Electronic Support for Public Health: Validated Case Finding and Reporting for Notifiable Diseases Using Electronic Medical Data
Electronic Support for Public Health: Validated Case Finding and Reporting for Notifiable Diseases Using Electronic Medical Data
复制标题
DOI：
10.1197/jamia.m2848
复制
发表时间：
2009-01-01
影响因子：
6.4
通讯作者：
Platt, Richard
中科院分区：
文献类型：
--
作者：
Lazarus, Ross;Klompas, Michael;Platt, Richard
卫生保健提供者在法律上有义务向公共卫生当局报告特定疾病的病例，但现有的人工、提供者发起的报告系统通常导致信息流不完整、容易出错和缓慢。基于实验室的自动化报告更可能准确和及时，但缺乏临床信息和治疗细节。在这里，我们描述了公共卫生电子支持（ESP）应用程序，一个强大的，自动化的，安全的，便携式公共卫生检测和消息系统的情况下，应报告的疾病。ESP应用程序在全自动化过程中将疾病特定逻辑应用于任何完整的电子医疗数据源，并支持用于病例通知控制的可选病例管理工作流系统。所有相关的临床、实验室和人口统计学详细信息都将作为HL7消息安全地传输给当地卫生部门。ESP应用程序自2007年1月以来一直在生产模式下运行，将严格验证的病例识别逻辑应用于来自60多万患者的动态EMR数据。这个高度互操作的应用程序的源代码可以在http://esphealth.org上根据批准的开源许可证免费获得。
Health care providers are legally obliged to report cases of specified diseases to public health authorities but existing manual, provider-initiated reporting systems generally result in incomplete, error-prone, and tardy information flow. Automated laboratory-based reports are more likely accurate and timely, but lack clinical information and treatment details. Here, we describe the Electronic Support for Public Health (ESP) application, a robust, automated, secure, portable public health detection and messaging system for cases of notifiable diseases. The ESP application applies disease specific logic to any complete source of electronic medical data in a fully automated process, and supports an optional case management workflow system for case notification control. All relevant clinical, laboratory and demographic details are securely transferred to the local health authority as an HL7 message. The ESP application has operated continuously in production mode since January 2007, applying rigorously validated case identification logic to ambulatory EMR data from more than 600,000 patients. Source code for this highly interoperable application is freely available under an approved open-source license at http://esphealth.org.