探索FHIR标准在双向转诊中的应用  

Application of FHIR Standard in Bidirectional Referral for Hospitalization

作　　者：向海平 林晓东 毛云鹏 李宁 徐驰 肖丽[3] XIANG Hai-ping;LIN Xiao-dong;MAO Yun-peng;LI Ning;XU Chi;XIAO Li(Health Information Center of Sichuan Province;Sichuan FHIR IT Consulting Co.,Ltd.;Chengdu University of Traditional Chinese Medicine)

机构地区：[1]四川省卫生健康信息中心信息标准部 [2]四川孚艾尔信息技术咨询有限公司 [3]成都中医药大学智能医学学院

出　　处：《标准科学》2025年第4期112-119,共8页Standard Science

基　　金：四川省卫生信息学会科研项目“基于FHIR标准实现医疗卫生术语和管理的研究”(项目编号:追2022001);成都中医药大学教育教学改革项目“交互式、多模态、智能化教材建设研究—以《医疗数据智能分析-华为云平台机器学习导论》为例”(项目编号:JGYB202404)资助。

摘　　要：【目的】基于FHIR标准实现双向转诊(住院)应用场景中的业务活动、数据交互、流程中的相关业务资源以及数据交互流程。【方法】利用FHIR标准的ActivityDefinition资源定义双向转诊住院流程中的4个主要流程;利用FHIR标准的PlanDefinition资源对ActivityDefinition资源进行组装,并描述活动间的先后关系,触发条件等信息;利用FHIR标准的Bundle资源定义数据的交换格式和传输方式,并绑定相关的业务资源;利用FHIR-RESTful API框架实现数据的交互流程。【结果】基于FHIR标准构建的双向转诊流程模型在流程设计、数据交互、区域医疗协同以及系统稳定性与扩展性等方面均取得了显著成效,为区域医疗协同与资源共享提供了有力的技术支持,具有非常重要的应用价值意义。【结论】在双向转诊的应用场景中使用FHIR标准可以实现不同医疗机构之间的数据共享和互操作,促进医疗协同工作的顺畅进行。[Objective]This study aims to implement business activities,data interactions,and related business resources in the bidirectional referral(hospitalization)process based on the FHIR standard.[Methods]The FHIR standard ActivityDefinition resource was used to define the four main processes in the bidirectional referral hospitalization workflow.The PlanDefinition resource was employed to assemble ActivityDefinition resources and describe the sequence of activities and trigger conditions.The Bundle resource was utilized to define data exchange formats and transmission methods while binding relevant business resources.Additionally,the FHIR RESTful API framework was implemented to facilitate data interactions.[Results]The bidirectional referral process model based on the FHIR standard has demonstrated significant improvements in process design,data interaction,regional medical collaboration,system stability,and scalability.It provides strong technical support for regional medical collaboration and resource sharing,highlighting its critical application value.[Conclusion]The application of the FHIR standard in bidirectional referral facilitates data sharing and interoperability among different medical institutions,promoting seamless medical collaboration.

关 键 词：FHIR标准 双向转诊 数据共享 

分 类 号：R197.324[医药卫生—卫生事业管理]