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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 205 - 213 (9page)
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Objectives: This study is aimed at developing a set of data groups (DGs) to be employed as reusable building blocks for the construction of the eight most common clinical documents used in China’s general hospitals in order to achieve their structural and semantic standardization. Methods: The Diagnostics knowledge framework, the related approaches taken from the Health Level Seven (HL7), the Integrating the Healthcare Enterprise (IHE), and the Healthcare Information Technology Standards Panel (HITSP) and 1,487 original clinical records were considered together to form the DG architecture and data sets. The internal structure, content, and semantics of each DG were then defined by mapping each DG data set to a corresponding Clinical Document Architecture data element and matching each DG data set to the metadata in the Chinese National Health Data Dictionary. By using the DGs as reusable building blocks, standardized structures and semantics regarding the clinical documents for semantic interoperability were able to be constructed. Results: Altogether, 5 header DGs, 48 section DGs, and 17 entry DGs were developed. Several issues regarding the DGs, including their internal structure, identifiers,data set names, definitions, length and format, data types, and value sets, were further defined. Standardized structures and semantics regarding the eight clinical documents were structured by the DGs. Conclusions: This approach of constructing clinical document standards using DGs is a feasible standard-driven solution useful in preparing documents possessing semantic interoperability among the disparate information systems in China. These standards need to be validated and refined through further study.
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참고문헌 (24)
참고문헌 신청
/ / China national health data dictionary and metadata management system
Aghili H / 1997 / Progress notes model / Proc AMIA Annu Fall Symp : 12 ~ 16
American National Standard Institute (ANSI) / / HITSP/ C83: HITSP CDA content modules component
American National Standard Institute / / HITSP: enabling healthcare interoperability
Australian Institute of Health and Welfare / / Metadata online registry
Aghili H / 1997 / Progress notes model / Proc AMIA Annu Fall Symp : 12 ~ 16
American National Standard Institute (ANSI) / / HITSP/ C83: HITSP CDA content modules component
American National Standard Institute / / HITSP: enabling healthcare interoperability
Australian Institute of Health and Welfare / / Metadata online registry
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