SS-MIX：一项促进标准化医疗信息交换的部级项目。

SS-MIX: a ministry project to promote standardized healthcare information exchange.

作者信息

Kimura M, Nakayasu K, Ohshima Y, Fujita N, Nakashima N, Jozaki H, Numano T, Shimizu T, Shimomura M, Sasaki F, Fujiki T, Nakashima T, Toyoda K, Hoshi H, Sakusabe T, Naito Y, Kawaguchi K, Watanabe H, Tani S

机构信息

Hamamatsu University, Hamamatsu, Japan.

出版信息

Methods Inf Med. 2011;50(2):131-9. doi: 10.3414/ME10-01-0015. Epub 2011 Jan 5.

DOI:10.3414/ME10-01-0015

PMID:21206962

Abstract

OBJECTIVES

To promote healthcare information exchange between providers and to allow hospital information systems (HIS) export information in standardized format (HL7 and DICOM) in an environment of wide-spread legacy systems, which only can export data in proprietary format.

METHODS

Through the Shizuoka prefecture EMR project in 2004-2005, followed by the ministry's SS-MIX project, many software products have been provided, which consist of 1) a standardized storage to receive HL7 v2.5 messages of patient demographics, prescription orders, laboratory results, and diagnostic disease in ICD-10, 2) a referral letter creation system, 3) a formatted document creation system, 4) a progress note/nursing record system, and 5) an archive/viewer to incorporate incoming healthcare data CD and allow users to view on HIS terminal. Meanwhile, other useful applications have been produced, such as adverse event reporting and clinical information retrieval. To achieve the above-mentioned objectives, these software products were created and propagated, because users can use these software products, provided that their HIS can export the above information to the standardized storage in HL7 v2.5 format.

RESULTS

In 20 hospitals of Japan, the standardized storage has been installed and some applications have been used. As major HIS vendors are shipping HIS with HL7 export function since 2007, HIS of 594 hospitals in Japan became capable of exporting data in HL7 v2.5 format (as of March 2010).

CONCLUSIONS

In high CPOE installation rate (85% in 400+ bed hospitals), though most of them only capable of exporting data in proprietary format, prefecture and ministry projects were effective to promote healthcare information exchange between providers. The standardized storage became an infrastructure for many useful applications, and many hospitals started using them. Ministry designation of proposed healthcare standards was effective so as to allow vendors to conform their products, and users to install them.

摘要

目标

在大量遗留系统（只能以专有格式导出数据）的环境中，促进医疗服务提供者之间的医疗信息交换，并允许医院信息系统（HIS）以标准化格式（HL7和DICOM）导出信息。

方法

通过2004 - 2005年静冈县电子病历项目，随后是卫生部的SS - MIX项目，提供了许多软件产品，包括：1）一个标准化存储，用于接收患者人口统计学信息、处方订单、实验室检查结果以及ICD - 10诊断疾病的HL7 v2.5消息；2）一个转诊信创建系统；3）一个格式化文档创建系统；4）一个病程记录/护理记录系统；5）一个存档/查看器，用于整合传入的医疗数据CD并允许用户在HIS终端上查看。同时，还开发了其他一些有用的应用程序，如不良事件报告和临床信息检索。为实现上述目标而创建并推广这些软件产品，因为只要用户的HIS能够将上述信息以HL7 v2.5格式导出到标准化存储中，他们就可以使用这些软件产品。

结果

在日本的20家医院安装了标准化存储，并使用了一些应用程序。由于主要的HIS供应商自2007年起开始提供具有HL7导出功能的HIS，截至2010年3月，日本594家医院的HIS能够以HL7 v2.5格式导出数据。

结论

在高计算机化医师医嘱录入（CPOE）安装率（床位400张以上的医院中为85%）的情况下，尽管大多数医院只能以专有格式导出数据，但县级和部级项目在促进医疗服务提供者之间的医疗信息交换方面是有效的。标准化存储成为了许多有用应用程序的基础设施，许多医院开始使用这些应用程序。卫生部对提议的医疗标准的指定有效地促使供应商使其产品符合标准，并使用户能够安装这些产品。