The Development of an Aggregated Electronic Health Record in Compliance with Consolidated Clinical Document Architecture

Yujuan Shang, Huiqun Wu, Kui Jiang
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引用次数: 2

Abstract

Objective With the abundance of clinical data collection in modern digital hospitals, electronic health records (EHR) has become a tool for clinical and genomic research. In this study, we aim to make an aggregated EHR framework leveraging datasets either within or across consolidated clinical document architecture (C-CDA), and show its primary experiment results in a localized Chinese EHR development. Methods A total 53 templates released by China were integrated for this experiment, the aggregated EHR template construction was based on the existing mature international standards, the three-tier architecture ISO/HL7 CDA R2, and the HL7 RIM model. A series of tools were used in this experiment to integrate data from heterogeneous systems via C-CDA. Results After designing and modeling, the aggregated EHR could be displayed in html on the browser or XSLT-compatible application. The designed aggregated EHR document was composed of five layers such as document, component, section, entry, data element. Conclusions In conclusion, our proposed aggregated EHR in compliance with C-CDA framework could leverage EHR adoption efficiency in the future.
符合统一临床文件架构的聚合电子健康记录的开发
目的随着现代数字化医院临床数据收集的丰富,电子病历(EHR)已成为临床和基因组研究的工具。在本研究中,我们的目标是利用整合临床文档架构(C-CDA)内或跨C-CDA的数据集构建一个聚合的电子病历框架,并展示其在中国本地化电子病历开发中的初步实验结果。方法采用国内发布的53个模板进行实验集成,基于现有成熟的国际标准、ISO/HL7 CDA R2三层架构和HL7 RIM模型构建聚合EHR模板。本实验使用了一系列工具,通过C-CDA整合来自异构系统的数据。结果经过设计和建模后,聚合的电子病历可以在浏览器或兼容xslt的应用程序上以html格式显示。设计的聚合EHR文档由文档、组件、节、条目、数据元素五层组成。综上所述,我们提出的符合C-CDA框架的汇总电子病历可以提高未来电子病历的采用效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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