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基于 SOA 的临床数据共享平台。

A SOA-Based Platform to Support Clinical Data Sharing.

机构信息

Department of Informatics, Bioengineering, Robotics and System Engineering (DIBRIS), University of Genoa, Via Opera Pia 13, 16145 Genoa, Italy.

Healthropy s.r.l., Corso Italia 15/6, 17100 Savona, Italy.

出版信息

J Healthc Eng. 2017;2017:2190679. doi: 10.1155/2017/2190679. Epub 2017 May 25.

DOI:10.1155/2017/2190679
PMID:29065576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5463102/
Abstract

The eSource Data Interchange Group, part of the Clinical Data Interchange Standards Consortium, proposed five scenarios to guide stakeholders in the development of solutions for the capture of eSource data. The fifth scenario was subdivided into four tiers to adapt the functionality of electronic health records to support clinical research. In order to develop a system belonging to the "Interoperable" Tier, the authors decided to adopt the service-oriented architecture paradigm to support technical interoperability, Health Level Seven Version 3 messages combined with LOINC (Logical Observation Identifiers Names and Codes) vocabulary to ensure semantic interoperability, and Healthcare Services Specification Project standards to provide process interoperability. The developed architecture enhances the integration between patient-care practice and medical research, allowing clinical data sharing between two hospital information systems and four clinical data management systems/clinical registries. The core is formed by a set of standardized cloud services connected through standardized interfaces, involving client applications. The system was approved by a medical staff, since it reduces the workload for the management of clinical trials. Although this architecture can realize the "Interoperable" Tier, the current solution actually covers the "Connected" Tier, due to local hospital policy restrictions.

摘要

电子源数据交换组是临床数据交换标准联盟的一部分，提出了五个场景来指导利益相关者开发用于捕获电子源数据的解决方案。第五个场景分为四个层次，以调整电子病历的功能以支持临床研究。为了开发属于“可互操作”层的系统，作者决定采用面向服务的架构范例来支持技术互操作性、使用结合了 LOINC（逻辑观察标识符名称和代码）词汇的 HL7 版本 3 消息来确保语义互操作性，并采用 Healthcare Services Specification Project 标准来提供流程互操作性。所开发的架构增强了患者护理实践与医学研究之间的集成，允许两个医院信息系统和四个临床数据管理系统/临床注册之间共享临床数据。核心由一组通过标准化接口连接的标准化云服务组成，涉及客户端应用程序。该系统得到了医务人员的认可，因为它减少了临床试验管理的工作量。尽管该架构可以实现“可互操作”层，但由于当地医院政策的限制，当前解决方案实际上涵盖了“连接”层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/1b2b13e809ec/JHE2017-2190679.008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/1b2b13e809ec/JHE2017-2190679.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/965d10b2baef/JHE2017-2190679.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/cd0c7ad1317c/JHE2017-2190679.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/fc6da1173519/JHE2017-2190679.003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/4d30a28eaa4e/JHE2017-2190679.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/c4b39724404e/JHE2017-2190679.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/182e1915ecf9/JHE2017-2190679.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cd6/5463102/1b2b13e809ec/JHE2017-2190679.008.jpg

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