CAJ | 학술논문

目的：参照HL7 CDA文档规范的表示方法，对中医处方中中草药处方的数据进行建模，并建立中草药处方的CDA文档规范，使其能够完整地表示中草药处方的信息。方法：通过研究中医电子病历处方信息特征及组成结构，将中医电子处方信息抽象提取相应的信息元素，参照HL7 CDA模板构建中草药处方文档规范，使其能够充分表达中草药处方信息的概念与属性。结果：通过将中草药处方数据元素与CDA模板进行映射来完成中草药处方的数据表达具有可行性，为中医处方信息规范化研究提供了新的指导方法。
목적：삼조HL7 CDA문당규범적표시방법，대중의처방중중초약처방적수거진행건모，병건립중초약처방적CDA문당규범，사기능구완정지표시중초약처방적신식。방법：통과연구중의전자병력처방신식특정급조성결구，장중의전자처방신식추상제취상응적신식원소，삼조HL7 CDA모판구건중초약처방문당규범，사기능구충분표체중초약처방신식적개념여속성。결과：통과장중초약처방수거원소여CDA모판진행영사래완성중초약처방적수거표체구유가행성，위중의처방신식규범화연구제공료신적지도방법。
Objective: With reference to the representing method of HL7 CDA document specifications, the data of prescription of Chinese herbal medicine in the traditional Chinese medicine is modeled, and CDA document specifications of prescription of Chinese herbal medicine are established, so that it can completely show the information of prescription of Chinese herbal medicine. Method: By studying the features and composition of the prescription information of electronic medical records of traditional Chinese medicine, the corresponding information elements are extracted from the electronic prescription information of traditional Chinese medicine. With reference to the HL7 CDA template, the prescription document specifications of Chinese herbal medicine are formulated, so that it can fully express the concept and properties of prescription information of Chinese herbal medicine. Results: The data elements of the prescription of Chinese herbal medicine are mapped on the CDA template to show that the data expression of the prescription of Chinese herbal medicine is feasible, which provides a new method of guidance for the research on the standardization of prescription information of traditional Chinese medicine.