Analysis of laboratory data transmission between two healthcare institutions using a widely used point-to-point health information exchange platform: a case report.
JAMIA Open
; 7(2): ooae032, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38660616
ABSTRACT
Objective:
The objective was to identify information loss that could affect clinical care in laboratory data transmission between 2 health care institutions via a Health Information Exchange platform. Materials andMethods:
Data transmission results of 9 laboratory tests, including LOINC codes, were compared in the following between sending and receiving electronic health record (EHR) systems, the individual Health Level Seven International (HL7) Version 2 messages across the instrument, laboratory information system, and sending EHR.Results:
Loss of information for similar tests indicated the following potential patient safety issues (1) consistently missing specimen source; (2) lack of reporting of analytical technique or instrument platform; (3) inconsistent units and reference ranges; (4) discordant LOINC code use; and (5) increased complexity with multiple HL7 versions. Discussion andConclusions:
Using an HIE with standard messaging, SHIELD (Systemic Harmonization and Interoperability Enhancement for Laboratory Data) recommendations, and enhanced EHR functionality to support necessary data elements would yield consistent test identification and result value transmission.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
JAMIA Open
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos