Fujikawa Jun
Department of Laboratory Medicine, Kitano Hospital, Osaka 530-8480, Japan.
Rinsho Byori. 2009 Feb;57(2):99-106.
To demonstrate the feasibility of a Web-based laboratory data browser integrated with heterogeneous clinical information in a hospital setting.
A Java-based web application was developed in-house, using free open-source software. The server side manages queries to heterogeneous hospital databases containing patient data. Order entry information including laboratory test results, drug prescriptions, injection orders, physiological test orders and, imaging test orders, was retrieved from a replication database, and integrated with nursing data from a nursing system database. The result was visualized in a time-series table format, and accessed by web browsers on computers connected to the hospital intranet.
The laboratory data browser system achieved practical response times over huge databases (> 90 million records). The medical personnel accepted the system well, and applied the system to various clinical situations.
Integrating heterogeneous data from hospital databases in a Web-based laboratory data browser is a practical approach. Presenting relevant medical information simultaneously added value to the laboratory data, and may promote better medical management.
证明在医院环境中,将基于网络的实验室数据浏览器与异构临床信息集成的可行性。
使用免费开源软件自行开发了一个基于Java的Web应用程序。服务器端管理对包含患者数据的异构医院数据库的查询。从复制数据库中检索包括实验室检查结果、药物处方、注射医嘱、生理检查医嘱和影像检查医嘱在内的医嘱录入信息,并与护理系统数据库中的护理数据集成。结果以时间序列表的形式可视化,并通过连接到医院内部网的计算机上的网络浏览器进行访问。
实验室数据浏览器系统在超大型数据库(超过9000万条记录)上实现了实际响应时间。医务人员对该系统接受度良好,并将该系统应用于各种临床情况。
在基于网络的实验室数据浏览器中集成医院数据库中的异构数据是一种切实可行的方法。同时呈现相关医学信息为实验室数据增添了价值,并可能促进更好的医疗管理。