构建一个以FHIR格式交换的电子医疗记录系统及其视觉呈现
Tz-Jie Liu1,2, Hsu-Ting Lee1, Fan Wu1
1Department of Information Management, National Chung Cheng University, Chiayi 621301, Taiwan.
Healthcare (Basel, Switzerland)
|September 9, 2023
概括
台湾 台湾 台湾 台湾
科学领域:
- 医疗信息学 医疗信息学
- 医学数据交换标准 医疗数据交换标准
- 医疗保健技术整合 医疗保健技术整合
背景情况:
- 台湾的电子医疗记录交换中心使用临床文档架构 (CDA) R2,仅限于XML和临床文档.
- 台湾缺乏标准化的医疗数据交换框架,导致系统不兼容和数据集成速度缓慢.
- 目前的系统需要广泛的定制和数据分析,增加医疗机构的成本和时间.
研究的目的:
- 模拟使用快速医疗互操作资源 (FHIR) 的医疗保健机构,以改善医疗信息交换.
- 利用FHIR交换的数据开发一个动态仪表板,以帮助医疗保健专业人员做出决策.
- 评估基于FHIR的医疗数据交换的安全性和性能.
主要方法:
- 模拟FHIR实现医疗机构之间的医疗信息交换.
- 使用超文本传输协议安全 (HTTPS) 与传输层安全 (TLS) 进行安全的数据传输.
- 使用Apache JMeter进行系统性能评估,用于负载和性能测试.
主要成果:
- 用FHIR服务器取代现有的网关,大大减少了数据格式转换时间和成本.
- 与以前的VPN解决方案相比,FHIR的实施减轻了信息安全风险.
- 从FHIR数据生成的动态图表有效地协助医疗保健专业人员在医疗决策中.
结论:
- FHIR为台湾的医疗数据交换提供了一个更有效,更安全的标准.
- 采用FHIR可以简化医疗数据集成,减少开发开销.
- 由FHIR数据驱动的动态仪表板增强了临床决策支持系统.
相关概念视频
01:30Methods of Documentation VII: EMR
861
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
861
01:30Health Information Technology and Healthcare Information System
867
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
867
01:19Purpose of Health Records II
991
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
991
01:28Formats for Nursing Documentation
1.0K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.0K
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
01:20Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K