标准摘要
[中文适用范围]: 本文件规定了一种在 EHR 系统之间或 EHR 系统与集中式 EHR 数据存储库之间传输一个或多个已识别护理对象的部分或全部电子健康记录 (EHR) 的方法。 它还可用于 EHR 系统或存储库与需要访问或提供 EHR 数据的临床应用程序或中间件组件(例如决策支持组件)之间的 EHR 通信,或作为分布式(联合)记录中 EHR 数据的表示系统。 该文件将主要用于支持对可识别个人的直接护理,或支持疾病登记和公共卫生监测等人口监测系统。 将健康记录用于其他目的,例如教学、临床审计、管理和报告、服务管理、研究和流行病学,通常需要匿名或汇总个人记录,不是本标准系列的重点,但也可能会发现此类二次用途它很有用。 本文档定义了一个原型模型,用于在存储库之间以及原型服务之间进行通信时表示原型。 它定义了一个可选的序列化表示,可以用作通信各个原型的交换格式。 例如,此类通信可能发生在原型库之间或原型服务与 EHR 持久性或验证服务之间。 [外文原描述]: This document specifies a means for communicating part or all of the electronic health record (EHR) of one or more identified subjects of care between EHR systems, or between EHR systems and a centralised EHR data repository. It can also be used for EHR communication between an EHR system or repository and clinical applications or middleware components (such as decision support components) that need to access or provide EHR data, or as the representation of EHR data within a distributed (federated) record system. This document will predominantly be used to support the direct care given to identifiable individuals, or to support population monitoring systems such as disease registries and public health surveillance. Uses of health records for other purposes such as teaching, clinical audit, administration and reporting, service management, research and epidemiology, which often require anonymization or aggregation of individual records, are not the focus of this standard series but such secondary uses might also find it useful. This document defines an Archetype Model to be used to represent Archetypes when communicated between repositories, and between archetype services. It defines an optional serialised representation, which may be used as an exchange format for communicating individual archetypes. Such communication might, for example, be between archetype libraries or between an archetype service and an EHR persistence or validation service.
英文名称Health informatics — Electronic health record communication — Part 2: Archetype interchange specification