Electronic Healthcare Record and Clinical Research in Cardiovascular Radiology. HL7 CDA and CDISC ODM Interoperability
Electronic Healthcare Record and Clinical Research in Cardiovascular Radiology. HL7 CDA and CDISC ODM Interoperability
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发表时间：
2007-10
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通讯作者：
Abdennaji El Fadly;C. L. Bozec;C. Bousquet;T. Dart;Pierre-Yves Lastic;P. Degoulet
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作者：
Abdennaji El Fadly;C. L. Bozec;C. Bousquet;T. Dart;Pierre-Yves Lastic;P. Degoulet
将临床研究数据输入与患者护理数据输入集成是一个具有挑战性的问题。在蓬皮杜欧洲医院（HEGP），心血管放射学报告被捕获两次，首先在电子健康记录（EHR）中，然后在国家临床研究服务器中。EHR （HL7 CDA）和临床研究（CDISC ODM）的信息学标准不同。这项工作的目的是为EHR和临床研究数据管理系统（CDMS）提供一个单一的多用途形式。我们采用并比较了两种方法。第一种方法是在EHR中实现单一的“护理-研究”表单，并对齐HL7 CDA文档和CDISC ODM消息的XML结构，以便将相关数据从EHR导出到CDMS。第二种方法是在EHR中显示单个“care-research”XForms表单，并生成HL7 CDA文档和CDISC消息，以同时为EHR和CDMS提供信息。基于XForms的解决方案避免了用不相关的信息使EHR和CDMS过载。除了语法互操作性之外，透视图还用于解决两个领域之间的语义互操作性问题。
Integrating clinical research data entry with patient care data entry is a challenging issue. At the G. Pompidou European Hospital (HEGP), cardiovascular radiology reports are captured twice, first in the Electronic Health Record (EHR) and then in a national clinical research server. Informatics standards are different for EHR (HL7 CDA) and clinical research (CDISC ODM). The objective of this work is to feed both the EHR and a Clinical Research Data Management System (CDMS) from a single multipurpose form. We adopted and compared two approaches. First approach consists in implementing the single "care-research" form within the EHR and aligning XML structures of HL7 CDA document and CDISC ODM message to export relevant data from EHR to CDMS. Second approach consists in displaying a single "care-research" XForms form within the EHR and generating both HL7 CDA document and CDISC message to feed both EHR and CDMS. The solution based on XForms avoids overloading both EHR and CDMS with irrelevant information. Beyond syntactic interoperability, a perspective is to address the issue of semantic interoperability between both domains.