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Developing a Common Health Information Exchange Platform to Implement a Nationwide Health Information Network in South Korea

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초록

Objectives: We aimed to develop a common health information exchange (HIE) platform that can provide integrated servicesfor implementing the HIE infrastructure in addition to guidelines for participating in an HIE network in South Korea. Methods: By exploiting the Health Level 7 (HL7) Clinical Document Architecture (CDA) and Integrating the HealthcareEnterprise (IHE) Cross-enterprise Document Sharing-b (XDS.b) profile, we defined the architectural model, exchanging dataitems and their standardization, messaging standards, and privacy and security guidelines, for a secure, nationwide, interoperableHIE. We then developed a service-oriented common HIE platform to minimize the effort and difficulty of fulfillingthe standard requirements for participating in the HIE network. The common platform supports open application programinterfaces (APIs) for implementing a document registry, a document repository, a document consumer, and a master patientindex. It could also be used for testing environments for the implementation of standard requirements. Results: As the initialphase of implementing a nationwide HIE network in South Korea, we built a regional network for workers’ compensation(WC) hospitals and their collaborating clinics to share referral and care record summaries to ensure the continuity of care forindustrially injured workers, using the common HIE platform and verifying the feasibility of our technologies. Conclusions:We expect to expand the HIE network on a national scale with rapid support for implementing HL7 and IHE standards inSouth Korea.

Abstract

Objectives: We aimed to develop a common health information exchange (HIE) platform that can provide integrated servicesfor implementing the HIE infrastructure in addition to guidelines for participating in an HIE network in South Korea. Methods: By exploiting the Health Level 7 (HL7) Clinical Document Architecture (CDA) and Integrating the HealthcareEnterprise (IHE) Cross-enterprise Document Sharing-b (XDS.b) profile, we defined the architectural model, exchanging dataitems and their standardization, messaging standards, and privacy and security guidelines, for a secure, nationwide, interoperableHIE. We then developed a service-oriented common HIE platform to minimize the effort and difficulty of fulfillingthe standard requirements for participating in the HIE network. The common platform supports open application programinterfaces (APIs) for implementing a document registry, a document repository, a document consumer, and a master patientindex. It could also be used for testing environments for the implementation of standard requirements. Results: As the initialphase of implementing a nationwide HIE network in South Korea, we built a regional network for workers’ compensation(WC) hospitals and their collaborating clinics to share referral and care record summaries to ensure the continuity of care forindustrially injured workers, using the common HIE platform and verifying the feasibility of our technologies. Conclusions:We expect to expand the HIE network on a national scale with rapid support for implementing HL7 and IHE standards inSouth Korea.

참고문헌 (14)

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  12. Vest JR, "Health information exchange : persistent challenges and new strategies", J Am Med Inform Assoc, 17(3), pp.288~294 (2010)
  13. Zwaanswijk M, "Benefits and problems of electronic information exchange as perceived by health care professionals : an interview study", BMC Health Serv Res, 11, pp.256~ (2011)

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