Zusammenfassung
Health and social care systems currently undergo
a transformation from phenomenological through
evidence-based, person-centered, and personalized
care towards personalized, preventive, predictive,
participative precision medicine (5PM), supported by
technology. 5PM considers individual health status,
conditions, genetic and genomic dispositions in personal
social, occupational, ...
Zusammenfassung
Health and social care systems currently undergo
a transformation from phenomenological through
evidence-based, person-centered, and personalized
care towards personalized, preventive, predictive,
participative precision medicine (5PM), supported by
technology. 5PM considers individual health status,
conditions, genetic and genomic dispositions in personal
social, occupational, environmental and behavioral
context, that way understanding the pathology
of diseases and turning health and social care from
reactive to proactive. Thereby, we have to enable communication
and cooperation between all actors of the
ecosystem, participating in different knowledge spaces,
representing different disciplines, using different
methodologies, perspectives, intentions, languages,
etc. Therefore, the knowledge-based, multidisciplinary,
highly complex and dynamic 5PM ecosystem
must be consistently and formally represented.
Beside integrating different domains, we must also
enable integration and interoperability for all components
used in the different viewpoints of the IT system
development process up to its implementation. The
meanwhile mandatory way for realizing this challenge
is the deployment of the ISO 23903 Interoperability
and Integration Reference Architecture Model and
Framework, developed by the author. The deployed
technologies offer chances and inherit risks. The latter
must be managed through an ethical design. The
outcome is a system-theoretical, architecture-centric,
ontology-based, policy-driven approach for designing
and managing intelligent and sustainable 5PM ecosystems.