A prototype model using clinical document architecture (CDA) with a Japanese local standard : designing and implementing a referral letter system.
نویسندگان
چکیده
Since clinical document architecture (CDA) became an American National Standards Institute (ANSI)-approved health level seven (HL7) Standard, many countries have begun making an effort to make local standards conform to CDA. In order to make CDA compatible with the many different local standards existing in different countries, we designed a prototype model using HL7 CDA R2 with medical markup language (MML), a Japanese medical data exchange standard. Furthermore, a referral letter system based on this model was developed. Archetypes were used to express medical concepts in a formal manner and to make 2 different standards work collaboratively. We share herein the experience gathered in designing and implementing a referral letter system based on HL7 CDA, Release 2 (CDA R2). We also outline the challenges encountered in our project and the opportunities to widen the scope of this approach to other clinical documents.
منابع مشابه
Health level seven interoperability strategy: big data, incrementally structured.
OBJECTIVES Describe how the HL7 Clinical Document Architecture (CDA), a foundational standard in US Meaningful Use, contributes to a "big data, incrementally structured" interoperability strategy, whereby data structured incrementally gets large amounts of data flowing faster. We present cases showing how this approach is leveraged for big data analysis. METHODS To support the assertion that ...
متن کاملDeveloping a Common Health Information Exchange Platform to Implement a Nationwide Health Information Network in South Korea
OBJECTIVES We aimed to develop a common health information exchange (HIE) platform that can provide integrated services for implementing the HIE infrastructure in addition to guidelines for participating in an HIE network in South Korea. METHODS By exploiting the Health Level 7 (HL7) Clinical Document Architecture (CDA) and Integrating the Healthcare Enterprise (IHE) Cross-enterprise Document...
متن کاملCross-institutional document exchange system using clinical document architecture (CDA) with virtual printing method
Recently one patient received care from several hospitals at around the same time. When the patient visited a new hospital, the new hospital's physician tried to get patient information the previous hospital. Thus, patient information is frequently exchanged between them. Many types of healthcare facilities have implemented an electronic medical record system, but in Japan, healthcare informati...
متن کاملA Self-Protecting Security Framework for CDA Documents
Clinical Document Architecture (CDA) is a standard for the exchange of electronic medical records. This paper describes a self-protecting security framework for protecting the security and privacy of CDA documents. The framework extends a CDA document with markups from XML based security standards including eXtensible Access Control Markup Language, XML Encryption, and XML Signature. This integ...
متن کاملبررسی استانداردهای ساختار، محتوا و واژهنامه پرونده الکترونیک سلامت در سازمانهای منتخب و ارائه الگوی مناسب برای ایران
Introduction: Electronic health record (EHR) is defined as digitally stored healthcare information about an individual's life time with the purpose of supporting continuity of care, education, and research. Major issue that needs to be addressed in order to accomplish with sharing and exchange is the development and use of content and structure standards in the EHR. Based on, this investigation...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta medica Okayama
دوره 62 1 شماره
صفحات -
تاریخ انتشار 2008