Establishment of Data Exchange Infrastructure for Health Status and End-of-Life Care Intentions
건강상태‧연명의료 의향 데이터 교류 기반 마련 - 환경감시일보 환경감시일보 2024년
An update was made to core exchange data specifications to include transmission technology details for exchanging health status and life-sustaining treatment intention data using FHIR.
Summary
The Ministry of Health and Welfare revised and implemented the 'Standard for Medical Data Terminology and Transmission' to build an interoperable environment for medical data. This addition includes critical items such as end-of-life care intentions and medication status, enabling data exchange using the FHIR standard.
Details
The Ministry of Health and Welfare has revised and enforced the 'Standard for Medical Data Terminology and Transmission,' aiming to create an interoperability environment where medical data can be exchanged using consistent terminology. This standard defines both data items and transmission methods, establishing a unified national benchmark. The key revisions include the addition of four crucial data items: end-of-life care intentions, prescription dates/times, alcohol consumption status, and smoking status. Furthermore, international terminologies such as SNOMED CT and ATC have been expanded to cover five existing items (alcohol/smoking status, surgery/procedure names, vaccination names/drug names). Technologically, the revision incorporates detailed transmission specifications for exchanging these updated critical data items using the FHIR standard. This overcomes limitations of older document-based exchange standards (like CDA), establishing a next-generation infrastructure applicable across various environments, including apps and cloud platforms. This development is expected to significantly enhance international cooperation and research utilization of medical information systems.
Technology Note
FHIR(Fast Healthcare Interoperability Resources)は医療データ交換の国際標準。このエントリの関連技術: FHIR
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