構建以電子健康檔案為核心的全民健康信息化保障體系
成福春 ，尹嶺
（解放軍總醫(yī)院醫(yī)學情報研究所，北京 100853）
摘 要：目的構建以電子健康檔案為核心的全民健康信息化保障體系。方法1）以生命周期為主線，
構建關鍵健康事件核心數(shù)據(jù)結構，進行數(shù)據(jù)建模，以XSD 方式實現(xiàn)；2）構建地市一級健康檔案數(shù)據(jù)中心；
3）利用Webservice 等技術，實現(xiàn)相關健康事件數(shù)據(jù)自動上傳至數(shù)據(jù)中心并整合；4）基于數(shù)據(jù)中心的相關
診療規(guī)范的制定。結果 1）地市一級的健康檔案數(shù)據(jù)中心的數(shù)據(jù)結構及存儲模型的實現(xiàn)。2）實現(xiàn)數(shù)據(jù)自
動整合與自然積累的架構體系。結論依托信息技術，實現(xiàn)以健康檔案為核心、以生命周期為主線、以數(shù)
據(jù)中心為載體、以地市一級為單位的全民健康信息化保障體系。在此基礎上進行診療規(guī)范等的制定，提高
全民健康保障水平。
關鍵詞：電子健康檔案；全民健康保障；數(shù)據(jù)中心；數(shù)據(jù)整合；可擴展標記語言；Web 服務
To construct an IT-based national healthcare system with
the electronic health record as its core
CHENG Fu-chun, YIN Ling
Abstract: Objective To construct an IT-based national healthcare system with the electronic health record as
its core. Methods 1) With life cycle as main stream, to construct core data structure of key event, implemented
data model by XSD. 2) To construct city level Electronic Health Record Data Center. 3) By using Webservice,
Implemented Health Event data auto submitting and integrating into data center. 4) To build up specification of
diagnosis and treatment based on data center. Results 1) Implemented the electronic health record data structure
and storage model of city-level data center. 2) Implemented the architecture of data auto integrating and naturally
accumulating. Conclusion By using IT, with the EHR as its core, with the life cycle as main stream, with the data
center as media, with city level as unit, we can construct national health care system, based on which we can build
up specification of diagnosis and treatment to improve national health care level.
Key words: electronic health record; national health care; data center; data integration; XML; Webservice
【作者簡介】成福春（1972－），男，醫(yī)學博士，解放軍總醫(yī)院醫(yī)學情報研究所助理研究員；研究方向：醫(yī)學數(shù)據(jù)整合與利用。
1. 引言
人人享有基本衛(wèi)生保健服務，是全面建設小康
社會、推進社會主義現(xiàn)代化建設的重要目標，是促
進社會和諧的重要內容，是政府義不容辭的責任[1]。
健康保障，既有信息技術上的保障，如依托當代先
進網絡技術進行的遠程預約掛號、遠程會診、雙向
轉診，亦有經濟與制度上的保障如醫(yī)保、新型農村
合作醫(yī)療、新型 |
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