1、電子病歷標(biāo)準(zhǔn)化研究進(jìn)展電子病歷研究委員會(huì) 薛萬(wàn)國(guó)1中國(guó)衛(wèi)生信息學(xué)會(huì)2006電子病歷標(biāo)準(zhǔn)研究的意義按照電子病歷定義，實(shí)現(xiàn)電子病歷要解決：醫(yī)院內(nèi)部系統(tǒng)之間的信息集成及共享醫(yī)療機(jī)構(gòu)之間的信息集成及共享信息集成與共享的需要學(xué)習(xí)國(guó)際標(biāo)準(zhǔn)的需要學(xué)習(xí)制定標(biāo)準(zhǔn)過(guò)程的需要國(guó)內(nèi)缺乏標(biāo)準(zhǔn)、缺乏標(biāo)準(zhǔn)采用、更缺乏標(biāo)準(zhǔn)制定方法2中國(guó)衛(wèi)生信息學(xué)會(huì)2006電子病歷標(biāo)準(zhǔn)體系電子病歷標(biāo)準(zhǔn)涵蓋信息表示、概念術(shù)語(yǔ)、傳遞、安全保護(hù)等方面現(xiàn)有標(biāo)準(zhǔn)的多樣性ISO：EHR模型、PKIHL7：RIM、V3.0、CDA、CCOWDICOMASTMLOINCW3C：XMLUN/CEFACT與OASIS：ebXML3中國(guó)衛(wèi)生信息學(xué)會(huì)2006美國(guó)國(guó)家

2、EHR行動(dòng)ONCOffice of the National Coordination for Health Information TechnologyHITSPAHICCCHITNISTAmerican Health Information Community an HSS-charted commission identifies “break-through” areas achievable in a near-term (2-3 yrs) to benefit stakeholdersHealthcare Information Technology Standards Panel

3、 led by ANSI, develops solutions in “break-through” areas by harmonizing standardsCertification Commission for Healthcare Information Technology a group in HIMSS, defines certificate requirements and processes for EHR applicationsNational Institute of Standards and Technology works with ONC to speci

4、fy system standards and test metrics for NHIN interoperabilityNHINNational HIT networking will be started from regional efforts (RHIO). NIHN architectural pilot projects awarded and in progressOther Standards Making / Harmonization Groups, e.g., HL7, SNOMED, LOINC, ASMT, DICOM, IETF, W3C, OASIS, IHE

5、, CfH.ANSI contractHIMSS contractRHIO pilot project contract引自GE包永堅(jiān)EHR Standard Process &IHE and HITSP Review4中國(guó)衛(wèi)生信息學(xué)會(huì)2006發(fā)起與目的衛(wèi)生部信息中心與英特爾公司合作2005年12月12日召開(kāi)首次研討會(huì)英特爾技術(shù)專(zhuān)家Norbert介紹通過(guò)用例分析、建模到標(biāo)準(zhǔn)制定的過(guò)程目標(biāo)研究電子病歷相關(guān)流程、標(biāo)準(zhǔn)、平臺(tái)等基礎(chǔ)性問(wèn)題，推進(jìn)國(guó)內(nèi)電子病歷的發(fā)展5中國(guó)衛(wèi)生信息學(xué)會(huì)2006組織（續(xù)）下設(shè)三個(gè)組：Usage Model Workgroup負(fù)責(zé)相關(guān)業(yè)務(wù)過(guò)程分析以及其中標(biāo)準(zhǔn)化需求Co-Chai

6、r：薛萬(wàn)國(guó)、孟照濱Technical Workgroup負(fù)責(zé)標(biāo)準(zhǔn)及技術(shù)的選擇應(yīng)用Co-Chair：李包羅、包永堅(jiān)Intellectual Property Workgroup負(fù)責(zé)標(biāo)準(zhǔn)相關(guān)知識(shí)產(chǎn)權(quán)Co-Chair：林旭光、Norbert H MIKULA7中國(guó)衛(wèi)生信息學(xué)會(huì)2006近期目標(biāo)醫(yī)療機(jī)構(gòu)之間的檢驗(yàn)報(bào)告共享社區(qū)醫(yī)療機(jī)構(gòu)與醫(yī)院之間的雙向轉(zhuǎn)診8中國(guó)衛(wèi)生信息學(xué)會(huì)2006HISTP EHR TC Function Diagram Use Case Scenario #1Identify Lab result terminology (IP #57)Call terminology service

7、(IP #18)Send results message to ordering physician (IP #15, #44, #47)Patient ID cross referencing (IP #8)Notification of lab report availability (IP #23, #47)Send document to repository, store and register in data locator service (IP #15, #54, #47)Send results message to other authorized providers (IP #15, #44, #47)Structure result as lab report document (IP #13)Send report to authorized providers of care (IP #54, #47)12a3a2b3b3c2bc4510中國(guó)衛(wèi)生信息學(xué)會(huì)200611中國(guó)衛(wèi)生信息學(xué)會(huì)2006UMWG工作方法12中國(guó)衛(wèi)生信息學(xué)會(huì)2006近期工作提交檢驗(yàn)報(bào)告共享Use Case針對(duì)