医疗服务平台中信息标准化的尝试与研究

Attempt and Study on Information Standardization about Regional Coordination of Healthcare Service Platform

医疗文档信息的标准化是区域协同医疗信息共享的基础和各项协同业务开展的必要前提。它涉及到就诊者信息共享、医疗资源信息共享,以及服务请求、响应与信息交换等各个方面。目前该领域的信息标准化在国内外仍然欠缺,工作任务十分紧迫、艰巨。网通研究院在区域协同医疗服务平台的项目实施中积累了较多的经验和技术储备,加之长期的标准研究技术积累,参照IHE、HL7等相关规范和标准,设计、开发了创新、实用的系统架构、业务流程和消息接口,实现了检验业务原始数据的CDA格式归档;实现了HL7标准在中国本地化落地的第一步,拉开中国医疗信息标准化进程的序幕,并首次在国内实现了医院间的信息共享。本文对项目中遇到的问题进行了总结,并将CDA归档方案进行简要介绍,最终对我国区域协同医疗信息化提出几点建议。

The information standardization of medical records is the foundation in regional coordination with the medical information sharing, such as client＇s information sharing, medical resource information sharing, service requesting and information exchange, etc. The task is very arduous, since the standard of medical collaboration is not optimistic. As the result of concentrating on the R＆D of medical collaboration, CNC labs has realized the proxy examination archives according to CDA of HL7 standard.