医疗信息院内交互与区域共享的架构及其技术研究  

The Structure and Technical Research of Medical Information Interaction And Sharing Among Regions

作　　者：董方杰[1,2] 蒲立新[1,3] 曲建明 胡建平[2] 

机构地区：[1]电子科技大学自动化学院,成都611731 [2]卫生部统计信息中心,北京100044 [3]成都金盘电子科大多媒体技术有限公司,成都610054

出　　处：《生物医学工程学杂志》2014年第4期788-792,共5页Journal of Biomedical Engineering

摘　　要：由繁多的医疗业务系统搭建而成的医院信息化架构,正在遭遇"信息孤岛"问题,医院内部各个业务系统相互异构,难成一体。如何实现患者有效医疗信息在医院内部的无障碍交互且进一步完成患者纵向诊疗信息的区域内互通共享,已成为医疗信息化建设过程中亟待解决的问题。本文参考IHE技术框架,立足于HL7标准,阐述了医疗信息院内交互与区域共享的整体架构,详细说明了离散的患者医疗信息从分布于不同医院的各个业务系统到通过信息交换平台进行院内交互再到集中存储于区域临床数据库(CDR)并得以通过Portal技术完整展示和共享的全过程。The hospital information structure, which is made up of various medical business systems, is suffering from the problems of the ＂information isolated island＂. Medical business systems in the hospital are mutually isomerous and difficult to become a whole. How to realize the internal barrier-free interaction of the patients effective medical information in the hospital and further to complete the area sharing of patients longitudinal diagnosis and treatment information has become a question having to be solved urgently in the process of healthcare informatization. Based on the HE7 standard, this paper refers to the IHE technical framework, expounds the overall structure of the interaction in the hospital internal and area sharing of medical information with the medical information exchange platform. The paper also gives the details of the whole process of the complete display of the discrete patient health information using Portal technology, which is saved in the business systems in different hospitals. It interacts internally through the information exchange platform and at last stores the information in the regional cinical data repository （CDR）.

关 键 词：医疗信息化 HL7 CDA 区域共享 临床数据库 PORTAL 

分 类 号：TP311.52[自动化与计算机技术—计算机软件与理论]