Objective For realizing pervasive and ubiquitous health social care services in a safe high quality as well efficient effective way, systems have to meet new organizational, methodological, technological paradigms. The resulting ecosystems are highly complex, distributed, dynamic, following inter-organizational even international approaches. Even though based on international, but domain-specific models standards, achieving interoperability between such integrating multiple domains managed...

Digital health information systems (DHIS) are increasingly members of ecosystems, collecting, using and sharing a huge amount personal (PHI), frequently without control authorization through the data subject. From subject’s perspective, there is no guarantee therefore trust that PHI processed ethically in Health Ecosystems. This results new ethical, privacy challenges to be solved. The authors’ objective find combination ethical principles, models, together enabling design, implementation...

The advancement of sciences and technologies, economic challenges, increasing expectations, consumerism result in a radical transformation health social care around the globe, characterized by foundational organizational, methodological, technological paradigm changes. ecosystems aims at ubiquitously providing personalized, preventive, predictive, participative precision (5P) medicine, considering understanding individual's status comprehensive context from elementary particle up to society....

Health and social care systems around the globe currently undergo a transformation towards personalized, preventive, predictive, participative precision medicine (5PM), considering individual health status, conditions, genetic genomic dispositions, etc., in personal, social, occupational, environmental behavioral context. This is strongly supported by technologies such as micro- nanotechnologies, advanced computing, artificial intelligence, edge etc. For enabling communication cooperation...

Background: Ubiquitous computing technology, sensor networks, wireless communication and the latest developments of Internet have enabled rise a new concept—pervasive health—which takes place in an open, unsecure, highly dynamic environment (ie, information space). To be successful, pervasive health requires implementable principles for privacy trustworthiness. Objective: This research has two interconnected objectives. The first is to define as system understand its trust challenges. second...

A transformed health ecosystem is a multi-stakeholder coalition that collects, stores, and shares personal information (PHI) for different purposes, such as personalized care, prevention, prediction, precise medicine, management, public purposes. Those services are data driven, lot of PHI needed not only from received care treatments, but also person's normal life. Collecting, processing, storing, sharing the huge amount sensitive in cause many security, privacy, trust challenges to be...

The 21stcentury healthcare systems aim at involving citizen and health professionals alike entitling especially the citizens to take over a higher level of responsibility for their own status. Applied technologies like, e.g., Internet, notebooks, mobile phones enable patients actively participate in treatment rehabilitation. It's not any longer just cards; it's an ongoing standardized personalization services including application portable devices, sensors actuators stipulating personalized...

Pervasive healthcare and citizen-centered care paradigm are moving the outside hospital environment. Healthcare delivery is becoming more personalized decentralized, focusing on prevention proactive services with a complete view of health wellbeing. The concept wellness has been used to describe this holistic health, which focuses physical, social, mental well-being. computing makes it possible collect information offer anytime anywhere. To support pervasive approaches, semantic...

Ubiquitous health is defined as a dynamic network of interconnected systems that offers services independent time and location to data subject (DS). The takes place in open unsecure information space. It created managed by the DS who sets rules regulate way personal collected used. Compared care, it impossible ubiquitous assume existence priori trust between service providers produce privacy using static security services. In features, business goals regulations followed often remain...

Multidisciplinary and highly dynamic pHealth ecosystems according to the 5P Medicine paradigm require careful consideration of systems integration interoperability within domains knowledge space. The paper addresses different aspects or levels representation (KR) management (KM) from cognitive theories (theories knowledge) modeling processes through notation up processing, tooling implementation. Thereby, it discusses language grammar challenges constraints, but also development process...

Health and social care ecosystems are currently a matter of foundational organizational, methodological technological paradigm changes towards personalized, preventive, predictive, participative precision (5P) medicine. For designing implementing such advanced ecosystems, an understanding correct representation structure, function relations their components is inevitable. To guarantee consistent conformant processes outcomes, the specifications principles must be internationally...

As health systems around the world turn towards highly distributed, specialized and cooperative structures to increase quality safety of care as well efficiency efficacy delivery processes, there is a growing need for supporting communication collaboration all parties involved with advanced ICT solutions. The Electronic Health Record (EHR) provides information platform which maturing eHealth core application. To meet requirements sustainable, semantically interoperable, trustworthy EHR...

The paper introduces a structured approach to transforming healthcare towards personalized, preventive, predictive, participative precision (P5) medicine and the related organizational, methodological technological requirements. Thereby, deployment of autonomous systems artificial intelligence is inevitably. discusses opportunities challenges those technologies from humanistic ethical perspective. It shortly essential concepts principles, critically some relevant projects. Finally, it offers...

For meeting the challenge of aging, multi-diseased societies, cost containment, workforce development and consumerism by improved care quality patient safety as well more effective efficient processes, health social systems around globe undergo an organizational, methodological technological transformation towards personalized, preventive, predictive, participative precision medicine (P5 medicine). This paper addresses chances, challenges risks specific disruptive methodologies technologies...

Organizational, methodological and technological paradigm changes enable a precise, personalized, predictive, preventive participative approach to health social services supported by multiple actors from different domains at diverse level of knowledge skills. Interoperability has advance beyond Information Communication Technologies (ICT) concerns, including the real world business their processes, but also individual context all involved. The paper introduces compares personalized...

Objectives: To provide a model for ensuring the ethical acceptability of provisions that characterize interjurisdictional use eHealth, telemedicine, and associated modalities health care delivery are currently in place. Methods: Following approach initiated their Global Protection Health Data project within Security Information Systems (SiHIS) working group International Medical Informatics Association (IMIA), authors analyze evaluate relevant privacy security approaches intended to stem...

This article describes a multidisciplinary framework and its use in the evaluation of national medical e-;Prescription system pilot Finland. The was based on three theoretical concepts: activity system, actor network development life cycle. These concepts have been developed within theory, developmental work research sociology technology. used to guide constructive co-;development technology services from different stakeholders' perspectives.

Trustfulness (i.e. health and wellness information is processed ethically, privacy guaranteed) one of the cornerstones for future Personal Health Systems, ubiquitous healthcare pervasive health. Trust in today's organizational, static predefined. Pervasive takes place an open untrusted space where person's lifelong together with contextual data are dynamically collected used by many stakeholders. This generates new threats that do not exist eHealth systems. Our analysis shows way security...

Current paradigm changes for improving safety, quality and efficiency of care processes under massive deployment information communication technologies (ICT) place high requirements on privacy security. These mainly focus privilege management access control harmonized in international standards their further evolution. NIST ISO, but especially HL7 play a prominent role this context. Starting with classic role-based (RBAC) foundations to new specifications security labeling segmented health...

Modern pHealth is an emerging approach to collecting and using personal health information (PHI) for personalized healthcare management. For its products services, it deploys advanced technologies such as sensors, actuators, computers, mobile phones, etc. Researchers have shown that today's networked systems, ecosystems, miss appropriate privacy solutions, trust only illusion. In the future, situation will be even more challenging because ecosystems highly distributed, dynamic, increasingly...