心血管放射学中的电子健康记录与临床研究。HL7临床文档架构（CDA）与临床数据交换标准协会（CDISC）的观测数据模型（ODM）互操作性。
Electronic Healthcare Record and clinical research in cardiovascular radiology. HL7 CDA and CDISC ODM interoperability.
作者信息
El Fadly A, Daniel C, Bousquet C, Dart T, Lastic P-Y, Degoulet P
机构信息
INSERM, UMR_S 872, Eq. 20, Paris, F-75006 France.
出版信息
AMIA Annu Symp Proc. 2007 Oct 11;2007:216-20.
Integrating clinical research data entry with patient care data entry is a challenging issue. At the G. Pompidou European Hospital (HEGP), cardiovascular radiology reports are captured twice, first in the Electronic Health Record (EHR) and then in a national clinical research server. Informatics standards are different for EHR (HL7 CDA) and clinical research (CDISC ODM). The objective of this work is to feed both the EHR and a Clinical Research Data Management System (CDMS) from a single multipurpose form. We adopted and compared two approaches. First approach consists in implementing the single "care-research" form within the EHR and aligning XML structures of HL7 CDA document and CDISC ODM message to export relevant data from EHR to CDMS. Second approach consists in displaying a single "care-research" XForms form within the EHR and generating both HL7 CDA document and CDISC message to feed both EHR and CDMS. The solution based on XForms avoids overloading both EHR and CDMS with irrelevant information. Beyond syntactic interoperability, a perspective is to address the issue of semantic interoperability between both domains.
将临床研究数据录入与患者护理数据录入相结合是一个具有挑战性的问题。在法国蓬皮杜欧洲医院（HEGP），心血管放射学报告被录入两次，首先录入电子健康记录（EHR），然后录入国家临床研究服务器。EHR（HL7 CDA）和临床研究（CDISC ODM）的信息学标准不同。这项工作的目标是通过单一的多用途表单为EHR和临床研究数据管理系统（CDMS）提供数据。我们采用并比较了两种方法。第一种方法是在EHR中实现单一的“护理-研究”表单，并使HL7 CDA文档和CDISC ODM消息的XML结构对齐，以便从EHR向CDMS导出相关数据。第二种方法是在EHR中显示单一的“护理-研究”XForms表单，并生成HL7 CDA文档和CDISC消息，以便为EHR和CDMS提供数据。基于XForms的解决方案避免了用无关信息使EHR和CDMS负担过重。除了句法互操作性之外，一个前景是解决两个领域之间的语义互操作性问题。
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