Title: ??IH?E? ???????????? DICOM????????????
1??IH?E?????????????DICOM????????????
???????????
- Alexander SCHANNER
- Arge ELGA????
- ????????????
2??
???????????
- ??
- ELGA??
- ELGA??
- ELGA??
- ??
3????
???????????
- ????
- ??IT????????????
- ????
- ???????15a?? 2007?????(?7? ??)?????
- ????
- ????-????????-??????????????????
- ????
- ????
- ??HIS-??
- ?????????
4???15a?-?????????(??2008-2013)
???????????
- ?7?
- ????
- I. ???????
- II. ??????????????
- III. ??????????????????
- IV. ???????????????????
- ICT????????????????
- ELGA??????????
5ELGA???(Elektronische Gesundheitsakte) ????EHR
???????????
- ELGA????????????????,?????????????????
- ????????????
- ??????????
- ????
- ?????????????????(??????)??
- ?????????????????,????????,?????,?????????(????),?
?????????????
6???????(BGK Bundesgesundheitskommission)
???????????
- ??????
- ?27?????
- 7???????(???1?),??????????6?????,1?????,1?????,1??
??(?????),1??????,1???????? - ?????????????????
7??????-??????Arbeitsgemeinschaft Elektronische
Gesundheitsakte
???????????
- ?2006?7??,?????????Arge ELGA???????????
- Arge ELGA?????????????????
- ????
- ??
- ??????
- ?2006?9???, ARGE ELGA??????????A-1020 ???,
Schiffamtsgasse 15
8????,Arge ELGA???
???????????
- ELGA??????????????????????,??????????????????????
?????????? - ?????????????????( ELGA ),?????????????????
9????,Arge ELGA???
???????????
- ??????
- ????????????????
- ????ELGA????????????
- ???????,??ELGA?????,?????????
- ??????????????????????
- ?????????
- ???????
10??????(1/2)
???????????
- 2006?
- 2??6? Arge ELGA(??)???
- 6?28???Arge ELGA?????
- 5??11??????
- 9? Arge ELGA??????
- 2007?
- 1??????ELGA???
- 2006?12??07?2??????????????
- 3??4????????????
- 2007?5?4? BGK????,???????????????
- 5??9????????,????????
11??????(2/2)
???????????
- 2007?
- 5??9??????????
- 9??10????????15a??????(2008-2013?)
- ELGA??????
- ELGA??
- IHE??????
- 2008?
- 1?????????
- 6????????(????????????????)????ELGA???
12??????(BGK)- ??(1/3)
???????????
- ???????
- ?????
- ?????????
- ?????
- ????
- ??
- ????
- ????
- ???? ???
- ???? ???
- ????
13??????(BGK)- ??(2/3)
???????????
- ????HER?????
- IHE??????
- IT????
- ??????
- ???
- ???
- HL7 CDA 2.0??????
- LOINC(???????)
- DICOM 3.0,?? WADO (?????)
- HL7(??3,??RIM ????????)
14??????(BGK)- ??(3/3)
???????????
- ??????????( 2007 / 2008 ?)
- ????????????
- ??1 ?????
- ??2 HSP??
- ??3 ?????
- ??4 ????
- ??5 ??
- ??6 ??????????
- ??7 ????
- ??BGK?????????????,??????
15??
???????????
- ??
- ELGA??
- ELGA??
- ELGA??
- ??
16??????
???????????
17ELGA?????
???????????
HSP??
????
?????
???????
ELGA ????
???
??, ???? ???
HSP ??? ????
?? ???
????
X??
???????????,URL
18ELGA?????
???????????
HSP
HSP??
??
???????
?????
???
????
HSP ??? ????
?????
?????
????
????
19??
???????????
- ??
- ELGA??
- ELGA??
- ELGA??
- ??
20??? - ?????
???????????
- ??(??)???
- ??(??)???
- ??
- ???????
- ?????????????!
- ????????!
21????
???????????
- ??
- ???????????
- ??????(HIS)??????????????,???????????????????HIS?
