浅谈我国医院信息化的发展及HL7标准

4320卷3期2005.3HL7马凌,周果宏(首都医科大学,北京100054)[],,HL7[]HIS;MIS;CIS;PACS;HL7[]TP391[]C[]1007-7510(2005)03-0043-03DevelopmentofHISandHL7standardMALing,ZHOUGuo-hong(CapitalUniversityofMedicalSciences,Beijing100054,China)Abstract:Withthefastdevelopmentofcomputerandnetwork,informationtechnologyisappliedwidelyinthehospital.ThispaperbrieflyintroducestheHIS'presentstatusanddevelopmentaltrend.HL7,amedicalinformationexchangestandard,isveryimportanttoHIS'development.Keywords:HIS;MIS;CIS;PACS;HL7(HospitalInformationSystem,HIS):HIS,,[1],:,1(HIS)(ManagementInformationSystem,MIS)(ClinicalInformationSystem,CIS)[2],,;,,2002,31%(HIS),80%,20%;HIS,85%(MIS)[3],,,:,,CIS,,,,,,,,,(CIS)22.1(CIS),,,HISCIS,CIS12.6%,[4],,,HIS[收稿日期]2004-10-11[修回日期]2005-01-144420卷3期2005.3,,HIS,,,CIS,,,,(:),,,;,,,,,,,,,(PACS)[3],,,,CIS2.2PACSPACS(PictureArchivingandCommunicationSystems),,,,,[5]PACS,,,,,HIS,PACS,PACS(CT)(MR)(DSA)DICOMDICOM,PACS,PACS,(2)PACS,PACS,,,,HL7DICOM3.0HISPACS,PACSHIS,,,PACS,PACS,PACS,PACS,HISPACS,PACSPACS,,PACSPACS,PACS3HL7HL7(HealthLevel7)HL71987HL7HL7,,,HL7HIS,,ICD-9/10SNOMEDHL7,:(1)(2)(3),,,,,(4),,(5)(6)(7)(8)[6]XML--(ClinicalDocumentArchitecture,CDA)(PatientRecordArchitecture,PRA),,XMLHL7(ReferenceInformationModel,RIM),CDA,CDAXMLWeb,CDA,HL7XMLVersion3(2004)3.0,XML,COBRAOLE,2.X,,,HL74520卷3期2005.33.0,,,HL7RIM,HL7HL7:,,,,HL7,,HIS500,30,,HISHIS,HISCIS(),;,,WTO,,,,,HL720017,(HL7CHINA)HL7HL7,,HL7HL7,;,HISPACS,HL7,,;,!(MIS)!(CIS),HL7,,HISPACS,,,[参考文献][1]陈珞珈.怎样选择医院信息系统软件[J].中国中医药信息杂志,2001,8(8):86-87.[2]BemmelJH,MusenMA.HandookofMedicalinformatics[M].Netherlands:BohnStafleuVanLoghum,1998,320-324.[3]何雨生.医院信息化的现状与进展.[4]Suri,SanjeevMD.UsingMedicalandInformationTechnologyforImprovingQualityofCare[J].JournalofAmbulatoryCareManagement,2002,25(1).[5]BeirdLC.Howtosatisfybothclinicalandinformationtechnologygoalsindesigningasuccessfulpicturearchivingandcommunicationsystem[J].JournalofDigtalImaging,2000,13(2Suppl1):10-12.[6]HL7Version3.0.∀/,,,,,(:HL72.31.2),/,//,:(ADT),,,,,/,,,,,,,120HISPACSHISLIS∀(上接第48页)