Process interoperability in healthcare systems with dynamic semantic web services

摘要

Healthcare systems are very complex due to extreme heterogeneity in their data and processes. Researchers and practitioner need to make systems interoperable and integrate for the benefit of all the stakeholders including hospitals, clinicians, medical support staff, and patients. The broader goal of interoperability can only be achieved when standards are practiced.Two different healthcare systems can earn HL7 conformance and compliance but at the same time can be incompatible for interoperability because of varying implementation of HL7 interaction model. This is mainly because workflows in healthcare systems are very complex. Interoperability on one hand requires flexible mechanism for the mapping of business processes to a standard, HL7 in our example. On the other hand it requires deeper understanding of the standard interaction model and gaps created by their incompatible implementations. In this paper we propose a novel technique of dynamically creating semantic web services as overlay on top of the existing services. We used Web Service Modeling Framework as an underlying architecture for HL7 process artifacts implementation as semantic web services. These semantic services are mapped to our proposed interaction ontology. Integrated reasoning mechanism provides necessary execution semantics for more effective and seamless end-to-end communication.The prototype we tested on different processes from the laboratory domain at a local diagnostic laboratory with uninterrupted process flow. The scenario of Result Query Placer interaction flow and its associated process artifacts are executed for the proof of concept.The proposed solution complements the existing data interoperability in HL7 and leads to semantic process interoperability. The achievement of semantic interoperability results in timely delivery of healthcare services to patients saving precious lives.