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引用次数: 8
摘要
互操作性是启用全科医生(GP)和医院专家(HS)临床信息系统的关键,以便在访问电子健康记录时交换和管理慢性护理模型(CCM)医疗记录、患者摘要(PS)和电子处方(e-Prescription)文档。我们基于为意大利医疗保健开发的Health Level 7 Version 3 Clinical Document Architecture Release 2,介绍了PS和电子处方的本地化体验。我们还描述了在慢性病(糖尿病)的诊断和治疗途径管理中,医疗保健提供者之间共享患者临床数据的CCM实施经验。最后,作为一个案例研究,我们提出了一个整合GP/HS各种服务的项目,该项目符合意大利在国家和地区层面(托斯卡纳地区)的规范。
Enabling Primary and Specialist Care Interoperability Through HL7 CDA Release 2 and the Chronic Care Model: An Italian Case Study
Interoperability is the key to enable clinical information systems for General Practitioners (GP) and Hospital Specialists (HS) in order to exchange and manage the Chronic Care Models (CCM) medical records, Patient Summary (PS), and Electronic Prescription (e-Prescription) documents while accessing the electronic health record. We present a localization experience for PS and e-prescription, based on the Health Level Seven Version 3 Clinical Document Architecture Release 2, developed for Italian healthcare. We describe also an experience on the implementation of CCM for sharing patient clinical data among healthcare providers in the management of diagnostic and therapeutic pathways for chronic diseases (diabetes). Finally, we propose, as a case study, a project for the integration of various services for GP/HS, in line with the context of Italian normative both at the national and regional levels (Tuscany region).
期刊介绍:
The scope of the IEEE Transactions on Systems, Man, and Cybernetics: Systems includes the fields of systems engineering. It includes issue formulation, analysis and modeling, decision making, and issue interpretation for any of the systems engineering lifecycle phases associated with the definition, development, and deployment of large systems. In addition, it includes systems management, systems engineering processes, and a variety of systems engineering methods such as optimization, modeling and simulation.