Olhede T, Peterson H E
Department of Computer and Systems Sciences, Stockholm University/Royal Institute of Technology, Electrum 230, SE-164 40 Kista, Sweden.
Stud Health Technol Inform. 2000;77:642-6.
Patient related care information is important over long periods of time. Thus it cannot be stored in running systems handling day by day information exchange. In the future, when the demands arise to use patient related information, neither the programmes nor the databases, in which the information once was fed, will be available. These facts imply that electronically stored patient related information must be electronically accessible and searchable and thus the information must be stored in a time-invariant way. In future use of patient related information it is of extraordinary importance both nationally, in the EU and internationally to use a standardised way to handle and access archived patient related information. Already in 1995 the search for a solution of these issues was initialised at the Health Informatics Department at Spri--the Swedish National Institute for Health Services Development. A number of internal reports have been produced as background information. Further work has to be carried out at relevant organisational levels in order to structure and logically harmonise an archiving format. The basic XML-format has been preliminary tested by a Spri project and found suitable. Spri has advised the Swedish National Board of Health and Welfare and the Swedish National Archive to issue directives concerning the use of XML as the archive-format for EHCR (Electronic Health Care Record) information.
长期来看,患者相关护理信息非常重要。因此,它不能存储在处理日常信息交换的运行系统中。未来,当需要使用患者相关信息时,曾经录入该信息的程序和数据库都将无法使用。这些事实意味着,电子存储的患者相关信息必须能够以电子方式访问和搜索,因此该信息必须以时间不变的方式存储。在未来使用患者相关信息时,在国家、欧盟和国际层面上,采用标准化方式处理和访问存档的患者相关信息极为重要。早在1995年,瑞典国家卫生服务发展研究所(Spri)卫生信息学部门就开始着手寻找解决这些问题的办法。已经编写了一些内部报告作为背景资料。还必须在相关组织层面开展进一步工作,以便构建并在逻辑上统一存档格式。基本的XML格式已由Spri项目进行了初步测试,结果表明是合适的。Spri已建议瑞典国家卫生和福利委员会以及瑞典国家档案馆发布指令,规定使用XML作为电子医疗记录(EHCR)信息的存档格式。