Inoperability Informatics, New York-Presbyterian Hospital, New York, New York 10065, USA.
J Am Med Inform Assoc. 2010 Jan-Feb;17(1):6-12. doi: 10.1197/jamia.M3282.
In 2007, the Department of Health and Human Services commissioned the Nationwide Health Information Network (NHIN) Trial Implementations project to demonstrate the secure exchange of data among health information exchange organizations around the country. The project's Core Services Content Work Group (CSCWG) developed the content specifications for the project. The CSCWG developed content specifications for a summary patient record and for eight use cases that were implemented in demonstration events in 2008. The CSCWG developed tools to represent the specifications and facilitate implementation. The experience revealed that, in general, the Health Information Technology Standards Panel (HITSP) constructs served as a suitable starting point for the development of content specifications for interoperability. The ability to adhere to specified terminologies still presents significant challenges. This paper describes the process of developing the content specifications and lessons learned.
2007 年，美国卫生与公众服务部委托全国卫生信息网络（NHIN）试验实施项目，旨在展示全国范围内卫生信息交换组织之间安全的数据交换。该项目的核心服务内容工作组（CSCWG）为该项目制定了内容规范。CSCWG 为总结患者记录和 2008 年示范活动中实施的八个用例制定了内容规范。CSCWG 开发了表示规范和促进实施的工具。经验表明，一般来说，健康信息技术标准小组（HITSP）结构可以作为开发互操作性内容规范的合适起点。遵守指定术语的能力仍然存在重大挑战。本文介绍了开发内容规范的过程和经验教训。
