{"title":"The Development of an Aggregated Electronic Health Record in Compliance with Consolidated Clinical Document Architecture","authors":"Yujuan Shang, Huiqun Wu, Kui Jiang","doi":"10.1145/3340037.3340039","DOIUrl":null,"url":null,"abstract":"Objective With the abundance of clinical data collection in modern digital hospitals, electronic health records (EHR) has become a tool for clinical and genomic research. In this study, we aim to make an aggregated EHR framework leveraging datasets either within or across consolidated clinical document architecture (C-CDA), and show its primary experiment results in a localized Chinese EHR development. Methods A total 53 templates released by China were integrated for this experiment, the aggregated EHR template construction was based on the existing mature international standards, the three-tier architecture ISO/HL7 CDA R2, and the HL7 RIM model. A series of tools were used in this experiment to integrate data from heterogeneous systems via C-CDA. Results After designing and modeling, the aggregated EHR could be displayed in html on the browser or XSLT-compatible application. The designed aggregated EHR document was composed of five layers such as document, component, section, entry, data element. Conclusions In conclusion, our proposed aggregated EHR in compliance with C-CDA framework could leverage EHR adoption efficiency in the future.","PeriodicalId":340774,"journal":{"name":"Proceedings of the 3rd International Conference on Medical and Health Informatics","volume":"174 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Proceedings of the 3rd International Conference on Medical and Health Informatics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1145/3340037.3340039","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
Objective With the abundance of clinical data collection in modern digital hospitals, electronic health records (EHR) has become a tool for clinical and genomic research. In this study, we aim to make an aggregated EHR framework leveraging datasets either within or across consolidated clinical document architecture (C-CDA), and show its primary experiment results in a localized Chinese EHR development. Methods A total 53 templates released by China were integrated for this experiment, the aggregated EHR template construction was based on the existing mature international standards, the three-tier architecture ISO/HL7 CDA R2, and the HL7 RIM model. A series of tools were used in this experiment to integrate data from heterogeneous systems via C-CDA. Results After designing and modeling, the aggregated EHR could be displayed in html on the browser or XSLT-compatible application. The designed aggregated EHR document was composed of five layers such as document, component, section, entry, data element. Conclusions In conclusion, our proposed aggregated EHR in compliance with C-CDA framework could leverage EHR adoption efficiency in the future.