Development of an electronic public health case report using HL7 v2.5 to meet public health needs

Development of an electronic public health case report using HL7 v2.5 to meet public health needs
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DOI:
10.1197/jamia.m3299
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发表时间:
2010-01-01
影响因子:
6.4
通讯作者:
Huff, Stanley M.
Huff, Stanley M.
中科院分区:
管理学2区
文献类型:
--
作者:
Rajeev, Deepthi;Staes, Catherine J.;Huff, Stanley M.

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临床医生必须在规定的时间内向公共卫生当局报告选定的情况。目前的报告程序大多是纸面报告,效率低下,可能导致案件调查的延误。随着电子病历变得越来越普遍,电子病例报告变得越来越可行。然而,目前还没有关于将病例报告从医疗保健机构电子传输到公共卫生机构的标准。我们确定了电子病例报告的主要要求,并验证了这些要求支持当地卫生部门的工作流程。我们提出了一个可扩展的基于标准的模型,以电子方式传输病例信息和相关的实验室信息从医疗保健到公共卫生实体。目前正在实施HL7 v2.5消息模型,以将电子病例报告从Intermountain Healthcare传输到犹他州卫生部。
Clinicians are required to report selected conditions to public health authorities within a stipulated amount of time. The current reporting process is mostly paper-based and inefficient and may lead to delays in case investigation. As electronic medical records become more prevalent, electronic case reporting is becoming increasingly feasible. However, there is no existing standard for the electronic transmission of case reports from healthcare to public health entities. We identified the major requirements of electronic case reports and verified that the requirements support the work processes of the local health departments. We propose an extendable standards-based model to electronically transmit case information and associated laboratory information from healthcare to public health entities. The HL7 v2.5 message model is currently being implemented to transmit electronic case reports from Intermountain Healthcare to the Utah Department of Health.