社区健康档案的数据模型与参考指标研究

Data Models and Reference Indicators for Community Health Records

目的构建社区健康档案数据模型,建立社区健康档案基本内容的参考指标及其元模型,为信息系统开发和信息交换提供依据。方法依据国际和国家标准以及我国目前社区健康档案的研究成果,采用统一建模语言(UML),对社区健康档案的观察指标进行数据建模。结果社区健康档案概念数据模型包含4个维度,20个子维度,包含参考指标84个,其中健康状况10个,非医学影响因素25个,卫生系统绩效22个,社区及卫生系统27个;观察指标的元模型包含定性观察、定量观察和描述3个基本数据类型。结论社区健康档案概念数据模型可以作为各地设计社区健康档案内容的基本依据,逻辑数据模型和参考指标可指导居民健康档案信息系统的开发,观察指标的元模型可作为社区健康档案内容的元数据标准,用于不同健康档案系统之间的信息交换。

Objective To build data models of community health records,and provide a set of reference indicators and its descriptive meta model so as to provide basis for developing information system and facilitating information exchange. Methods The indicators of community health records were determined according to international and national standards,and the latest research results of community health records.The Unified Modeling Language（UML） was used in data modeling. Results The conceptual data model of community health records contains four dimensions and 20 sub-dimensions.Among the 84 reference indicators in the data model,10 belong to the health conditions,25 to the non-medical factors,22 to the health system performance,and 27 to the community and health system.Meta model of indicators includes three basic data types which are qualitative,quantitative and descriptive,respectively. Conclusion The conceptual data model could serve as the basis for content design of community health record in various areas.The logical data model and indicators together could be consulted in development of community health records systems.The meta model of indicators might be as meta data standard in information exchange among different systems.