醫(yī)學(xué)信息交互集成(IHE)集成模式

1、ProfilesFromIHEWikiJumpto:navigation,searchIHEProfilesdescribethesolutiontoaspecificintegrationproblem,anddocumentthesystemrolesActors),standardsanddesigndetailsforimplementerstodevelopsystemsthatcooperatetoaddressthatproblem.IHEIntegrationandContentProfilesareaconvenientwayforimplementersandusersto

2、besuretheyretalkingaboutthesamesolutionwithouthavingtorestatethemanytechnicaldetailsthatensureactualinteroperability.Forconvenientreference,eachProfilehasashortacronym.EachdomainspecifiesacollectionofProfilesforproblemsdirectlyrelatedtotheirdomain.TheProfileslistedheremaybeinoneofthreestates:-FinalT

3、ext-stableO-TrialImplementation-frozenfortrialuse;changespermittedpriortoFinalTextO-Retired/Deprecated-nolongerrecommendedormaintainedbyIHEAlternatively,seethealphabetizedindexofProfiles.Contentshide1IHEAnatomicPathologyProfiles2IHECardiologyProfiles3IHEEyecareProfiles4IHEITInfrastruetureProfiles5IH

4、ELaboratoryProfiles6IHEPatientCareCoordinationProfiles7IHEPatientCareDeviceProfiles8IHEPharmacyProfiles9IHEQuality,Research,andPublicHealthProfiles10IHERadiationOncologyProfiles11IHERadiologyProfilesThelinksbelowprovidebriefoverviewsofeachprofile(basedontheProfileOverviewTemplate).IHEAnatomicPatholo

5、gyProfilesOAPW-AnatomicPathologyWorkflowestablishesthecontinuityandintegrityofbasicpathologydataacquiredforexaminationsbeingorderedforanidentifiedinpatientoroutpatient.Itfocusesonthemaintransactionsoftheordering,reportingandimagingaspectsoftheworkflow.OARPH-AnatomicPathologyReportingtoPublicHealthtr

6、ansmitsanatomicpathologyreportstopublichealthorganizations(cancerregistries,centersfordiseasescontrol,screeningorganizations,etc).OAPSR-AnatomicPathologyStructuredReportprovidestemplatesforbuildingAnatomicPathologystructuredreportsinallfieldsofanatomicpathology(cancers,benignneoplasmsaswellasnon-neo

7、plasticconditions).IHECardiologyProfilesCATH-CardiacCathWorkflowintegratesordering,scheduling,imagingacquisition,storageandviewingforCardiacCatheterizationproceduresECHO-EchocardiographyWorkflowintegratesordering,scheduling,imagingacquisition,storageandviewingfordigitalechocardiographyECG-RetrieveEC

8、GforDisplayprovidesaccessthroughouttheenterprisetoelectrocardiogram(ECG)documentsforreviewpurposesED-EvidenceDocumentsaddsCardiology-specificoptionstotheRadiologyEDprofileforDICOMStructuredReportsOSTRESS-StressTestingWorkflowprovidesorderingandcollectingmulti-modalitydataduringdiagnosticStresstestin

9、gproceduresODRPT-DisplayableReportsmanagescreationanddistributionof“displayready”(PDForCDA)clinicalreportsfromthecreatingapplication,tothedepartment,andtotheenterprise.OREWFRestingECGWorkflowworkflowforcollectingECGdatainbothorderedandunorderedprocedures,datastorageandaccess,andECGreportingOIEOImage

10、-EnabledOfficeWorkflowintegrationofanimagingsuite(modalities,storageserver,andworkstations)withanelectronichealthrecordsysteminanambulatoryofficesetting,includingorderingandperformanceofanimagingexam,reportcreation,andweb-basedimagingexamreviewintegration.OCIRC-CardiacImagingReportContentformatforaC

11、DAreportofacardiacdiagnosticimagingprocedure,includingdiscretedataelementsIHEEyecareProfilesEYECARE-EyeCareWorkflowmanagesanddistributestheworkflowacrossequipmentwithintheeyeclinic.CHG-ChargePostingcollectsandpoststimelybillableclaimsrelatedtoEyeCareprocedures.ECED-EyeCareEvidenceDocumentsmanagesobs

12、ervations,measurements,andperi-proceduralresults.ECDR-EyeCareDisplayableReportsupportsthecreation,query/retrieveandreadingofubiquitousdisplay-readyeyecarereports.IHEITInfrastructureProfilesAlphabeticalbynamewithincategory.ATNAAuditTrailandNodeAuthenticationBasicsecuritythrough(a)functionalaccesscont

13、rols,(b)definedsecurityauditloggingand(c)securenetworkcommunications.BPPCBasicPatientPrivacyConsentsmethodforrecordingapatientsprivacyconsentacknolwedgementtobeusedforenforcingbasicprivacyappropriatetotheuse.CTConsistentTimeenablessystemclocksandtimestampsofcomputersinanetworktobesynchronized(median

