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IV
第一章緒論................................................................................................................1
1.1研究背景...............................................................................................................1
1.2國(guó)內(nèi)外研究現(xiàn)狀...................................................................................................2
1.2.1國(guó)外研究現(xiàn)狀.............................................................................................2
1.2.2國(guó)內(nèi)研究現(xiàn)狀.............................................................................................3
1.3研究的目的及意義...............................................................................................4
1.4研究?jī)?nèi)容與論文組織結(jié)構(gòu)...................................................................................4
1.4.1研究?jī)?nèi)容.....................................................................................................4
1.4.2論文的組織結(jié)構(gòu).........................................................................................5
第二章區(qū)域衛(wèi)生信息化相關(guān)標(biāo)準(zhǔn)和規(guī)范................................................................6
2.1醫(yī)療信息交換與傳輸標(biāo)準(zhǔn)...................................................................................6
2.1.1 HL7消息交換標(biāo)準(zhǔn)版本2.X......................................................................6
2.1.2 HL7消息交換標(biāo)準(zhǔn)版本3.0.......................................................................7
2.2受控醫(yī)學(xué)詞表（CMV）......................................................................................9
2.3醫(yī)學(xué)文本標(biāo)準(zhǔn)HL7 CDA.....................................................................................9
2.4衛(wèi)生部數(shù)據(jù)元與數(shù)據(jù)集標(biāo)準(zhǔn).............................................................................11
2.4.1 2009版健康檔案與電子病歷數(shù)據(jù)集標(biāo)準(zhǔn)............................................11
2.4.2 2011版衛(wèi)生信息數(shù)據(jù)元目錄標(biāo)準(zhǔn)..........................................................13
2.5 IHE XDS規(guī)范.....................................................................................................15
2.5.1 IHE.............................................................................................................15
2.5.2 IHE XDS....................................................................................................16
第三章IHE XDS應(yīng)用于區(qū)域衛(wèi)生信息化分析......................................................19
3.1衛(wèi)生部區(qū)域衛(wèi)生信息化方案剖析.....................................................................19V
3.1.1衛(wèi)生部區(qū)域衛(wèi)生信息平臺(tái)系統(tǒng)架構(gòu)分析...............................................19
3.1.2區(qū)域醫(yī)療信息采集與信息模型分析.......................................................20
（一）醫(yī)療信息來(lái)源及信息類型............................................................................20
（二）健康檔案基本架構(gòu)與信息內(nèi)容....................................................................20
（三）健康檔案信息標(biāo)準(zhǔn)........................................................................................21
3.1.3區(qū)域醫(yī)療信息存儲(chǔ)方案...........................................................................22
3.2 IHE XDS應(yīng)用于區(qū)域衛(wèi)生信息化分析與設(shè)計(jì).................................................24
3.2.1體系結(jié)構(gòu)...................................................................................................24
3.3 IHE XDS元數(shù)據(jù)分析.........................................................................................26
3.3.1 XDS文檔入口元數(shù)據(jù)分析......................................................................26
3.3.2文檔提交集與文檔提交集元數(shù)據(jù)...........................................................28
3.3.3 XDS文件夾分析......................................................................................30
3.4基于IHE XDS的區(qū)域衛(wèi)生信息共享事務(wù)分析...............................................31
3.4.1提交及注冊(cè)文檔事務(wù)...............................................................................31
3.4.2查詢及獲取文檔事務(wù)...............................................................................33
3.5總結(jié).....................................................................................................................35
第四章基于IHE XDS的區(qū)域衛(wèi)生信息共享框架設(shè)計(jì)........................................36
4.1基于IHE XDS的區(qū)域衛(wèi)生信息共享技術(shù)方案...............................................36
4.2醫(yī)療信息共享POS層........................................................................................37
4.2.1 HL7 CDA與衛(wèi)生部數(shù)據(jù)集標(biāo)準(zhǔn)整合......................................................37
4.2.2 POS適配器軟件實(shí)現(xiàn)...............................................................................39
4.3 HIAL層................................................................................................................41
4.3.1文檔提交與注冊(cè)適配器...........................................................................41
4.3.2查詢與獲取文檔適配器實(shí)現(xiàn)...................................................................41
4.4業(yè)務(wù)邏輯層.........................................................................................................42
4.5基礎(chǔ)服務(wù)層.........................................................................................................43VI
4.5.1文檔注冊(cè)服務(wù)...........................................................................................43
4.5.2文檔存儲(chǔ)服務(wù)...........................................................................................43
4.5.3文檔查詢服務(wù)...........................................................................................44
4.5.4文檔獲取服務(wù)...........................................................................................45
4.6數(shù)據(jù)層.................................................................................................................45
4.6.1 XDS文檔存儲(chǔ)庫(kù)實(shí)現(xiàn)..............................................................................45
4.6.2 XDS文檔注冊(cè)庫(kù)實(shí)現(xiàn)..............................................................................46
第五章基于IHE的區(qū)域衛(wèi)生信息共享實(shí)現(xiàn).........................................................48
5.1 IHE XDS實(shí)現(xiàn)基礎(chǔ).............................................................................................48
5.1.1 EBXML......................................................................................................48
5.1.2開源軟件OPENXDS.................................................................................48
5.2實(shí)現(xiàn)環(huán)境.............................................................................................................52
5.3項(xiàng)目實(shí)施過(guò)程.....................................................................................................53
5.3.1 XDS服務(wù)發(fā)布..........................................................................................53
5.3.2 POS適配器實(shí)現(xiàn)醫(yī)療信息注冊(cè)及存儲(chǔ)...................................................54
5.3.3文檔查詢及獲取.......................................................................................59
5.4總結(jié).....................................................................................................................61
第六章總結(jié)與展望..................................................................................................62
6.1總結(jié).....................................................................................................................62
6.2展望.....................................................................................................................63
致謝........................................................................................................................64
參考文獻(xiàn)....................................................................................................................65
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