互操作性概念的演变历程及在医疗卫生信息化领域的实践-中国数字医学.pdfVIP

特别专题 Exclusive Subject 医疗信息互操作 互操作性概念的演变历程及在医疗卫生信息化领域的实践 ① 陈修 摘 要 近年来，“互操作性”在国内医疗卫生信息化行业受到越来越多的关注。随着符合互操作性要求的医疗信息平台产 品的引进，以及HIE平台在一些医院和区域医疗项目中的实施落地，对互操作性的理解逐步从理论、概念层面深入到技术与系 统性能等具体的实践层面。对互操作性概念的演变历程进行了回顾，介绍了通用的互操作性评价模型及在医疗信息化中的应 用，分析了互操作性在当前医疗卫生信息化中的关键作用，对实现互操作的医疗信息平台技术进行了简介。 关键词　互操作性 HIE 标准化 医疗卫生信息化 HL7 Doi:10.3969/j.issn.1673-7571.2016.05.002 [中图分类号] R319; TP391 [文献标识码] A Evolution Course and Practice of the Concept of Interoperability in the Field of Medical and Health Information / CHEN Xiu// China Digital Medicine.-2016 11(5): 06 to 09 Abstract In recently years, the term of interoperability has attracted increasing amount of attention in the healthcare IT area. With the introduction of interoperable platform products and successful implementation of the HIE platforms in hospital and regional health network projects, understanding of interoperability has progressed from theoretical and conceptual levels to practical details such as the technologies and system performance. This survey reviews the evolution of the concept of interoperability, introduces a universal assessment model for interoperability and its application in HIT, emphasizes the key role interoperability plays in current HIT development, and elaborates on the technologies and products realizing interoperability. Keywords interoperability, HIE, standard, medical and health information, HL7 Corresponding author CTO of New York National Medical Management and Information Science Research Center, Head of Information Department of (the former) New York City Department of Hospitals and Senior Management Consultant of (the former) New York State Department of Health, New York 11357, USA 1 引言 近年来，欧美国家在医疗卫生信息化实践中解决跨系统数据共享问题时，越来越强调“互操作性”的重要性。在政 府层面，美国卫生部将互操作性作为电子病历“有意义使用”的重要评价标准；欧洲理事会制定了医疗卫生信息化互操作 性的实现路径图。在行业和产品层面，多年来厂商和用户