- ?????????????,????HL7 RIM(?????????7???????)??????
?(CDA)? - IHE XDS(???????),????????(PCC),???????
???????????
22?????????
???????????
???
???
HIS
???? ??
???? ??
HIS
???
???
???
???
??
??
???
???
??IHE ??????????
???IHE ???????
23????IHE XDS??
???????????
SEARCH
SEARCH
??
MPI
MPI
MPI
MPI
MPI
MPI
Patient
Identity
Patient
Identity
Patient
Identity
??????
Source
Source
Source
M
aster
P
atient
I
ndex
M
aster
P
atient
I
ndex
M
aster
P
I
?????
?????
Document
Consumer
Document
Consumer
Document
Consumer
MAKE
MAKE
MAKE
??
EPA
-
I
EPA
-
I
EPA
-
I
EPA
-
I
EPA
-
I
EPA
-
I
Document
Repository
Document
Repository
Document
Repository
Document
Repository
E
lektronischer
P
atienten
A
kte
-
I
ndex
E
lektronischer
P
atienten
A
kte
-
I
ndex
E
lektronischer
P
atienten
A
kte
-
I
ndex
Document
Registry
Document
Registry
?????
Document
Registry
?????
Document
Consumer
Document
Consumer
Document
Consumer
3 ??
????
Document
Source
Document
Source
Document
Source
Document
Source
VIEW
VIEW
??
2 ??
??
1
1
1
1
??
4
4
4
Document
Repository
Document
Repository
Document
Repository
Document
Repository
?????
Document
Source
Document
Source
Document
Source
Document
Source
????
STORE
STORE
STORE
??
24??????
???????????
ELGA??
RLS
?????(CCB)
CCB
CCB
HSP??
HSP??
?????
???
???
??
???
???
??
25??
???????????
- ??
- ELGA??
- ELGA??
- ELGA??
- ??
26????????????
???????????
- ????
- ????
- ??
- ????
- ????????
- ??/??
27ELGA?????????
???????????
28??CDA??
???????????
- ?????
- ????HL7???????(CDA)
- ?1?
- ?2?
- ?3?
- ??
- ????
- ???? ???
- ???? ???
- ????
- ?Arge ELGA??? Arge ELGA???????????????????
29?????(Lower Austria)?XDS
???????????
NÖGUS (www.noegus.at) ???????????? NÖ
Landeskliniken-Holding (www.lknoe.at) ????
30?????
???????????
- ???????
- ?160???
- 27???
- ?8000???
- ?3000?????
Vienna
31???????????
???????????
- 2004????
- 27???
- 22?????
- 18???????
- 270?IT ??
- ?
- 70??????
32NÖGUS??????
???????????
- ?????????????????????,????????????????????
- ????????????,?????????????????????????,???????????
?????? - ?IT?????????,??????????
33NÖMED WAN????
???????????
- ???????
- ???HIS??PDQ
- ?????
- ???HIS?
- ??????
34??????IHE??
???????????
????
- PIX
- PDQ
- EUA
- ATNA
- PWP
- XDS.a
- XDS.b
?????
35IHE,????????????????????????
???????????
?? ?????
??? (Conto Corrente Salute)
??CfH (???WF)
?? (Funen) ??? (Veneto) ??? (Aragon)
??DMP
???, ???,?????,??????????????(Inforway)
VITL-????
??????? -?????
??HIE
CPHIC ??????
CareSpark TN VA
??
THINC- ?? NCHICA ??????
????
CHINA-MoH ???????
??-??? ??????
??-?? ??????
Parisot, ???, WoHIT 2007
36??
???????????
- ??
- ELGA??
- ELGA??
- ELGA??
- ??
37??????
???????????
????
?????
- ??HSP??
- ??????
- ??????
- ??????
- ??????
- ??/??????
38??ELGA???
???????????
- ???????????????????????????
- ?????????????
- ?????????????????????
39?????????
???????????
- ?????ELGA?????,????????????
- ??????????
- ???????,?????? ???????????
- ???????
- ????????????
40??????
???????????
???????????
41???????????