探索FHIR標(biāo)準(zhǔn)在雙向轉(zhuǎn)診中的應(yīng)用

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DOI編碼：10.3969/j.issn.1674-5698.2025.04.0014

Application of FHIR Standard in Bidirectional Referral for Hospitalization

XIANG Hai-ping1 LIN Xiao-dong1 MAO Yun-peng1LI Ning1 XU Chi2 XIAO Li3* （1. Health Information Center of Sichuan Province； 2. Sichuan FHIR IT Consulting Co.， Ltd.； 3.Chengdu University of Traditional Chinese Medicine）

Abstract：bjectiveThisstudyimstomplementbusinessactivitiesdata interactnsandrelatedbusinessresuces inthe bidirectionalreferral（hospitalization）processbased ontheFHIRstandard[Methods]The FHIRstandard ActivityDefinition resourcewasusedtodefinethefour main processes inthebidirectionalreferralhospitalizationworkflow.ThePlanDefinition resourcewasemployedtoassembleActivityDefinitionresourcesanddescribethesequenceofactivitiesandtriggerconditions. TheBundleresource wasutilizedtodefinedataexchangeformats andtransmissonmethods whilebindingrelevantbusiness resources.Additionally， theFHIR RESTfulAPIframeworkwasimplemented tofacilitate data interactions.Results] he bidirectionalreferralprocessmodelbasedontheFHIR standardhas demonstrated significant improvements in process design，dataiteactigioalmedicalcollbtiotemtabilityandscalabiliyproidestrongechncau forregionalmedicalcollaboratinandresourcesharinghighlightingitscriticalapplicatinalueonclusion]Theaplicatn oftheFHIRstandardinbidirectinalreferrafacilitatesdatasharingandinteroperabilityamong diffrentmedicalinstitutions， promoting seamless medical collaboration.

Keywords： FHIR standard， bidirectional referral， data sharing

0 引言

在區(qū)域醫(yī)聯(lián)體的建設(shè)中，雙向轉(zhuǎn)診是當(dāng)前我國(guó)推行分級(jí)診療格局中最為關(guān)鍵的一步"。（剩余6646字）