has a negative effect on the quality of health service provision which is shown in the high percentage of preventable medical errors that are caused by lack of immediate access to health information. That is the reason why it is necessary today to move towards distributed and interconnected systems favoring representation and communication of electronic health record systems so that they allow interoperability. This is the moment when the dual model architecture emerges as a solution to the clasic problems of evolution and maintenance of the information systems and consequently, as a milestone to reach the so called semantic interoperability. Interoperability is the key to effective care in health since it increases the quality of care, reduces costs and improves services. All the above-mentioned brings more efficient and safer care. The present literature review was aimed at describing the most important elements to express clinical information such as terminologies to coding information, a reference model to express the general characteristics of the clinical register components and those of archetypes that define the present clinical concepts. All of them are indispensable elements to reach interoperability.

Palavras-chave : electronic clinical history; archetypes; terminologies; semantic interoperability.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )