@文章{信息:doi/10.2196/40344，作者="Frid, Santiago和Fuentes Exp{\'o}sito, Maria Angeles和Grau-Corral, Inmaculada和Amat-Fernandez, Clara和Mu{\ \ {n}}oz Mateu, Montserrat和Pastor Duran, Xavier和Lozano-Rub{\'i}， Raimundo"，标题=" EN/ISO 13606-从患者移动应用程序的标准化摘录成功集成到电子健康记录:， journal="JMIR Med Inform"， year="2022"， month="Oct"， day="12"， volume="10"， number="10"， pages="e40344"， keywords="health information interoperability ";手机应用程序;卫生信息标准;人工智能;电子健康记录;背景:越来越需要将患者生成的健康数据(PGHD)集成到健康信息系统(HISs)中。使用基于双重模型的健康信息标准可以实现系统之间的语义互操作性。虽然有证据表明，在移动应用程序和电子健康记录(EHRs)之间使用可替代医疗应用程序和可重用技术的快速医疗互操作性资源(SMART on FHIR)框架进行标准化通信，但尚未探索使用欧洲规范/国际标准化组织(EN/ISO) 13606，尽管在临床知识的建模和正式化方面比FHIR有一些优势。以及创造新概念的灵活性。 Objective: This study aims to design and implement a methodology based on the dual-model paradigm to communicate clinical information between a patient mobile app (Xemio Research) and an institutional ontology-based clinical repository (OntoCR) without loss of meaning. Methods: This paper is framed within Artificial intelligence Supporting CAncer Patients across Europe (ASCAPE), a project that aims to use artificial intelligence (AI)/machine learning (ML) mechanisms to support cancer patients' health status and quality of life (QoL). First, the variables ``side effect'' and ``daily steps'' were defined and represented with EN/ISO 13606 archetypes. Next, ontologies that model archetyped concepts and map them to the standard were created and uploaded to OntoCR, where they were ready to receive instantiated patient data. Xemio Research used a conversion module in the ASCAPE Local Edge to transform data entered into the app to create EN/ISO 13606 extracts, which were sent to an Application Programming Interface (API) in OntoCR that maps each element in the normalized XML files to its corresponding location in the ontology. This way, instantiated data of patients are stored in the clinical repository. Results: Between December 22, 2020, and April 4, 2022, 1100 extracts of 47 patients were successfully communicated (234/1100, 21.3{\%}, extracts of side effects and 866/1100, 78.7{\%}, extracts of daily activity). Furthermore, the creation of EN/ISO 13606--standardized archetypes allows the reuse of clinical information regarding daily activity and side effects, while with the creation of ontologies, we extended the knowledge representation of our clinical repository. Conclusions: Health information interoperability is one of the requirements for continuity of health care. The dual model allows the separation of knowledge and information in HISs. EN/ISO 13606 was chosen for this project because of the operational mechanisms it offers for data exchange, as well as its flexibility for modeling knowledge and creating new concepts. To the best of our knowledge, this is the first experience reported in the literature of effective communication of EN/ISO 13606 EHR extracts between a patient mobile app and an institutional clinical repository using a scalable standard-agnostic methodology that can be applied to other projects, data sources, and institutions. ", issn="2291-9694", doi="10.2196/40344", url="https://medinform.www.mybigtv.com/2022/10/e40344", url="https://doi.org/10.2196/40344", url="http://www.ncbi.nlm.nih.gov/pubmed/36222792" }