基于HL7 CDA的移动电子病历设计与实现
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摘要
为使医院信息系统更好地服务于病患者,基于HL7CDA设计了移动电子病历。遵循HL7CDA国际标准对移动电子病历信息的结构与语义进行定义,根据HL7中国委员会发布的5个CDA规范,在内容上对移动电子病历进行规范;在信息编码方面使用国际通用或已发布的标准或编码系统,使用XSL技术对CDA文档样式进行定义,完成移动电子病历可视化。以智能手机作为移动病历可视化和管理的载体,实现真正意义上个人病历文件的移动存储和管理。
This article studies the design and implementation of mobile electronic medical records based on the HL7 CDA.We define the structure and semantics of mobile electronic medical record information according to the HL7 CDA international standards.We regulate the content of mobile electronic medical records according to the HL7 China released five CDA norms.For information coding,we use the internationally accepted and published standards or coding system.To implement the CDA document style definition,we employ XSL technology.Finally,we design an Android application as a vehicle for mobile case visualization and management that enables the mobile storage and management of personal medical records in its true sense.
This article studies the design and implementation of mobile electronic medical records based on the HL7 CDA.We define the structure and semantics of mobile electronic medical record information according to the HL7 CDA international standards.We regulate the content of mobile electronic medical records according to the HL7 China released five CDA norms.For information coding,we use the internationally accepted and published standards or coding system.To implement the CDA document style definition,we employ XSL technology.Finally,we design an Android application as a vehicle for mobile case visualization and management that enables the mobile storage and management of personal medical records in its true sense.
引文
[1]夏卫.基于HL7CDA的电子病历信息交换研究[D].合肥:合肥工业大学,2006.
[2]薛万国.我国电子病历研究进展[J].中国医院管理,2005,25(2):17-19.
[3]DOHN R H,ALSCHULER L,BEEBE C,et a1.The HL7clinical document architecture[J].Jam Med Inform Assoc,2001(8):552-569.
[4]DOLIN R H,ALSCHULER L,BOYER S,et al.HL7clinical document architecture,release 2[J].Journal of the American Medical Informatics Association Jamia,2006,13(1):30-31.
[5]HL7 Clinical Document Architecture[EB/OL].http://www.HL7.org/.
[6]李昊旻.电子病历标准化结构化方法研究及实践[D].杭州:浙江大学,2007.
[7]梁秀娟,孙震.浅论基于HL7CDA标准和XML技术在电子病历系统中的应用[C].中华医院信息网络大会,2007.
[8]MCDONALD C J,HUFF S M,SUICO J G,et al.LOINC,a universal standard for identifying laboratory observations:a 5-year update[J].Clinical Chemistry,2003,49(4):624-628.
[9]王霞,徐勇勇,刘丹红.我国卫生信息编码标准化可利用的标准代码体系[J].中国卫生质量管理,2005,12(6):11-14.
[10]王冬梅,朱若华.浅谈HL7标准本地化工作[J].中国经济和信息化,2004(18):43-44.
[11]HL7China CDA规范2013试行版[EB/OL].http://www.HL7.org.cn/.
[12]严维良,于津.XML在电子病历中的应用[J].汕头大学学报:自然科学版,2003(1):66-71.
[13]CLARK J,CLARK J.XSL Transformations(XSLT)Version 1.0[J].W3cRecommendation,1999,29(4):595-599.
[14]刘进.基于CDA标准的远程医疗全数据交换平台研究[D].杭州:浙江大学,2008.
[15]王桂榕,刘茜.数字签名技术在电子病历中的应用[J].中国数字医学,2008,3(3):37-38.
[16]代亮亮.电子病历系统的加密和身份认证技术[D].合肥:中国科学技术大学,2009.
[2]薛万国.我国电子病历研究进展[J].中国医院管理,2005,25(2):17-19.
[3]DOHN R H,ALSCHULER L,BEEBE C,et a1.The HL7clinical document architecture[J].Jam Med Inform Assoc,2001(8):552-569.
[4]DOLIN R H,ALSCHULER L,BOYER S,et al.HL7clinical document architecture,release 2[J].Journal of the American Medical Informatics Association Jamia,2006,13(1):30-31.
[5]HL7 Clinical Document Architecture[EB/OL].http://www.HL7.org/.
[6]李昊旻.电子病历标准化结构化方法研究及实践[D].杭州:浙江大学,2007.
[7]梁秀娟,孙震.浅论基于HL7CDA标准和XML技术在电子病历系统中的应用[C].中华医院信息网络大会,2007.
[8]MCDONALD C J,HUFF S M,SUICO J G,et al.LOINC,a universal standard for identifying laboratory observations:a 5-year update[J].Clinical Chemistry,2003,49(4):624-628.
[9]王霞,徐勇勇,刘丹红.我国卫生信息编码标准化可利用的标准代码体系[J].中国卫生质量管理,2005,12(6):11-14.
[10]王冬梅,朱若华.浅谈HL7标准本地化工作[J].中国经济和信息化,2004(18):43-44.
[11]HL7China CDA规范2013试行版[EB/OL].http://www.HL7.org.cn/.
[12]严维良,于津.XML在电子病历中的应用[J].汕头大学学报:自然科学版,2003(1):66-71.
[13]CLARK J,CLARK J.XSL Transformations(XSLT)Version 1.0[J].W3cRecommendation,1999,29(4):595-599.
[14]刘进.基于CDA标准的远程医疗全数据交换平台研究[D].杭州:浙江大学,2008.
[15]王桂榕,刘茜.数字签名技术在电子病历中的应用[J].中国数字医学,2008,3(3):37-38.
[16]代亮亮.电子病历系统的加密和身份认证技术[D].合肥:中国科学技术大学,2009.