基于HL7 CDA门诊电子病历的设计与实现  

Design and Implementation of Outpatient Electronic Medical Records Based on HL7 CDA

作　　者：杨鹏[1] 刘丹红[1] 潘峰[1] 汤学军[2] 饶克勤[2] 徐勇勇[1] 

机构地区：[1]第四军医大学卫生信息研究所 [2]卫生部卫生统计信息中心

出　　处：《中国数字医学》2010年第1期50-53,共4页China Digital Medicine

基　　金：国家科技支撑计划项目(课题编号:2008BAI52B01)~~

摘　　要：探讨基于HL7 CDA门诊电子病历的设计与实现方法,参考HL7 CDA标准,对门诊病历信息的结构与语义进行定义,包括:建立门诊电子病历的CDA文档,用于门诊病历内容的表达;建立基于此CDA的样式表文件,便于其信息浏览。实践证明,以HL7 CDA标准为基础,规范了门诊电子病历信息的结构与语义,为门诊病历信息的共享与交换提供了一个可行的方法。To explore a new method of designing and implementing outpatient electronic medical records based on HL7 CDA. According to HL7 CDA, the structure and semantics of the outpatient medical records were defined. The CDA of outpatient electronic medical records was built, which could be used to express the content of outpatient medical records. The style sheet file based on the CDA was also built, which could be used to browse outpatient medical records information conveniently. The paper proposed a feasible solution to exchange outpatient electronic medical records information among different parties and information systems.

关 键 词：电子病历 HL7 临床文档架构 可扩展标记语言 

分 类 号：R197.323[医药卫生—卫生事业管理] R197.32[医药卫生—公共卫生与预防医学]