Sicurello F, Nicolosi A
Institute of Advanced Biomedical Technologies, National Research Council, Milano, Italy.
Stud Health Technol Inform. 1997;43 Pt A:226-31.
Telematics and information technology are the base on which it will be possible to build an integrated health information system to support population and improve their quality of life. This system should be based on record linkage of all data based on the interactions of the patients with the health structures, such as general practitioners, specialists, health institutes and hospitals, pharmacies, etc. The record linkage can provide the connection and integration of various records, thanks to the use of telematic technology (either urban or geographical local networks, such as the Internet) and electronic data cards. Particular emphasis should be placed on the introduction of smart cards, such as portable health cards, which will contain a standardized data set and will be sufficient to access different databases found in various health services. The inter-operability of the social-health records (including multimedia types) and the smart cards (which are one of the most important prerequisites for the homogenization and wide diffusion of these cards at an European level) should be strongly taken into consideration. In this framework a project is going to be developed aiming towards the integration of various data bases distributed territorially, from the reading of the software and the updating of the smart cards to the complete management of the patients' evaluation records, to the quality of the services offered and to the health planning. The applications developed will support epidemiological investigation software and data analysis. The inter-connection of all the databases of the various structures involved will take place through a coordination center, the most important system of which we will call "record linkage" or "integrated database". Smart cards will be distributed to a sample group of possible users and the necessary smart card management tools will be installed in all the structures involved. All the final users (the patients) in the whole network of services involved will be monitored for the duration of the project. The system users will also include general practitioners, social workers, physicians, health operators, pharmacists, laboratory workers and administrative personnel of the municipality and of the health structures concerned.
远程信息处理和信息技术是构建综合健康信息系统的基础，该系统能够支持民众并改善其生活质量。这个系统应以患者与健康机构（如全科医生、专科医生、健康机构和医院、药房等）的互动为基础，对所有数据进行记录链接。借助远程信息技术（无论是城市或地理区域网络，如互联网）和电子数据卡，记录链接能够实现各种记录的连接与整合。应特别强调引入智能卡，如便携式健康卡，它将包含标准化数据集，足以访问各类健康服务中的不同数据库。社会健康记录（包括多媒体类型）与智能卡的互操作性（这是这些卡在欧洲层面实现同质化和广泛传播的最重要前提之一）应得到充分考虑。在此框架下，将开展一个项目，旨在整合地域分布的各种数据库，从软件读取和智能卡更新到患者评估记录的全面管理、所提供服务的质量以及健康规划。所开发的应用程序将支持流行病学调查软件和数据分析。各个相关机构的所有数据库将通过一个协调中心进行互联，我们将其最重要的系统称为“记录链接”或“综合数据库”。智能卡将分发给一组可能的用户样本，并在所有相关机构安装必要的智能卡管理工具。在项目期间，将对整个服务网络中的所有最终用户（患者）进行监测。系统用户还将包括全科医生, 社会工作者, 医生, 健康从业者, 药剂师, 实验室工作人员以及市政当局和相关健康机构的行政人员。
