符合行业技术规范的HIE平台在院内信息化建设中的作用-中国数字医学.PDFVIP

特别专题 Exclusive Subject 医疗信息互操作 符合行业技术规范的HIE平台在院内信息化建设中的作用 刘翰腾① 郭凌宇② 摘 要 中山大学附属第一医院是国内首个采用国际标准和行业技术规范开发HIE平台，进行院内信息化改造的落地案例。通 过HIE平台的搭建，接入异构的业务子系统，实现了以病人为中心的电子病历信息的整合和全院共享，为临床业务、临床科 研、质量管理、绩效管理等提供实时、高质量的数据共享和各类数据应用。互操作性HIE平台在信息化建设中，因具有对原有 系统“侵入”小、系统间解耦、可复制性高的特点，使项目周期可控、建设投入合理，对业务影响小，建设可发展性高。由 于HIE平台是采用语法互操作性核心标准、语义互操作性核心标准，按照互操作性核心集成功能规范和国际主流互操作平台架 构开发的，相对国内通常采用的数据库加ETL技术实现异构系统集成的模式，在系统稳定性、数据实时、及时性、数据质量上 具有无法比拟的优势。 关键词　HIE平台 电子病历 互操作性 XDS PIX eMPI Doi:10.3969/j.issn.1673-7571.2016.05.004 [中图分类号] R319; TP391 [文献标识码] A Application of HIE Platform Conforming to Industry Specifications in the Construction of Hospital Informatization / LIU Han-teng, GUO Ling-yu//China Digital Medicine.-2016 11(5): 13 to 17 Abstract The First Affiliated Hospital of Sun Yat-sen University, was the first case in China of IT system renovation by implementing an HIE platform compliant with international health IT standards and technical framework. By deploying HIE platform and connecting heterogeneous systems, the renovation achieved the patient-centered EHR information integration and sharing, provided with timely, high-quality data for daily clinical practices, scientific research, service quality management, personnel performance evaluation, etc. From the project management and IT construction points of view, the EMR platform with interoperability has the advantages of manageable project schedule, reasonable cost and little interference with hospital operation due to its minimal invasion into existing systems, decoupling between systems and easy replication of deployment. The HIE product used in the project was developed in compliance wi