基于FHIR的韩国IPS数据管道和以用户为中心的UI设计的开发
1Department of Nursing, Gangneung-Wonju National University, 150 Namwon-ro, Heungeop-myeon, Wonju, Gangwon State, Republic of Korea. kbg04405@gmail.com.
Scientific reports
|January 6, 2026
概括
在韩国实施国际患者摘要 (IPS) 是可行的,有86%的数据元素可以使用现有的韩国FHIR资源进行映射. 术语和配置调整中的差距需要进一步开发才能实现完全的互操作性.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康标准 数字健康标准
- 医疗保健互操作性 医疗保健互操作性
背景情况:
- 国际患者摘要 (IPS) 是全球基本健康信息交换的标准.
- 韩国通过"我的健康记录"应用程序和KR核心配置文件使用快速医疗互操作性资源 (FHIR).
- 目前还没有一种标准化的方法将韩国FHIR数据转换为IPS格式.
研究的目的:
- 评估在韩国实施符合IPS的患者总结的可行性.
- 评估现有的韩国FHIR资源与IPS标准的兼容性.
- 在韩国医疗保健系统中确定IPS实施的缺口和要求.
主要方法:
- 关于IPS标准和互操作性的文献审查.
- 差距分析将IPS要求与KR核心FHIR配置文件进行比较.
- 将现实世界FHIR数据转换为IPS格式,使用ChatGPT-4o.
- 使用HAPI FHIR和SMART FRED工具进行验证.
- 通过个人和专家咨询收集用户需求.
- 使用Figma开发一个原型用户界面.
主要成果:
- 七个IPS组件中的六个被映射到十个KR核心配置文件; "设备"和"医疗声明"缺乏直接映射.
- 大约86%的所需IPS数据元素是由现有的韩国FHIR资源所代表的.
- 用户要求强调了需要总结和基于时间线的UI功能.
结论:
- 在韩国实施IPS在技术上是可行的,使用目前的FHIR资源.
- 对于全面的IPS部署,需要解决术语覆盖和个人资料调整方面的差距.
- 未来的努力应优先考虑多站点验证,自动映射和强大的治理框架.
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