Zhang Yuhai, Xu Yongyong, Shang Lei, Rao Keqin
Institute for Health Information, Fourth Military Medical University, Changle West Road 17#, Xi'an 710032, China.
Int J Med Inform. 2007 Aug;76(8):614-20. doi: 10.1016/j.ijmedinf.2006.05.003. Epub 2006 Jun 21.
To describe the current status of and future plans for health informatics and related standards in China and analyze the problems raised in the process of standardization for health informatics.
Data were collected through investigation and interviews, complemented by a comprehensive review of relevant literatures and regulations/law documents about health informatics and related standards in China.
Health informatics has been greatly developed in China. Significant resources were committed to construct and improve the health information system. Approximately 35-40% of hospitals have constructed hospital information system. Over 80% of medical organizations above the county/district level, 27% of town level hospitals and all CDC above the county/district level can transmit real-time epidemic situation reporting through public health information system. However, lack of standards became a bottleneck to utilize and improve health informatics. China has adopted some vocabulary, classification, coding standards and message standards. Moreover, several national standardization actions for health informatics have been taken. In the process of standardization, the main barriers consist of financial, technical, cultural and language problems, legal and ethical concerns and others.
Informatics has the potential to play an important role in China's healthcare reform process and standards are the basis for the information sharing and interoperability. Governments and partners of health informatics have realized the importance of standards and taken the initiatives in trying to solve the problem of lacking standards, but much work still needs to be done.
描述中国卫生信息学及相关标准的现状与未来规划，并分析卫生信息学标准化过程中出现的问题。
通过调查和访谈收集数据，并辅以对中国卫生信息学及相关标准的相关文献和法规/法律文件的全面综述。
中国卫生信息学已得到大力发展。投入了大量资源来建设和完善卫生信息系统。约35%-40%的医院已建成医院信息系统。超过80%的县/区级以上医疗机构、27%的镇级医院以及所有县/区级以上疾控中心能够通过公共卫生信息系统实时上报疫情。然而，缺乏标准成为利用和改进卫生信息学的瓶颈。中国已采用了一些词汇、分类、编码标准和消息标准。此外，还开展了多项卫生信息学国家标准制定行动。在标准化过程中，主要障碍包括资金、技术、文化和语言问题、法律和伦理问题等。
信息学有潜力在中国医疗改革进程中发挥重要作用，而标准是信息共享和互操作性的基础。卫生信息学的政府部门和合作伙伴已认识到标准的重要性，并已主动尝试解决标准缺失的问题，但仍有许多工作要做。