14、errorlessthan1second).XCACross-CommunityAccessallowstoqueryandretrievepatientelectronichealthrecordsheldbyothercommunities.XDMCross-enterpriseDocumentMediaInterchangetransfersdocumentsandmetadatausingCDs,USBmemory,oremailattachments.XDRCross-enterpriseDocumentReliableInterchangeexchangeshealthdocume

15、ntsbetweenhealthenterprisesusingaweb-servicebasedpoint-to-pointpushnetworkcommunication.XDSCrossEnterpriseDocumentSharingshareanddiscoverelectronichealthrecorddocumentsbetweenhealthcareenterprises,physicianoffices,clinics,acutecarein-patientfacilitiesandpersonalhealthrecords.XDS-SDCross-enterpriseSh

16、aringofScannedDocumentsenableselectronicrecordstobemadefromlegacypaper,film,andotherunstructuredelectronicdocuments.XUACross-EnterpriseUserAssertioncommunicatesclaimsabouttheidentityofanauthenticatedprincipal(user,application,system.)acrossenterpriseboundaries-FederatedIdentity.EUAEnterpriseUserAuth

17、enticationenablessinglesign-oninsideanenterprisebyfacilitatingonenameperuserforparticipatingdevicesandsoftware.MPQMulti-PatientQueriesenablesaggregatedqueriestoaDocumentRegistryfordataanalysissuchasprovideraccreditation,clinicalresearchtrialdatacollectionorpopulationhealthmonitoring.PAMPatientAdmini

18、strationManagementestablishesthecontinuityandintegrityofpatientdatainandacrossacutecaresettings,aswellasamongambulatorycaregivers.PDQPatientDemographicsQueryletsapplicationsquerybypatientdemographicsforpatientidentityfromacentralpatientinformationserver.PIXPatientIdentifierCrossReferencingletsapplic

19、ationsqueryforpatientidentitycross-referencesbetweenhospitals,sites,healthinformationexchangenetworks,etc.PDQv3PatientDemographicsQueryHL7v3extendsthePatientDemographicsQueryprofileleveragingHL7version3.PIXv3PatientIdentifierCross-ReferenceHL7v3extendsthePatientIdentifierCross-Referenceprofilelevera

20、gingHL7version3.PSAPatientSynchronizedApplicationallowscooperatingapplicationsonaworkstationtosynchronizetoselectedpatientcontext.PWPPersonnelWhitePagesprovidesbasicdirectoryinformationonhumanworkforcememberswithinanorganization.RIDRetrieveInformationforDisplayprovidessimple(browser-based)read-onlya

21、ccesstoclinicalinformation(e.g.allergiesorlabresults).OXCFCrossCommunityFetchfetchesasingleorsmallpre-negotiatedlistofdocumentsfromanothercommunity.OXCPDCross-CommunityPatientDiscoverysupportslocatingcommunitieswithpatientelectronichealthrecordsandthetranslationofpatientidentifiersacrosscommunities.

22、OXDWCrossEnterpriseWorkflowcoordinateshumanandapplicationsmediatedworkflowsacrossmultipleorganizations.ODENDocumentEncryptionencryptsindividualdocumentsandportablemediacontent.ODRRDocument-basedReferralRequestsupportsreferralrequeststhataretransferredbydocumentsharing(e.g.,XDS,XDR,XDM).ODSGDocumentD

23、igitalSignatureisacontentprofilethatspecifiesdigitalsignaturesfordocuments.ODSUBDocumentMetadataSubscriptiondescribestheuseofsubscriptionandnotificationmechanismforusewithinanXDSAffinityDomainandacrosscommunities.OHPDHealthcareProviderDirectorysupportsdiscoveryandmanagementofhealthcareproviderinform

24、ation,bothindividualandorganizational,inadirectorystructure.ONAVNotificationofDocumentAvailabilitysupportsout-of-bandnotificationsofdocumentsofinterestbetweensystemsorusers.ORFDRetrieveFormforDataCaptureenablesEHRapplicationstodirectlyrequestformsfromclinicaltrialsponsorsandpublichealthreporting.OSV

25、SSharingValueSetsdistributescentrallymanagedcommon,uniformnomenclatures.OXPIDXAD-PIDChangeManagementUpdatestherelationshipbetweenXDSAffinityDomainpatientidentifiersandotherpatientidentifiers.IHELaboratoryProfilesLTW-LaboratoryTestingWorkflowintegratesorderingandperformanceofin-vitrodiagnostictestsby

