基于HL7的电子病历模型构建与实现计算机科学与技术专业论文.docxVIP

Abstract With the rapid development of computer technology, standardization o f medical information, the promotion of electronic, it is the inevitable trend today for the hospitals to manage the medical records effectively by using computer. During the modernization management of hospital, EMR (Electronic Medical Record) is the main carriers of health care information, In order to share and use EMR, it is necessary to achieve the standardization of EMR. As the transmission standard of the United States Department Health information, HL7 (Health Level 7) has standardized clinical and formats of management information, reduces costs of interconnection and improves data information sharing between hospitals. Therefore, it is greatly significant to research an HL7-based EMR model and implement HL7-based EMR subsystem. In this paper, firstly, based on in-depth analysis to characteristics of EMR and HL7 reference information model (RIM), a HL7-based model of EMR is proposed. This model is consisted with clinical data basic classes and their connections. Entity, Role, participation and act are included in basic classes. Combining with current actual medical records structures of China, in this paper, all property fields which is consistent with HL7 is abstracted. The basic functional properties and connections of basic classes can support operation of HL7 state machine well and HL7 message’s construction. In addition, in order to optimize the storage structure, in this paper, elimination of the inheritance is used, which abstracts common classes from basic classes and eliminates the complexity between entities. Observation classes which store all data results are spitted in accordance with medical information data type so as to make medical information more specific. Secondly, using ER-EAV mixed model map EMR model to physical database. Observation classes which are disconnected use ER-EAV model, but other classes use ER model, in this way, it is convenient to map HL7 inf