在国家公共卫生免疫登记册和电子健康记录中发展互操作性
Sripriya Rajamani1, Naomi Jiter2, Maureen Leeds2
1University of Minnesota, Minneapolis, Minnesota, USA.
Studies in health technology and informatics
|January 25, 2024
概括
公共卫生机构需要更好的电子健康记录 (EHR) 与免疫信息系统 (IIS) 的整合. 尽管使用率很高,但数据标准和人员短缺等障碍阻碍了无的疫苗数据交换.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 卫生信息交换健康信息交换
- 免疫系统 免疫系统
背景情况:
- 随着COVID-19的流行,人们越来越需要强大的公共卫生信息基础设施和系统互操作性.
- 评估国家免疫信息系统 (IIS) 和电子健康记录 (EHR) 之间不断发展的互操作性至关重要,特别是在流行病驱动的使用方面.
研究的目的:
- 评估明尼苏达州免疫信息连接 (MIIC) 和电子健康记录之间的互操作性.
- 在EHR-IIS数据交换中识别流行病驱动的变化和挑战.
主要方法:
- 在2022年4月至7月期间,对12个医疗保健系统和公共卫生诊所 (286个站点) 的28名专家进行了结构化采访.
- 分析了MIIC的使用和集成,一个基于国家的IIS,与EHR系统.
主要成果:
- 所有接受采访的网站都使用MIIC,其中83%将其集成到他们的EHR中,每月产生大约600万个EHR查询.
- 确定了重要的组织和技术障碍,包括需要在电子健康记录中标准化疫苗命名,访问问题,有限的资源和信息人员短缺等.
结论:
- 免疫信息系统 (IIS) 在公共卫生中发挥着至关重要的作用.
- 持续评估EHR-IIS互操作性对于解决已识别的障碍和促进标准化,双向数据交换至关重要.
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