退伍军人健康信息系统——美国退伍军人事务部的全国性医疗信息系统。

VistA--U.S. Department of Veterans Affairs national-scale HIS.

作者信息

Brown Steven H, Lincoln Michael J, Groen Peter J, Kolodner Robert M

机构信息

Department of Veterans Affairs, and Vanderbilt University, USA.

出版信息

Int J Med Inform. 2003 Mar;69(2-3):135-56. doi: 10.1016/s1386-5056(02)00131-4.

DOI:10.1016/s1386-5056(02)00131-4

PMID:12810119

Abstract

The Veterans Health Administration of the U.S. Department of Veterans Affairs has a long, successful, and interesting history of using information technology to meet its mission. Each medical center is computerized to a degree that surprises the uninitiated. For example, medical documentation and ordering are computerized at every facility. A sophisticated national infrastructure has been developed to replicate, support, and evolve single-center successes. With advances in inter-facility networking, data sharing, and specialized central support and technical tools, VistA is becoming a single, highly scalable national health information system (HIS) solution. In this paper, we present an historical overview of VistA's development, describe its current functionality, and discuss its emergence as a national-scale hospital information system.

摘要

美国退伍军人事务部的退伍军人健康管理局在利用信息技术履行其使命方面有着悠久、成功且引人入胜的历史。每个医疗中心的计算机化程度都会让外行人士感到惊讶。例如，每个机构的医疗文档记录和医嘱录入都实现了计算机化。已经开发了一个复杂的国家基础设施，用于复制、支持和发展单中心的成功经验。随着机构间网络、数据共享以及专门的中央支持和技术工具的进步，VistA正成为一个单一的、高度可扩展的国家健康信息系统（HIS）解决方案。在本文中，我们将对VistA的发展进行历史概述，描述其当前功能，并讨论其作为全国规模医院信息系统的出现。