Overhage J M, Suico J, McDonald C J
Regenstrief Institute for Health Care, Indianapolis, IN 46202, USA.
J Public Health Manag Pract. 2001 Nov;7(6):60-6. doi: 10.1097/00124784-200107060-00007.
Electronic laboratory reporting can improve surveillance for notifiable conditions. Building on standards for message structure and content, we have implemented an electronic laboratory reporting system by building on the infrastructure created for the Indiana Network for Patient Care (INPC). The system has proven reliable in delivering results and scalable to multiple laboratories over 36 months of use. In April 2000, the system identified over 1,000 cases of notifiable conditions from the laboratories at four different laboratories. Our experience in developing the system has highlighted the need for improved compliance with HL7 result message formats by the laboratory information systems and more structured reporting of results for tests such as microbiology including consistent use of the abnormal flag.
电子实验室报告可改善对应报告疾病的监测。基于消息结构和内容标准，我们通过利用为印第安纳州患者护理网络（INPC）创建的基础设施，实施了一个电子实验室报告系统。在36个月的使用中，该系统已证明在传递结果方面可靠且可扩展至多个实验室。2000年4月，该系统从四个不同实验室的实验室中识别出1000多例应报告疾病病例。我们开发该系统的经验凸显了实验室信息系统提高对HL7结果消息格式的合规性以及对微生物学等检测结果进行更结构化报告（包括一致使用异常标志）的必要性。
