Mangesius Patrick, Saboor Samrend, Healy Thomas, Schabetsberger Thomas
ITH icoserve GmbH, Innsbruck, Austria.
Siemens Healthineers GmbH, Erlangen, Germany.
Stud Health Technol Inform. 2017;245:170-173.
Cooperative healthcare is regarded as one of the major goals for providing adequate health related information to physicians. To achieve this goal, national authorities and large hospital organizations are introducing large scale, standard based transactional EHR systems. Those systems record and distribute a significant amount of medical related data. This raises the concern of information overload for the intended users. The objective is to elaborate on an architecture and consequently a workflow that allows the generation of an automatic patient summary in a standard based IHE XDS environment. A literature review evaluating the current state of research is conducted. Current eHealth projects, laws and technical background are analyzed. An architecture is suggested, prototyped and compared using SAAM (Software Architecture Analysis Method) against alternative approaches. A technical workflow built on IHE XDR and HL7 FHIR observations is suggested introducing two new services within an IHE XDS product for extracting observations from CDA documents and storing the data on domain level scope. The information is published as an OnDemand Document in the IHE XDS infrastructure.
合作医疗被视为向医生提供充足健康相关信息的主要目标之一。为实现这一目标，国家当局和大型医院组织正在引入大规模、基于标准的事务性电子健康记录（EHR）系统。这些系统记录并分发大量医疗相关数据。这引发了目标用户对信息过载的担忧。目的是详细阐述一种架构以及相应的工作流程，以便在基于标准的整合医疗企业（IHE）交叉文档共享（XDS）环境中生成自动患者摘要。进行了一项评估当前研究现状的文献综述。分析了当前的电子健康项目、法律和技术背景。提出了一种架构，进行了原型设计，并使用软件架构分析方法（SAAM）与替代方法进行比较。建议基于IHE交叉文档注册（XDR）和卫生信息交换标准（HL7）快速医疗互操作资源（FHIR）观察结果构建一个技术工作流程，在IHE XDS产品中引入两项新服务，用于从临床文档架构（CDA）文档中提取观察结果，并在领域级范围内存储数据。该信息作为按需文档发布在IHE XDS基础设施中。
