Abstract
ObjectiveFor realizing pervasive and ubiquitous health and social care services in a safe and high quality as well as efficient and effective way, health and social care systems have to meet new organizational, methodological, and technological paradigms. The resulting ecosystems are highly complex, highly distributed, and highly dynamic, following inter-organizational and even international approaches. Even though based on international, but domain-specific models and standards, achieving interoperability between such systems integrating multiple domains managed by multiple disciplines and their individually skilled actors is cumbersome.MethodsUsing the abstract presentation of any system by the universal type theory as well as universal logics and combining the resulting Barendregt Cube with parameters and the engineering approach of cognitive theories, systems theory, and good modeling best practices, this study argues for a generic reference architecture model moderating between the different perspectives and disciplines involved provide on that system. To represent architectural elements consistently, an aligned system of ontologies is used.ResultsThe system-oriented, architecture-centric, and ontology-based generic reference model allows for re-engineering the existing and emerging knowledge representations, models, and standards, also considering the real-world business processes and the related development process of supporting IT systems for the sake of comprehensive systems integration and interoperability. The solution enables the analysis, design, and implementation of dynamic, interoperable multi-domain systems without requesting continuous revision of existing specifications.
Highlights
In the context of the ongoing transformations of health and social care systems to improve the safety and quality of patients’ care and population health as well as the efficiency and efficacy of care delivery services under the well-known constraints, appropriate organizational and methodological paradigm changes, supported by technological innovations, are inevitable [1].Regarding the organizational paradigm, there is a transition from organization-centric through disease-specific processcontrolled care to person-centric care
Formal logic has moved from its traditional disciplines of philosophy and mathematics to disciplines, such as computer science, cognitive science, artificial intelligence, linguistics, and several more. 25 years ago already, we developed a similar approach, not limited to information and communication technology (ICT) systems but appropriate for multidisciplinary health ecosystems, using universal type theory, originally introduced in the early years of the last century [39], and universal logics to represent any system in the universe
Collaboration is a challenge to meeting business objectives, and interoperability is a vital capability to achieving such collaboration
Summary
Individualization of the system according to status, context, needs, expectations, wishes, environments, etc., of the subject of care. The solution for meeting the described business objectives and challenges of the emerging health services paradigms and overcoming the aforementioned problems is the definition of a formally represented, system-oriented, ontology-based, policy-driven reference architecture model, and framework any component or domain-specific subsystem can adapt to. Such an approach allows for mapping different knowledge spaces, different representation styles, different maturity levels, etc., providing interoperability between and integration of different domains including different individual skills levels, and different specifications without prior revision, thereby clearly qualifying it against solely ICT-level interoperability and integration efforts.
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