Electronic Systems Interoperability Study: Based on the Interchange of Hospital Obstetrical Information

Proceedings. IEEE International Symposium on Computer-Based Medical Systems Pub Date : 2015-06-22 DOI:10.1109/CBMS.2015.57

Z. Reis, J. Gaspar, A. C. Souza, M. S. Junior, Thais Abreu Maia, M. R. Santos

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引用次数: 4

Abstract

The Obstetric Inpatient Discharge Summary is a document considered essential in the complex care network for health care continuity. AIMS: The study proposes a model for the transmission of clinical information contained in the discharge summary with the aim of exchanging the information between electronic systems and defining standards, allowing the testing of obstetric records interoperability, referring, in particular, to births. METHODS: Information was modeled using the methodology for developing archetypes proposed in the International Standardization Organization 13606 standard. RESULTS: The electronic document was implemented in a university hospital, and the information was divided into two sections, one containing maternal data and the other neonate(s) information. An Electronic Health Record extract in eXtensible Markup Language, containing structured clinical data, will constitute the vector of transmission system from hospital information to primary care units. CONCLUSION: The model proposed is expected to subsidize information semantic persistence, contributing to health care quality.

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基于医院产科信息交换的电子系统互操作性研究

产科住院病人出院摘要是一份文件，被认为是复杂的保健网络中必不可少的保健连续性。目的:该研究提出了一种传输出院摘要中包含的临床信息的模型，目的是在电子系统和定义标准之间交换信息，允许产科记录互操作性的测试，特别是指分娩。方法:使用国际标准化组织13606标准中提出的开发原型的方法对信息进行建模。结果:某高校医院实施了电子病历，病历信息分为两部分，一部分包含产妇信息，另一部分包含新生儿信息。以可扩展标记语言编写的包含结构化临床数据的电子病历摘录将构成从医院信息到初级保健单位的传输系统的载体。结论:该模型可增强信息语义持久性，提高医疗服务质量。

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Proceedings. IEEE International Symposium on Computer-Based Medical Systems

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