ELECTRONIC PATIENT RECORD INTERCHANGE

电子病历交换

• 批准号: 3498940
• 负责人: PETER B SCHIPMA
• 金额: $ 5万
• 依托单位: I. S. GRUPE, INC.
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-05-01 至 1993-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3498940
• 关键词: automated data processing; automated medical record system; data collection methodology /evaluation; human data; information dissemination; information system analysis

Patient clinical data, which are of great necessity and utility in providing the best and most cost-effective patient care to a given individual, as well as valuable for medical treatment effectiveness programs that can benefit our society as a whole, are currently very difficult to obtain. Clinical data are typically kept on paper, film and other media in diverse locations. Since oncology patients are highly representative of persons with chronic illnesses who require care at multiple health care facilities and concomitant record sharing, we will use their records as the model employed in prototyping. Though some patient data are now in electronic form and though it appears evident that electronic storage will accelerate, the infrastructure of vocabulary, message, rule, format, content and health care protocol standards is not in place to facilitate electronic patient record data interchange. This proposal describes a mechanism for ameliorating that problem. It describes the development of an Electronic Patient Record Interchange (EPRI) mechanism, a structure to be used for communication of patient clinical data among Computer-based Patient Record (CPR) systems. The structure is flexible and will accommodate standards as they evolve. The product of Phase I is expected to be a visual prototype to demonstrate use of the structure, a draft of a written specification and suggestions for implementation; based on oncology data, these will be extensible to all of health care.

患者临床数据，这是非常必要和实用的， 提供最好的和最具成本效益的病人护理， 个人，以及有价值的医疗效果 能够使我们整个社会受益的计划，目前非常 很难获得。 临床数据通常保存在纸上、胶片上， 不同地点的其他媒体。 由于肿瘤患者的 需要护理的慢性病患者代表， 多个医疗保健设施和伴随的记录共享，我们将 使用他们的记录作为原型设计中使用的模型。 尽管一些 患者数据现在是电子形式的，虽然它似乎很明显， 电子存储将加速， 词汇表、消息、规则、格式、内容和医疗保健协议 没有标准来促进电子病历数据 互换 该提案描述了一种改善这种情况的机制， 问题. 它描述了电子病历交换的发展 （EPRI）机制，用于患者通信的结构 计算机化的患者记录（CPR）系统中的临床数据。 的 结构是灵活的，将随着标准的发展而适应这些标准。 的 第一阶段的产品预计将是一个可视化的原型，以证明 结构的使用，书面规范草案和建议 用于实施;基于肿瘤学数据，这些将可扩展， 所有的医疗保健。