평생전자건강진료기록을 위한 진료문서 등록저장소 시스템

김일곤; 김일광; 곽연식; 이재영; 조훈

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자료유형: 학술저널

저자정보: 김일곤 김일광 곽연식 이재영 조훈

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제11권 제2호

발행연도: 2005.1

수록면: 199 - 211 (13page)

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연구주제

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연구배경

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Objective: The needs of sharing clinical documents in order for health professionals to provide better diagnosis and treatment have been tremendously increasing. However, when a patient visits the hospital, current hospital information system doesn't allow for physicians to obtain patient's medical history even though she has some records in different hospital, because the lack of the standardization to overcome the incompatibility among heterogeneous systems. CDA(Clinical Document Architecture) of HL7(Health Level 7) is standardized technology in purpose of creating and exchanging various clinical documents. In this article, we discuss the method of exchanging, storing, and utilizing CDA and present the work of development and implementation based on CDR(Clinical Document Repository) framework reported earlier9). Methods: We convert paper-based discharge summary from each health institutions into CDA format. And in order to exchange, manage, and utilize those CDA, Registry structure of ebXML is introduced and applied. Results: The relationship among patients, physicians, clinical organizations, and clinical documents is well-organized and modeled. Because transfered CDA document can be easily registered and managed by complying with RIM structure of ebXML, this system can effectively exchange and share patient's CDA document when patient move to other area or among heterogenous systems. Conclusion: This system can be utilized to categorize and store various clinical documents such as, ECG and Radiology reading report. In addition, this system suggests the potential of Electronic Health Record system that is able to communicate among heterogenous systems and manage the CDA documents via this CDR system.

#Clinical Document Repository #Clinical Document Architecture #Electronic Health Record #Medical Informatics Applications #Medical Records System #Registry #ebXML #electronic business eXtensible Markup Language)

참고문헌 (7)

참고문헌 신청

/ 1997 / The barriers to electronic medical record systems and how to overcome them 4 (3) : 213 ~ 221

/ 19982004April8 / University of Virginia

/ 2003 / Discharge and referral data exchange using global standards-the SCIPHOX project in Germany 70 : 195 ~ 203

/ 2004March15 / Latest version of SOAP Version 1.2 specification. : 2 ~

/ 2004November / framework for electronic health record sharing and medical information network 65 (70)

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