Russell国际标准在智慧医疗中的应用.pptx

OpportunitiesProvidedbyUseofInternationalStandards基于国际标准的应用

Interoperability互操作性:1990

Payer保险Hospital医院Physician医生Researcher科研者GovernmentPharma/devicecompany医药/设备公司Schools学校GenomicSequenceLab基因测序实验室Socialserviceagency社会服务机构Homedevices穿戴设备Seniorcenter老年中心Family家庭Nursinghome护理中心Laboratory检验中心Homecareagency家庭护理机构Ambulance急救政府Pharmacy药房Rehab康复中心Patient患者Interoperability互操作性:TheFuture未来

3|TheburningplatformWilliamStead,etalAcademicMedicine.86(4):429-434,April2011.

4|Ablackhorsewithwhitestripes黑马白纹...orawhitehorsewithblackstripes?还是白马黑纹？PhotobyLukasKaffer

Vocabularystandards术语标准Messagingstandards消息标准Documentstandards文档标准HL7FHIR5|HealthcareStandards医疗标准

Vocabularystandards术语标准6|

SystemizedNOmenclatureofMEDicineConcepttermsforallclinicalconcepts所有临床概念的概念术语380,000termswithuniquecodes380,000个独立编码的术语1.2millionrelationshipsbetweenterms1百20万的术语间关系7|SNOMEDCT

SystemizedNOmenclatureofMEDicineCodesfornamesoflabtests,documentsKnowinformationfrom2systemsissameSearchforaspecifictypeofdata8|LOINC

Messagingstandard:senddatabetweensystems消息标准：在系统间传送数据Mostusedstandard-80%ofsystemsinworld最广泛采用的标准-全球80%的系统Almost30yearsold快30岁高龄了Muchworktocustomizeforeach2systems2个系统都需要很多定制化工作9|HL7Version2–HL7V2

Familiarclinicaldocuments–summary,report,…熟悉的临床档案–小结，报告…Someofdataiscodeddata,butalsonarrative既有编码数据，也有描述文本Muchoptionality,thusinconsistentbetweensystems很大的可选性，因此在系统间并不一致Bestcurrentwaytosendsummaries,betterthanpdf当前最好的传送小结的方式，比pdf好10|HL7ClinicalDocumentArchitecture-CDA

Integrationbetweensystems系统间的集成

Aframeworkforintegratingsystemsfordataexchange用于数据交换的系统集成架构Domains–Cardiology,Radiology,PatientCare,….域–心脏病学，放射学，病人护理，...Callsoutstandardstobeusedforspecificusecases为特定用例使用标准Allowssystemvendorstodeclareintendedcapabilities允许系统厂商声明未来的扩展功能12|IntegratingtheHealthcareEnterprise-IHE

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