BACKGROUND: Dual referral system has a positive significance in improving resource utilization, increasing the social benefit ofthe health service. It has become an important procedure in territorial health platform.OBJECTIVE: To solve the problem of sharing medical information and health care resources between different medical institutions,establish the dual referral system and promote regional health information constructions.METHODS: Started with the character and importance of information exchange and interoperability, the roles and transactions underintegrating healthcare enterprise cross-enterprise document sharing technical frame were analyzed, the share flow and implementationscheme of health information exchange was formulated, also the implementation strategy of document repository and data storage wereput forward; based on which, technologies were realized to support medial institutions to the construction of the dual referral system.RESULTS AND CONCLUSION: Based on integrating healthcare enterprise cross-enterprise document sharing framework, werealized the construction of dual referral system and the system was tested in different systems and institutions. This system canshare the patient information effectively and quickly.%背景:双向转诊可提高现有资源的有效利用率及卫生服务的社会效益,已成为解决社区卫生服务可持续发展的重要手段.目的:实现区域内不同医疗机构间患者医疗信息与医疗资源共享,构建双向转诊系统,推动区域卫生信息化建设.方法:从信息交互的互操作特点和重要性入手,深入分析了跨企业级文档共享技术框架下的角色和事务,研究具体的共享流程和实现方案,提出文档存储池和数据存储执行的策略,并在此基础上进行技术实现,构建双向转诊系统.结果与结论:在医疗健康信息集成规范-跨企业级文档共享技术的基础下,实现了双向转诊系统的构建,并在不同系统和机构之间进行了测试,结果证实该双向转诊系统可以有效和快捷的共享患者信息.
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