SS-MIX: A Ministry Project to Promote Standardized Healthcare Information Exchange
SS-MIX: A Ministry Project to Promote Standardized Healthcare Information Exchange
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DOI：
10.3414/me10-01-0015
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Tani, S.
中科院分区：
文献类型：
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作者：
Kimura, M.;Nakayasu, K.;Tani, S.
目标：促进提供者之间的医疗保健信息交换，并允许医院信息系统（HIS）在广泛存在的遗留系统环境中以标准化格式（HL7和DICOM）导出信息，遗留系统只能以专有格式导出数据。方法:通过2004-2005年的静冈县电子病历项目，以及随后的省内SS-MIX项目，提供了许多软件产品，其中包括1)用于接收患者人口统计、处方、实验室结果和ICD-10中诊断疾病的HL7 v2.5消息的标准化存储，2)转诊信创建系统，3)格式化文档创建系统，4)进度记录/护理记录系统，5)存档/查看器，用于合并传入的医疗保健数据CD，并允许用户在HIS终端上查看。同时，还产生了其他有用的应用，如不良事件报告和临床信息检索。为了实现上述目标，创建并传播了这些软件产品，因为用户可以使用这些软件产品，前提是他们的HIS可以将上述信息以HL7 v2.5格式导出到标准化存储中。结果：日本20家医院已安装并应用了标准化存储系统。由于主要的HIS供应商从2007年开始提供带有HL7导出功能的HIS，日本594家医院的HIS能够以HL7 v2.5格式导出数据（截至2010年3月）。结论：在高CPOE安装率（400+床位医院85%）中，虽然大多数医院只能导出专有格式的数据，但地级和部级项目有效地促进了提供者之间的医疗信息交换。标准化存储成为许多有用应用程序的基础设施，许多医院开始使用它们。卫生部指定的拟议卫生保健标准是有效的，从而允许供应商符合其产品，并允许用户安装这些标准。
Objectives: To promote healthcare information exchange between providers and to allow hospital information systems (HIS) export information in standardized format (HL7 and DICOM) in an environment of widespread legacy systems, which only can export data in proprietary format.Methods: Through the Shizuoka prefecture EMR project in 2004-2005, followed by the ministry's SS-MIX project, many software products have been provided, which consist of 1) a standardized storage to receive HL7 v2.5 messages of patient demographics, prescription orders, laboratory results, and diagnostic disease in ICD-10, 2) a referral letter creation system, 3) a formatted document creation system, 4) a progress note/nursing record system, and 5) an archive/viewer to incorporate incoming healthcare data CD and allow users to view on HIS terminal. Meanwhile, other useful applications have been produced, such as adverse event reporting and clinical information retrieval. To achieve the above-mentioned objectives, these software products were created and propagated, because users can use these software products, provided that their HIS can export the above information to the standardized storage in HL7 v2.5 format.Results: In 20 hospitals of Japan, the standardized storage has been installed and some applications have been used. As major HIS vendors are shipping HIS with HL7 export function since 2007, HIS of 594 hospitals in Japan became capable of exporting data in HL7 v2.5 format (as of March 2010).Conclusions: In high CPOE installation rate (85% in 400+ bed hospitals), though most of them only capable of exporting data in proprietary format, prefecture and ministry projects were effective to promote healthcare information exchange between providers. The standardized storage became an infrastructure for many useful applications, and many hospitals started using them. Ministry designation of proposed healthcare standards was effective so as to allow vendors to conform their products, and users to install them.