Increasing the meaningful use of electronic medical records: a localized health level 7 clinical document architecture system

  • Authors:

  • Jun Liang;Mei Fang Xu;Lan Juan Li;Sheng Li Yang;Bao Luo Li;De Ren Cheng;Ou Jin;Li Zhong Zhang;Long Wei Yang;Jun Xiang Sun

  • Affiliations:

  • Hospital of Zhejiang University College of Medicine, Hangzhou, China;Hospital of Zhejiang University College of Medicine, Hangzhou, China;Chinese Academy of Engineering, Beijin, China;Chinese Academy of Engineering, Beijin, China;China Hospital Information Management Association, Beijin, China;Zhejiang University, Hangzhou, China;Hangzhou State Software Industry Base Co., Ltd., Hangzhou, China;Hangzhou Normal University, Hangzhou, China;Hospital of Zhejiang University College of Medicine, Hangzhou, China;Sir Run Run Shaw Hospital of Zhejiang University College of Medicine, Hangzhou, China

  • Venue:
  • ADMA'10 Proceedings of the 6th international conference on Advanced data mining and applications - Volume Part II
  • Year:
  • 2010

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Abstract

The health information systems of most medical institutions in China are isolated. Communications across these systems are generally realized through point-to-point interfaces at the database level, which tend to lack interoperability, extensibility, and security. In the resent study, we developed localized, document-oriented and data-focused clinical document architecture (CDA) templates based on health level 7 (HL7) CDA. Then, by combining these templates with the Service-oriented architecture for HL7 middleware, we accomplished interoperability across multiple heterogeneous systems. Modules of our system have been put into trial use in six medical institutions, including the Second University Hospital (main campus and regional campuses) of the School of Medicine, Zhejiang University and other collaborating hospitals.