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1、,Opportunities Provided by Use of International Standards 基于国际标准的应用,Interoperability互操作性: 1990,Payer 保险,Hospital医院,Physician,医生,Researcher 科研者,Government,Pharma/device company 医药/设备公司,Schools学校,Genomic Sequence Lab 基因测序实验室,Social service agency 社会服务机构,Home devices 穿戴设备,Senior center 老年中心,Family家庭,Nu
2、rsing home 护理中心,Laboratory 检验中心,Home care agency 家庭护理机构,Ambulance急救,政府 Pharmacy 药房,Rehab 康复中心,Patient患者,Interoperability互操作性: The Future未来,3 |,The burning platform,William Stead, et al Academic Medicine. 86(4): 429-434, April 2011.,4 |,A black horse with white stripes 黑马白纹,. or a white horse with bl
3、ack stripes? 还是白马黑纹？,Photo by Lukas Kaffer,Vocabulary standards 术语标准 Messaging standards 消息标准 Document standards 文档标准 HL7 FHIR,5 |,Healthcare Standards医疗标准,Vocabulary standards 术语标准,6 |,Systemized NOmenclature of MEDicine Concept terms for all clinical concepts 所有临床概念的概念术语 380,000 terms with unique
4、codes 380,000个独立编码的术语 1.2 million relationships between terms 1百20万的术语间关系,7 |,SNOMED CT,Systemized NOmenclature of MEDicine Codes for names of lab tests, documents Know information from 2 systems is same Search for a specific type of data,8 |,LOINC,Messaging standard: send data between systems 消息标准：
5、在系统间传送数据 Most used standard - 80% of systems in world 最广泛采用的标准 - 全球80%的系统 Almost 30 years old 快30岁高龄了 Much work to customize for each 2 systems 2个系统都需要很多定制化工作,9 |,HL7 Version 2 HL7 V2,Familiar clinical documents summary, report, 熟悉的临床档案 小结，报告 Some of data is coded data, but also narrative 既有编码数据，也有描
6、述文本 Much optionality, thus inconsistent between systems 很大的可选性，因此在系统间并不一致 Best current way to send summaries, better than pdf 当前最好的传送小结的方式，比pdf好,10 |,HL7 Clinical Document Architecture - CDA,Integration between systems,系统间的集成,A framework for integrating systems for data exchange 用于数据交换的系统集成架构 Domain
7、s Cardiology, Radiology, Patient Care, . 域 心脏病学，放射学，病人护理，. Calls out standards to be used for specific use cases 为特定用例使用标准 Allows system vendors to declare intended capabilities 允许系统厂商声明未来的扩展功能,12 |,Integrating the Healthcare Enterprise - IHE,FHIR: capable of different interoperability paradigms 架构跨
8、系统间的互操作性,13 |,HL7,FHIR,Fast 快速 Healthcare 医疗 Interoperability 互操作性 Resources 资源, Health Level Seven, HL7 and FHIR are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.,14 |,15 |,Payer 保险,Hospital医院,Physician,医生,Researcher,科研者,Go
9、vernment,Pharma/device company 医药/设备公司,Schools学校,Genomic Sequence Lab 基因测序实验室,Social service agency 社会服务机构,Home devices 穿戴设备,Senior center 老年中心,Family家庭,Nursing home 护理中心,Laboratory 检验中心,Home care agency 家庭护理机构,Ambulance急救,政府 Pharmacy 药房,Rehab 康复中心,Patient患者,Interoperability互操作性: The Future未来,Which
10、is the best standard for everything? 哪一个是万能标准？,16 |,Usage + Mindshare,Time,The Lifecycle of Standards 标准的生命周期,17 |,HealthShare Health,Information Exchange,Bridging Systems in a Hybrid Environment 于混合环境中连接系统,FHIR,IHE (XDS.b),FHIR CDA HL7v2,FHIR Transform FHIR转化,Data Transform 数据转化,Index 索引 FHIR Resource Repository FHIR资源库,CDA HL7v2,FHIR,FHIR,18 |,Thank you. 谢谢聆听！,19 |,
