快速医疗保健互操作性资源的可互操作数字药物记录:最小核心数据集的开发和技术验证.
Eduardo Salgado-Baez1,2, Raphael Heidepriem1,2, Renate Delucchi Danhier3
1Department of Anesthesiology and Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, Berlin, Germany.
JMIR medical informatics
|February 27, 2025
概括
这项研究开发了一个使用FHIR标准的标准化,可互操作的药物数据集,以减少错误并改善医院的数据交换. 该解决方案提高了药物识别准确性和患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 卫生信息技术 信息技术
背景情况:
- 药物错误在医疗保健中带来了重大风险和成本,原因是系统中的药物数据碎片化和不可互操作.
- 缺乏标准化数据导致管理负担,数据输入冗余,并增加了人为错误的可能性.
研究的目的:
- 在大学医院的多个系统中评估现有药物数据.
- 确定基本药物信息的最低数据集.
- 为可互操作的数据传输提供基于健康7级快速健康互操作性资源 (HL7 FHIR) 的解决方案.
主要方法:
- 分析了来自所有医院部门的药物数据,根据HL7 FHIR和德国医疗信息化倡议 (MII) 规范定义数据元素.
- 将数据集与综合药物数据库和欧洲标准药物术语 (EDQM) 的信息进行了丰富,以提高识别准确性.
- 将60种常用药物的数据提取并集成到一个新的结构化数据库中.
主要成果:
- 鉴定了7964种药物,但由于碎片化的IT基础设施和数据标准化挑战,观察到的互操作性有限.
- 开发了一个结构化药物数据集,其中包含确保数据识别准确性和互操作性的关键元素.
- 成功生成标准化药物订单消息,实现互操作和标准化数据交换.
结论:
- 拟议的最低数据集与编码系统和FHIR标准保持一致,解决了药物数据互操作性问题.
- 这种解决方案促进了标准化数据交换,例如数字转移出院处方,减少药物错误.
- 通过改善药物管理流程,实施可以显著提高患者的安全性.
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