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FHIR的介绍和进展.pdf

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HL7 FHIR: An update for CHIMA Dr. David Hay, MBChB , June 2015 chinc.org.cn
About Me 个人简介 • Name: Dr. David Hay • Role: Product Strategist at Orion Health 现任Orion Health医 疗产品战略专家 • Background – Clinician 临床医师 – Clinical Applications Vendor 临床应用供应商 – Involved in FHIR almost from beginning 从一开始就参与FHIR – Co-Chair FHIR Management Group FHIR管理协会联合主席 – Chair HL7 New Zealand 新西兰HL7主席 – Blog: FHIRBlog.com 博客 Page 2 • Copyright © 2012 Orion Health™ group of companies • All rights reserved chinc.org.cn
FHIR (Fast Healthcare Interoperability Resources) 快速医疗资源互通 • Drivers for FHIR 动机 • The main parts of FHIR 主要部件 – Resources 资源 – Exchanging FHIR 交换 – API 应用程序接口 – Profiling 分析 Implementing FHIR 实施 • 核心特征 Desired outcome is that you want to learn more about FHIR ! 理想的结果是,你想更深入的了解FHIR! Page 3 • Copyright © 2012 Orion Health™ group of companies • All rights reserved chinc.org.cn
Why FHIR chinc.org.cn
Drivers 动机 • Interoperability requirement increasing 互操作性要求的提高 – Increasing collaborative care – need for co-ordination 提高合作医疗–需要协调 – Changing Payment models 改变支付模式 – Clinical Care delivery to an aging population 人口老龄化的临床护理 – Decision support 决策支持 – Involving the patient – raising the bar 涉及病人 - 提高标准 • Need for real time access 实时访问需要 – Mobile 手机 – Connected world 与世界接轨 • Vast increase in the amount & type of data 数据的数量与类型大量增加 – Devices, Mobile 移动设备 – Genomics 基因组学 • Analytics, population health 分析,人口健康 • Implementer expectations 实施者的期望 – Expect a modern standard 期待一个现代标准 Page 5 • Copyright © 2012 Orion Health™ group of companies • All rights reserved Current standards don’t cut it - these led to FHIR… chinc.org.cn
Issues with other standards 与其他标准的问题 • HL7 version 2 – Great for messaging between systems 系统间的消息传递 – But: • Old technology 过时的技术 • Hard to customize and extend 不容易定制和不容易扩展 • HL7 version 3 – Defined common model for interoperability 定义了通用模型的互操作性 – But: • Very large instances 实例庞大 • Extremely complex to implement 实施非常复杂 • CDA (version 3) – Very successful 非常成功 – But: • Documents only 仅限于文档 • Difficult to communicate coded data 难以沟通的编码数据 Page 6 • Copyright © 2012 Orion Health™ group of companies • All rights reserved chinc.org.cn
Business Case for FHIR – I 商业案例 • Mobile friendly 支持移动设备 – Concise, REST API & JSON • Developer friendly 易于开发 – Familiar tooling & familiar technologies – XML/JSON, HTTP, SSL, Oauth 通 晓的工具和技术 – Libraries available – HAPI, reference implementation 方便的标准库 • Simple to understand and access with examples! 简单的理解和使 用的例子 • Predefined Resources 预定义的资源 – Analysis already done 已提前分析 • All paradigms, All Architectures, All Clients 所有的模式,所有的 架构,所有客户 – Thick client, browser, mobile, devices 胖客户端,浏览器,移动设备 Page 7 • Copyright © 2012 Orion Health™ group of companies • All rights reserved chinc.org.cn
Business Case for FHIR – II商业案例 • Solves the common problems – can concentrate on the tricky stuff 解决常见问题–可以专注于棘手的东西 – Eg API / formats are defined • Don’t need to understand HealthCare domain to implement 不需 要了解医疗保健领域的实施 – Developers or Analysts 开发者或分析师 Large community for support 支持大型社区 • • Already in use Internationally 已经在国际上使用 – 70 Organizations, 20 Countries, all Continents (except Antarctica) 70组织, 20个国家(地区),所有大洲(除了南极洲) – Interest from Providers, Vendors, Payers, Governments 医疗供应者,供 应商,保险公司,政府都很有兴趣 核心特征 Results in faster, cheaper deployments that are more re-usable 结果是更快,更低成本的部署,更可重复使用 Page 8 • Copyright © 2012 Orion Health™ group of companies • All rights reserved chinc.org.cn
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