Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap. An Official American Thoracic Society Workshop Report.
Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap. An Official American Thoracic Society Workshop Report.
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DOI：
10.1513/annalsats.202010-1318st
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发表时间：
2021-01
影响因子：
8.3
通讯作者：
Drummond MB
中科院分区：
文献类型：
--
作者：
McCormack MC;Bascom R;Brandt M;Burgos F;Butler S;Caggiano C;Dimmock AEF;Fineberg A;Goldstein J;Guzman FC;Halldin CN;Johnson JD;Kerby GS;Krishnan JA;Kurth L;Morgan G;Mularski RA;Pasquale CB;Ryu J;Sinclair T;Stachowicz NF;Taite A;Tilles J;Truta JR;Weissman DN;Wu TD;Yawn BP;Drummond MB
“电子健康记录和肺功能数据：制定互操作性路线图”研讨会在美国胸科学会 2019 年国际会议上举行。 “互操作性”的定义是不同信息技术系统和软件应用程序直接通信、交换数据和使用已交换信息的能力。目前，肺功能测试（PFT）设备不需要与其他临床数据系统（包括电子健康记录（EHR））互操作。在本次研讨会上，我们召集了多元化的专家和利益相关者，包括来自患者权益团体、成人和儿科普通医学和肺医学、信息学、政府和医疗机构、肺功能实验室以及 EHR 和 PFT 设备和软件公司的代表。参与者的任务是实现两个总体目标：1）确定实现 PFT 系统和 EHR 互操作性的主要障碍；2）针对已识别的障碍提出解决方案。 PFT 数据与 EHR 的成功互操作性会影响个体患者健康和临床护理、人口健康和研究的全部范围。现有的 EHR-PFT 设备平台缺乏足够的数据标准化来促进互操作性。成本是 PFT-EHR 互操作性的主要障碍，而激励措施不足以证明所需投资的合理性。当前的供应商-EHR 系统缺乏足够的灵活性，从而阻碍了互操作性。为了推进实现互操作性的目标，接下来的步骤包括识别和标准化优先 PFT 数据元素。为了提高利益相关者投资这项工作的动力，有必要证明 PFT 互操作性在患者护理和人口健康方面的好处。
A workshop “Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap” was held at the American Thoracic Society 2019 International Conference. “Interoperability” is defined as is the ability of different information-technology systems and software applications to directly communicate, exchange data, and use the information that has been exchanged. At present, pulmonary function test (PFT) equipment is not required to be interoperable with other clinical data systems, including electronic health records (EHRs). For this workshop, we assembled a diverse group of experts and stakeholders, including representatives from patient-advocacy groups, adult and pediatric general and pulmonary medicine, informatics, government and healthcare organizations, pulmonary function laboratories, and EHR and PFT equipment and software companies. The participants were tasked with two overarching Aobjectives: 1) identifying the key obstacles to achieving interoperability of PFT systems and the EHR and 2) recommending solutions to the identified obstacles. Successful interoperability of PFT data with the EHR impacts the full scope of individual patient health and clinical care, population health, and research. The existing EHR–PFT device platforms lack sufficient data standardization to promote interoperability. Cost is a major obstacle to PFT–EHR interoperability, and incentives are insufficient to justify the needed investment. The current vendor–EHR system lacks sufficient flexibility, thereby impeding interoperability. To advance the goal of achieving interoperability, next steps include identifying and standardizing priority PFT data elements. To increase the motivation of stakeholders to invest in this effort, it is necessary to demonstrate the benefits of PFT interoperability across patient care and population health.