RESUMO
Internationally, there are countless initiatives to build National Healthcare Information Networks (NHIN) that electronically interconnect healthcare organizations by enhancing and integrating current information technology (IT) capabilities. The realization of such NHINs will enable the simple and immediate exchange of appropriate and vital clinical data among participating organizations. In order for institutions to accurately and automatically exchange information, the electronic clinical documents must make use of established clinical codes, such as those of SNOMED-CT, LOINC and ICD-9 CM. However, there does not exist one universally accepted coding scheme that encapsulates all pertinent clinical information for the purposes of patient care, clinical research and population heatlh reporting. In this paper, we propose a combination of methods and standards that target the harmonization of clinical terminologies and encourage sustainable, interoperable infrastructure for healthcare.
Assuntos
Controle de Formulários e Registros/normas , Registro Médico Coordenado/normas , Vocabulário Controlado , Redes de Comunicação de Computadores/normas , Controle de Formulários e Registros/métodos , Garantia da Qualidade dos Cuidados de Saúde , Integração de SistemasRESUMO
Our team built a standards-based prototype system for multi-national public health reporting and surveillance. It uses interoperability specifications from Integrating the Healthcare Enterprise (IHE) and open source technologies from Eclipse OHF. Public health organizations leveraging interoperability standards implemented within the clinical domain will have the most standardized data ever achieved; allowing them to focus attention on creating new tools to better visualize population health, detect outbreaks, determine policy effectiveness, and perform forecast modeling.