26、aclinicallaboratoryinsideahealthcareinstitution.XD-LAB-SharingLaboratoryReportsdescribesthecontent(humanandmachinereadable)ofanelectronicclinicallaboratoryreport.LDA-LaboratoryDeviceAutomationintegratesanAutomationManagerandroboticlaboratoryequipment(pre-analyticaldevices,analyzers,post-analyticalde

27、vices)inaclinicallab.LBL-LaboratoryBarcodeLabelingintegratesroboticspecimencontainerlabelingsystemswithsourcesoforder-relatedlabellinginformation.LPOCT-LaboratoryPointOfCareTestingintegratesperformingandcollectingtheresultsofin-vitrotestingatthepointofcareorpatientsbedside.LCSD-LaboratoryCodeSetsDis

28、tributiondistributesmanagedsetsofclinicallaboratorycodes(battery,testandobservationcodes).ILW-InterLaboratoryWorkflowsupportstheworkflowofordersandresultswithasubcontractinglaboratory.OLAW-LaboratoryAnalyticalWorkflowsupportstheworkflowoftestordersandresultswithIVDspecimensonAnalyzers.OLSWF-Laborato

29、ryScheduledWorkflowissupersededbyLaboratoryTestingWorkflow.OLIR-LaboratoryInformationReconciliationssupersededbyLaboratoryTestingWorkflow.IHEPatientCareCoordinationProfilesMSMedicalSummariesdescribesthecontentandformatofDischargeSummariesandReferralNotes.XPHRExchangeofPersonalHealthRecorddescribesth

30、econtentandformatofsummaryinformationextractedfromaPHRsystemforimportintoanEHRsystem,andvisaversa.OFSAFunctionalStatusAssessmentsdescribesthecontentandformatofFunctionalStatusAssessmentsthatappearwithinsummarydocuments.OQEDQueryforExistingDataqueriesdatarepositoriesforclinicalinformationonvitalsigns

31、,problems,medications,immunizations,anddiagnosticresults.OICImmunizationContentexchangesimmunizationdata.OCMCareManagementexchangesinformationbetweenHITsystemsandapplicationsusedtomanagecareforspecificconditions.OPP0CPatientPlanofCareexchangesdatarelatedtocreatingandmanagingindividualizedpatientcare

32、betweenandamongHITsystems.ORCGRequestforClinicalGuidanceobtainsdecisionsupportwhenorderingmedications,determiningappropriateimmunizations,diagnostictests,etcetera.EDREmergencyDepartmentReferralcommunicatesmedicalsummarydatafromanEHRSystemtoanEDISSystem.EmergencyDepartmentEncounterProfilesOTNTriageNo

33、terecordstheactoftriagingapatientuponpresentationtotheemergencydepartment.ONNNursingNoterecordstheactofnursingcaredeliveredtoapatientintheemergencydepartment.OCTNNCompositeTriageandNursingNoterecordstheactofbothtriageandnursingcaredeliveredtoapatientintheemergencydepartment.OEDPNEDPhysicianNoterecor

34、dscaredeliveredtoapatientintheemergencydepartment.AntepartumProfilesOAPSAntepartumSummaryrecordstheaggregationofsignificantevents,diagnoses,andplansofcareduringanantepartumepisode.OAPHPAntepartumHistoryandPhysicalrecordsdataoftencollectedattheinitialambulatoryofficevisitforapregnantpatient.OAPLAntep

35、artumLaboratoryrecordsresultsfromstandardlaboratorytestsadministeredduringanantepartumepisode.OAPEAntepartumEducationrecordseducationalmaterialprovidedduringtheofficevisit(s)fortheantepartumepisode.LaborandDeliveryProfilesOLDHPLaborandDeliveryHistoryandPhysicalrecordsdatathatisoftencollectedduringin

36、itialadmissiontoabirthingfacility.OLDSLaborandDeliverySummaryrecordsdataoftencollectedduringthelaboranddeliveryperiodatabirthingfacility.OMDSMaternalDischargeSummaryrecordsdataoftencollectedpost-deliveryuntildischargefromthebirthingfacility.IHEPatientCareDeviceProfilesDECDeviceEnterpriseCommunicatio

37、ntransmitsinformationfrommedicaldevicesatthepointofcaretoenterpriseapplications.PIVPointofCareInfusionVerificationcommunicatesmedicationorderstoaninfusionpumporpumpmanagementsystem.IDCOImplantableDeviceCardiacObservationspecifiesthecreation,transmission,andprocessingofdiscretedataelementsandreportat

38、tachmentsassociatedwithcardiacdeviceinterrogations(observations)ormessages.RTMRosettaTerminologyMappingharmonizestheuseofexistingnomenclaturetermsdefinedbytheISO/IEEE11073-10101nomenclaturestandard,itisrequiredtobeusedinallPCDtransactions(Note:RTMisaconstrainedvaluese)t.OACMAlarmCommunicationManagem

