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目的探讨居民健康档案个体标识与标准化。方法以HL7RIM为依据,采用UML建模工具对数据进行建模,参照《国家卫生数据字典》和《医院信息基本数据集标准》定义元数据。结果对个体标识信息进行了属性划分及属性定义,构建个体标识信息数据模型。结论形成符合当前医疗保健信息系统需要的个体标识信息数据项与数据标准,为建立居民健康档案索引数据库与健康档案最小数据集提供前提。
Objective To investigate the individual identification and standardization of residents’ health records. Methods Based on HL7RIM, UML modeling tools were used to model the data and metadata was defined with reference to the National Health Data Dictionary and the Standards for Basic Information Set of Hospital Information. Results The attribute identification and attribute definition of individual identification information were constructed, and the individual identification information data model was constructed. Conclusion The data items and data standards of individual identification information conforming to the needs of current healthcare information system are formed, providing the premise for establishing a database of residents’ health archives and the smallest data set of health records.