ELECTRONIC PATIENT RECORD INTERCHANGE

患者的临床数据，这是非常必要和有用的 为给定的患者提供最好、最具成本效益的护理 个人，以及对医疗效果有价值的 能够造福于我们整个社会的项目目前非常 很难获得。临床数据通常保存在纸、胶片和 分布在不同地点的其他媒体。因为肿瘤科的病人 需要护理的慢性病患者的代表 多个医疗保健设施和相应的记录共享，我们将 使用他们的记录作为原型中使用的模型。尽管有些人 患者数据现在是电子形式的，尽管它看起来很明显 电子存储将加速，基础设施 词汇、消息、规则、格式、内容和医疗保健协议 没有制定促进电子病历数据的标准 换乘。这项提案描述了一种改善这一状况的机制 有问题。 描述了一种电子病历交换系统的开发 (EPRI)机制，一种用于患者沟通的结构 计算机病历(CPR)系统中的临床数据。这个 结构是灵活的，并将适应标准的发展。这个 第一阶段的产品预计将成为一个视觉原型，以演示 结构的使用，书面规范和建议的草案 用于实施；基于肿瘤学数据，这些将可扩展到 所有的医疗保健。

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.