39、entcommunicatesalarms,ensuringtherightalarmwiththerightprioritygetstotherightindividualswiththerightcontent.OIPECInfusionPumpEventCommunicationcommunicatesclinicalandtechnicaleventsfromaninfusionpumptoaninformationsystemforrecording,actionorpresentationtoauser.IHEPharmacyProfilesOCMPDCommunityMedica

40、tionPrescriptionandDispenseintegratesprescription,validationanddispensationofmedicationintheambulatorysector.OPREPharmacyPrescriptionDocumentrecordsaprescription.OPADVPharmacyPharmaceuticalAdviceDocumentrecordspharmaceuticaladviceinresponsetoaprescription.ODISPharmacyDispenseDocumentrecordsthedispen

41、sationofmedicationtoapatient.OHMWHospitalMedicationWorkflowintegratesprescription,validation,dispensation,distributionandadministrationofmedicationinsidehealthcareinstitutions.IHEQuality,Research,andPublicHealthProfilesOCRDClinicalResearchDocumentdescribesthecontentpertinenttotheclinicalresearchusec

42、aserequiredwithintheRetrieveFormforData-Capture(RFD)pre-populationparameter.ODSCDrugSafetyContentdescribesthecontentpertinenttothedrugsafetyusecaserequiredwithintheRetrieveFormforData-Capture(RFD)pre-populationparameter.OEHCPEarlyHearingCarePlanassistswiththeearlydetection,documentationofandinterven

43、tionforhearinglossbyenablingelectroniccommunicationofcareplancontentandinstructionsavailabletoallauthorizedprovidersofcareasjurisdictionallydirectedbythePublicHealthEHDIProgram.OMCH-BFDrptMaternalChildHealth-BirthandFetalDeathReportingdefinestheEHRcontentthatmaybeusedtopre-populateandtransmitbirthan

44、dfetaldeathinformationtovitalrecordssystemsforvitalregistrationpurposes.PRPH-CaPhysicianReportingtoaPublicHealthRepositoryCancerRegistrydefinesthedataelementstoberetrievedfromtheEMRandtransmittedtothecancerregistryortoahealthcareprovider.ORPERetrieveProcessforExecutionenablesahealthcareprovidertoacc

45、essaprocessdefinition,suchasaresearchprotocolandtoexecuteautomatedactivities,withoutleavinganEMRsession.IHERadiationOncologyProfilesOBRTOBasicRadiationTherapyObjectsintegratestheflowoftreatmentplanningdatafromCTtoDoseReviewforbasictreatmentsOMMROMultimodalityRegistrationforRadiationOncologyintegrate

46、sPETandMRIdataintothecontouringanddosereviewprocess.OARTIAdvancedRadiotherapyObjectsInteroperabilityaddsadditionalRTtreatmenttechniquestothosedefinedinBRTOOTDWTreatmentDeliveryWorkflowstandards-basedradiationtherapytreatmentschedulingusingworkflowODCOMDoseCompositingtransfersspatially-relateddoseinf

47、ormationbetweensystems.OECSIEnterprise-CentricSchedulingInteroperabilityIHERadiologyProfilesProfilesforWorkflowSWFScheduledWorkflowintegratesordering,scheduling,imagingacquisition,storageandviewingforRadiologyexams.PIRPatientInformationReconciliationcoordinatesreconciliationofthepatientrecordwhenima

48、gesareacquiredforunidentified(e.g.trauma),ormisidentifiedpatients.PWFPost-ProcessingWorkflowprovidesworklists,statusandresulttrackingforpost-acquisitiontasks,suchasComputer-AidedDetectionorImageProcessing.RWFReportingWorkflowprovidesworklists,statusandresulttrackingforreportingtasks,suchasdictation,

49、transcriptionandverification.IRWFImportReconciliationWorkflowmanagesimportingimagesfromCDs,hardcopy,XDS-I,etc.andreconcilingidentifierstomatchlocalvalues.OMAWFMammographyAcquisitionWorkflowhandlesmammography-specificexceptionstoroutineimageacquisitionbasedonScheduledWorkflow.ProfilesforContentNMINuc

50、learMedicineImagespecifieshowNuclearMedicineimagesandresultscreensarecreated,exchanged,usedanddisplayed.MAMMOMammographyImagespecifieshowMammographyimagesandevidenceobjectsarecreated,exchanged,usedanddisplayed.EDEvidenceDocumentsspecifieshowdataobjectssuchasdigitalmeasurementsarecreated,exchanged,andused.SINRSimpleImageandNumericReportspecifieshowDiagnosticRadiologyReports(includingimagesandnumericdata)arecreated,exchanged,andused.OREMRadiationExposureMonitoringspecifieshowradiationdetailsfromimagingproceduresarecreated,exchangedandused.