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영어

The Healthcare Industry is one of the world’s largest and fastest growing industries, consuming over 10 percent of gross domestic product (GDP) of most developed nations, and has a major impact on any country’s economy. One of the biggest issues the healthcare industry struggles with is Interoperability of Health Information. Central to interoperability is the ability of one healthcare organization task to be "visible" in another healthcare organization. Healthcare tasks usually expressed in an acceptable some standard like HL7 CDA or FHIR. However, it all ends into how one can mobilize interoperability within the fabric of healthcare organizations. In particular how one can implant interoperability within healthcare tasks workflows and their communities of practice. A Community of Practice is a group of people who share a craft, a profession, passion, or a concern and deepen their knowledge and expertise in the area by interacting on an ongoing basis. Each Community is a unique combination of three fundamental elements: a “Domain” of knowledge, which defines a set of issues and can vary from basic know-how to technical expertise; a “Community” of People that care about this domain; and a shared “Practice” that they are developing to be effective in their domain, and is made up of set of frameworks, ideas, tools, styles, languages, stories, and documents that the community members share. We introduce a Community of Practice model for healthcare that we call “Intersecting Communities of Practice”, where the medical practitioners can collaborate and form individual communities to share and exchange discharge summaries between them providing their individual input and contribution, while discussing issues via a “messaging subsystem”, thereby fostering knowledge growth and facilitating better patient-care. We provide an interoperability environment by implementing HL7’s Clinical Document Architecture (CDA) standards.