一个初步结果:在印尼实施世卫组织关于AMR和AMU/C监测的SMART指南是否可行?
Guardian Yoki Sanjaya1, Anis Fuad2, Hendri Kurniawan Prakosa1
1Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada.
Studies in health technology and informatics
|August 8, 2025
概括
抗微生物耐药性 (AMR) 需要监测抗微生物使用 (AMU/C) 数据. 印度尼西亚开发了一套标准化电子健康记录数据交换的操作手册,以帮助AMR监测工作.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 传染病控制和控制传染病
背景情况:
- 抗菌素耐药性 (AMR) 是一个关键的全球健康挑战,每年导致数百万死亡.
- 对抗微生物药物使用或消费 (AMU/C) 的有效监测对于控制AMR至关重要.
- 电子医疗记录 (EMR) 和标准化数据交换是强大的AMU/C监控的关键.
研究的目的:
- 描述抗菌药物使用或消费 (AMU/C) 策略书的开发. 数据交换.
- 为了促进AMR和AMU/C数据集成到印度尼西亚国家Satu Sehat平台.
- 使用FHIR-HL7标准和标准术语,确保健康数据的互操作性.
主要方法:
- 现有协议和标准的办公室审查.
- 在医疗机构内进行实地观察.
- 聚焦小组与利益相关者进行讨论,以确定关键变量.
- 与FHIR-HL7标准,SNOMED CT,LOINC和ICD-10标准的调整.
主要成果:
- 开发了一个详细介绍AMR和AMU/C的数据交换协议的手册.
- 确定了一组有限的可互操作的变量,用于电子处方和培养测试.
- 该指南提供了与世卫组织SMART指南保持一致的技术途径.
结论:
- 开发的操作手册支持在印度尼西亚进行AMR和AMU/C监测的标准化数据收集.
- 利用电子健康记录和可互操作的数据标准对于有效的抗药性控制至关重要.
- 该倡议通过改进数据管理,有助于加强国家卫生安全.
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