DSpace community: 醫院行政單位

Exploring the Information Exchange Standards for Electronic Health Records

Thu, 22 Oct 2009 08:34:30 GMT

title: Exploring the Information Exchange Standards for Electronic Health Records abstract: 國外的E化聲浪高漲，而政府的數位台灣（e-Taiwan）計畫除了承繼先前的知識經濟理念，進一步推動資訊相關產業的發展之外，也同時讓各產業齊步邁向電子化的領域。有幸衛生署也積極帶領國內各大醫院透過電子病歷（EHR，electronic health records）的各項計畫，一同朝向無紙化病歷的目標前進。但是近年來國內外對於電子病歷之定義與發展方向的說法卻莫衷一是，沒有統一的見解與範圍，很多時候讓人混淆不清，甚至讓建置人員無所適從。本文的目的在說明目前國內外既有的電子病歷說法，並設法讓大家對電子病歷有一定的共識，進而推展出可能的建置程序。此外，目前各國推動中的國家健康資訊基礎架構（NHII，national health information infrastructure）建設不但凸顯了醫療資訊交換標準在整體電子病歷建置過程中的必要性與重要性，更讓先前已引用國際標準所建置的醫療資訊系統，更容易與未來的新系統基礎架構整合與接軌。既然未來的醫療資訊應用系統將朝向分散式的可攜型元件化系統方向來設計，且醫療系統間的標準化資料交換的訊息介面的制定也必定是國際型的合作與共識下的產物，因此如何從標準面切入電子病歷的建置核心，將是一個很重要的課題。

From Patient Referral System to Hl7 Referral Standard

Thu, 22 Oct 2009 08:32:44 GMT

title: From Patient Referral System to Hl7 Referral Standard abstract: This paper describes the whole story of the HL7/XML Referral Standard locally constructed in Taiwan. It tells how we transplant the original HL7 standard into a standard for Taiwan. We also implement the prototype system and integrate it with an on-line Hospital Information System (HIS) through an HL7 Interface Engine (HL7-IE) to manage the referral patients. This system has been implemented at National Taiwan University Hospital ( NTUH) with her allied branch hospitals, local hospitals, and clinics. The software reuse and deployment experiences of this system construction have become the national experiences in Taiwan and we believe it will deeply impact our medical informatics society, too.

Laboratory Data Exchange Using Hl7-Interface Engine

Thu, 22 Oct 2009 08:31:44 GMT

title: Laboratory Data Exchange Using Hl7-Interface Engine abstract: Objective: This paper discusses the necessity and direction of implementing a Health Level Seven (HL7) standard to enable healthcare data exchange between hospital information systems (HIS), laboratory information systems (LIS), and automatic medical instruments (MI). Design: The major design challenge in developing intelligent laboratory information services is to enable distributed and heterogeneous medical instruments to be quickly, easily and cheaply connected to the LIS and the HIS. Setting: National Taiwan University Hospital (NTUH). Methods: We followed the HL7 v.2.4 standard to define the related laboratory HL7 messages and to use the HL7 Interface Engine (IE) to communicate between heterogeneous systems and medical instruments. We used these to connect three Toshiba biochemistry machines to the LIS and HIS. Results: Data exchange between the systems is so far running smoothly at NTUH. We now plan to extend this approach to other medical instruments. Conclusions: We have demonstrated that our approach is feasible and works in practice. Once we are assured of its reliability and applicability to a wide range of different MI’s, we will promote our approach to other medical institutions. A flow chart is presented to aid other healthcare institutions decide if they should adopt HL7 to connect their medical instruments to their laboratory and hospital information systems.

Laboratory Data Exchange Using Hl7-Ie at Ntuh

Thu, 22 Oct 2009 08:30:09 GMT

title: Laboratory Data Exchange Using Hl7-Ie at Ntuh abstract: This paper discusses the necessity and direction of implementing a Health Level Seven (HL7) standard for healthcare data exchange among hospital information system ( HIS), laboratory information system (LIS), and automatic medical instruments (MI). The major design challenge in developing intelligent laboratory information services is to effectively organize distributed and heterogeneous medical instruments. We try to use the HL7 Interface Engine (IE) to communicate with all these heterogeneous systems. Fortunately, we succeeded to replace the largest automatic biochemistry instrument at NTUH, Hitachi 7450, with three Toshiba ones. Currently, the proposed approach is smoothly running at National Taiwan University Hospital (NTUH) and we plan to extend this approach to other medical instruments soon. Once this approach is proved feasible, workable, and acceptable for our medical center, we plan to promote this approach to other medical enterprise and branch hospitals. Finally, we suggest a decision tree for CIO’s to judge whether a healthcare enterprise is suitable to adopt HL7 or not.