探索FHIR标准在双向转诊中的应用

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DOI编码：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

在区域医联体的建设中，双向转诊是当前我国推行分级诊疗格局中最为关键的一步"。（剩余6646字）