Scientific Methodology aiming Systems Interoperability in Complex Healthcare Infocommunication with regard to Cross-Platform Integration of Distinct Telemedicine Appliances

As per actual extensive shortages of skilled medical staff are foreseen in the aging western societies. There is an urgent need for the expansion of the available healthcare ecosystems to balance the dramatic decline of the medical workforce. Cross-platform interoperability represents a key success factor for the entire healthcare information technology supply chain. Interoperability concerns international health organizations, national health institutions, social care centers, hospitals, nursing homes, general practitioners, diagnostic laboratories, pharmacies, social security bodies, medical insurance companies and emergency services. They all share their medical information with each other. However, they store their information mostly in different forms and formats. Also, from technical point of view, data transmission modalities and elementary data representation vary from institute to institute and from country to country. Healthcare interoperability relies upon international standards. These standards are required to be extended for hosting telemedicine and telemonitoring technology. Telemedicine appliances exchange medical information in varying data formats from diverse sources. These sources may include body area networks, thermometers, auriscopes, tympanometer, ophthalmoscopes, stethoscopes, weighting scales, webcams, cardiotachometers or sphygmomanometers. Multiple interoperability recommendations, policies, guidelines, standards and regulations are publicly available. Different healthcare data exchange regulations apply at international, regional and national levels. This research develops comprehensive healthcare interoperability methodology. This experimental program elaborates a distinct healthcare interoperability service prototype. The article evaluates through this service prototype the theoretical possibility of general healthcare interoperability on a global scale