Russell國際標準在智慧醫(yī)療中的應(yīng)用

1、Opportunities Provided by Use of International Standards基于國際標準的應(yīng)用Interoperability互操作性: 1990Payer保險Hospital醫(yī)院Physician醫(yī)生Researcher科研者GovernmentPharma/device company醫(yī)藥/設(shè)備公司Schools學(xué)校Genomic Sequence Lab基因測序?qū)嶒炇襍ocial service agency社會服務(wù)機構(gòu)Home devices 穿戴設(shè)備Senior center老年中心Family家庭Nursing home護理中心Laborator

2、y檢驗中心Home care agency家庭護理機構(gòu)Ambulance急救政府Pharmacy藥房Rehab康復(fù)中心Patient患者Interoperability互操作性: The Future未來3 |The burning platformWilliam Stead, et alAcademic Medicine. 86(4): 429-434, April 2011.4 |A black horse with white stripes 黑馬白紋. or a white horse with black stripes? 還是白馬黑紋？Photo by Lukas KafferVo

3、cabulary standards 術(shù)語標準Messaging standards 消息標準Document standards 文檔標準HL7 FHIR5 |Healthcare Standards醫(yī)療標準Vocabulary standards 術(shù)語標準6 |Systemized NOmenclature of MEDicineConcept terms for all clinical concepts所有臨床概念的概念術(shù)語380,000 terms with unique codes380,000個獨立編碼的術(shù)語1.2 million relationships between te

4、rms1百20萬的術(shù)語間關(guān)系7 |SNOMED CTSystemized NOmenclature of MEDicineCodes for names of lab tests, documents Know information from 2 systems is same Search for a specific type of data8 |LOINCMessaging standard: send data between systems消息標準：在系統(tǒng)間傳送數(shù)據(jù)Most used standard - 80% of systems in world最廣泛采用的標準 - 全球80

5、%的系統(tǒng)Almost 30 years old快30歲高齡了Much work to customize for each 2 systems2個系統(tǒng)都需要很多定制化工作9 |HL7 Version 2 HL7 V2Familiar clinical documents summary, report, 熟悉的臨床檔案 小結(jié)，報告Some of data is coded data, but also narrative既有編碼數(shù)據(jù)，也有描述文本Much optionality, thus inconsistent between systems很大的可選性，因此在系統(tǒng)間并不一致Best cu

6、rrent way to send summaries, better than pdf當前最好的傳送小結(jié)的方式，比pdf好10 |HL7 Clinical Document Architecture - CDAIntegration between systems系統(tǒng)間的集成A framework for integrating systems for data exchange用于數(shù)據(jù)交換的系統(tǒng)集成架構(gòu)Domains Cardiology, Radiology, Patient Care, .域 心臟病學(xué)，放射學(xué)，病人護理，.Calls out standards to be used f

7、or specific use cases為特定用例使用標準Allows system vendors to declare intended capabilities允許系統(tǒng)廠商聲明未來的擴展功能12 |Integrating the Healthcare Enterprise - IHEFHIR: capable of different interoperabilityparadigms 架構(gòu)跨系統(tǒng)間的互操作性13 |HL7FHIRFast 快速Healthcare 醫(yī)療Interoperability 互操作性Resources 資源 Health Level Seven, HL7 a

8、nd FHIR are registered trademarks of Health Level Seven International, registered with the United States Patent and Trademark Office.14 |15 |Payer保險Hospital醫(yī)院Physician醫(yī)生Researcher科研者GovernmentPharma/device company醫(yī)藥/設(shè)備公司Schools學(xué)校Genomic Sequence Lab基因測序?qū)嶒炇襍ocial service agency社會服務(wù)機構(gòu)Home devices 穿戴設(shè)備

9、Senior center老年中心Family家庭Nursing home護理中心Laboratory檢驗中心Home care agency家庭護理機構(gòu)Ambulance急救政府Pharmacy藥房Rehab康復(fù)中心Patient患者Interoperability互操作性: The Future未來Which is the best standard for everything?哪一個是萬能標準？16 |Usage + MindshareTimeThe Lifecycle of Standards 標準的生命周期HL7 V2HL7CDAHL7FHIRHL7V317 |HealthShare HealthInformation ExchangeBridging Systems in a Hybrid Environment于混合環(huán)境中連接