Kazemi-Arpanahi Hadi, Shanbehzadeh Mostafa, Mirbagheri Esmat, Baradaran Abdolvahab
Department of Health Information Technology, Abadan Faculty of Medical Sciences, Abadan, Iran.
Student Research Committee, Abadan Faculty of Medical Sciences, Abadan, Iran.
J Educ Health Promot. 2020 Oct 30;9:262. doi: 10.4103/jehp.jehp_751_19. eCollection 2020.
Providing information exchange and collaboration between isolated information systems (ISs) is essential in the health-care environments. In this context, we aimed to develop a communication protocol to facilitate better interoperability among electrophysiology study (EPS)-related ISs in order to allow exchange unified reporting in EPS ablation.
This study was an applied-descriptive research that was conducted in 2019. To determine the information content of agreed cardiac EPS Minimum Data Set (MDS) in Iran, the medical record of patients undergoing EPS ablation procedure in the Tehran Heart Center (THC) hospital was reviewed by a checklist. Then, an information model based on Health Level Seven, Clinical Document Architecture (HL7 CDA) standard framework for structural interoperability has been developed. In this framework, using NPEX online browser and MindMaple software, a set of terminology mapping rules was used for consistent transfer of data between various ISs.
The information content of each data field was introduced into the heading and body sections of HL7 CDA document using Systematized Nomenclature of Medicine - Clinical Terminology names and codes. Then, the ontology alignment was designed in the form of thesaurus mapping routes.
The sensitive, complex, and multidimensional nature of cardiovascular conditions requires special attention to the interoperability of ISs. Designing customized communication protocols plays an important role in improving the interoperability, and they are compatible with the needs of future Iranian health information exchange.
在医疗环境中，实现孤立信息系统（IS）之间的信息交换与协作至关重要。在此背景下，我们旨在开发一种通信协议，以促进电生理研究（EPS）相关信息系统之间更好的互操作性，从而实现EPS消融统一报告的交换。
本研究为应用描述性研究，于2019年开展。为确定伊朗商定的心脏EPS最小数据集（MDS）的信息内容，我们通过一份检查表对德黑兰心脏中心（THC）医院接受EPS消融手术患者的病历进行了审查。然后，基于健康信息第七层临床文档架构（HL7 CDA）标准框架开发了一个用于结构互操作性的信息模型。在此框架中，使用NPEX在线浏览器和MindMaple软件，通过一组术语映射规则在各个信息系统之间进行数据的一致传输。
使用医学系统命名法 - 临床术语名称和代码，将每个数据字段的信息内容引入HL7 CDA文档的标题和主体部分。然后，以叙词表映射路径的形式设计本体对齐。
心血管疾病的敏感性、复杂性和多维度性要求特别关注信息系统的互操作性。设计定制的通信协议在提高互操作性方面发挥着重要作用，并且它们与未来伊朗健康信息交换的需求兼容。
