HL7培训UNIT1.ppt

* * * * * * These indicate the types of information that may be included in documents and where information can be found in documents. A common standard in paper medical records is the SOAP format (Subjective, Objective, Assessment, Plan). CCR (Continuity of Care Record - a standard only used in the U.S.) provides a standard format for electronic document interchange among healthcare professionals that includes patient identification information, encounter and treatment records, medications, allergies, and recommendations for the healthcare plan. CDA (Clinical Document Architecture, formerly known as Patient Record Architecture) is an interchange standard for clinical documents such as discharge and evolution notes. Finally, the CCD (Continuity of Care Document - a standard used in the U.S. only) is a project between HL7 and ASTM to enable representation data of the CCR in a CDA document using XML encoding. * CDISC: 临床试验数据报告格式 Format for reporting data collected in clinical trials. Clinical Data Interchange Standards Consortium NCPDP Structure for transmitting prescription requests and fulfilment. The National Council (U.S.A.) for prescription drug programs ASC X12 电子商务信息交换标准 Electronic messages for claims, eligibility and payments. American National Standards Institute, Accredited Standards Committee /x12org/index.cfm IEEE1073 医疗设备通讯消息标准 Messages for medical device communications. Institute of Electrical and Electronics Engineers Standards Association /sa/sa-view.html CCR 后续治疗医疗文档标准 Document format (for use in the U.S.A. only) that gives snapshot of a patient’s core data and recent encounters (allergies, medications, treatment, care plan) and makes it available to subsequent care providers. ASTM International,E31 Committee on Health Informatics CCD 使用CDA表示CCD数据 Represents CCR data in a CDA encoded in XML. Project between HL7 and ASTM. /summit/handouts/dolin/pdf CCOW Standard for providing comprehensive view and single sign-on capability across systems