在低资源环境中开发可持续的共享儿童健康记录,老人民民主共和国
Thepphouthone Sorsavanh1, Yukiko Mori1, Goshiro Yamamoto1
1Medical Information Technology and Administration Planning, Kyoto University Hospital, Japan.
Studies in health technology and informatics
|August 23, 2024
概括
通过使用电子健康信息交换 (HIE) 开发共享儿童健康记录 (SCHR) 来解决老人民共和国碎片化的儿童健康数据. 该系统提高了数据的互操作性,以更好地监测儿童健康.
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
- 儿童健康监测 儿童健康监测
背景情况:
- 老人民共和国卫生部面临着碎片化,非标准化的儿童健康数据的挑战,这阻碍了有效的数据收集和互操作性.
- 现有的医疗保健系统缺乏无的数据共享,影响监测和改善儿童健康结果的能力.
- 电子健康信息交换 (HIE) 提供了一个潜在的解决方案,以提高数据质量,并使儿童健康记录 (SCHR) 能够共享.
研究的目的:
- 通过整合老人民共和国现有的医疗保健系统,开发和实施一个共享儿童健康记录 (SCHR) 系统.
- 为了利用快速医疗互操作性资源 (FHIR) 实施患者摘要 (IPS) 数据互操作性标准.
- 改善卫生部内的儿童健康数据收集,质量和监测能力.
主要方法:
- 根据儿童健康记录所需的特定数据元素定制的FHIR IPS标准.
- 一个由14名专家组成的技术工作组 (TWG) 定义了数据交易的最低数据集.
- 在HAPI FHIR服务器上进行了系统测试,验证了客户端注册表 (CR-DHIS2),电子免疫记录 (EIR-DHIS2) 和电子医疗记录 (EMR) 系统之间的互操作性.
主要成果:
- 在CR-DHIS2,EIR-DHIS2和EMR系统中使用FHIR IPS标准实现了成功的互操作性,用于数据交易.
- 开发的SCHR系统展示了追踪目标儿童和监测完整疫苗接种状态的能力.
- 最初的结果表明,一个功能系统可以改善儿童健康数据的管理和监测.
结论:
- 开发的SCHR系统采用了FHIR IPS标准,有效地解决了老人民共和国儿童健康部门的数据碎片化和互操作性问题.
- 该系统对实时儿童健康监测和疫苗接种跟踪有希望.
- 在全面部署之前,需要进一步验证以确保数据的机密性和安全性.
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