Alpi Kristine M, Burnett Heidi A, Bryant Sheila J, Anderson Katherine M
Jr. Library of Veterinary Medicine, NCSU Libraries at North Carolina State University, Raleigh, NC 27607, USA.
J Vet Med Educ. 2011 Summer;38(2):110-22. doi: 10.3138/jvme.38.2.110.
Electronic health records (EHRs) provide clinical learning opportunities through quick and contextual linkage of patient signalment, symptom, and diagnosis data with knowledge resources covering tests, drugs, conditions, procedures, and client instructions. This paper introduces the EHR standards for linkage and the partners-practitioners, content publishers, and software developers-necessary to leverage this possibility in veterinary medicine. The efforts of the American Animal Hospital Association (AAHA) Electronic Health Records Task Force to partner with veterinary practice management systems to improve the use of controlled vocabulary is a first step in the development of standards for sharing knowledge at the point of care. The Veterinary Medical Libraries Section (VMLS) of the Medical Library Association's Task Force on Connecting the Veterinary Health Record to Information Resources compiled a list of resources of potential use at point of care. Resource details were drawn from product Web sites and organized by a metric used to evaluate medical point-of-care resources. Additional information was gathered from questions sent by e-mail and follow-up interviews with two practitioners, a hospital network, two software developers, and three publishers. Veterinarians with electronic records use a variety of information resources that are not linked to their software. Systems lack the infrastructure to use the Infobutton standard that has been gaining popularity in human EHRs. While some veterinary knowledge resources are digital, publisher sites and responses do not indicate a Web-based linkage of veterinary resources with EHRs. In order to facilitate lifelong learning and evidence-based practice, veterinarians and educators of future practitioners must demonstrate to veterinary practice software developers and publishers a clinically-based need to connect knowledge resources to veterinary EHRs.
电子健康记录（EHRs）通过将患者特征、症状和诊断数据与涵盖检查、药物、病症、程序及客户指导的知识资源进行快速且上下文相关的关联，提供临床学习机会。本文介绍了用于关联的EHR标准以及在兽医学中利用这种可能性所必需的合作伙伴——从业者、内容发布者和软件开发人员。美国动物医院协会（AAHA）电子健康记录特别工作组与兽医实践管理系统合作以改进受控词汇使用的努力，是在医疗点共享知识标准制定方面迈出的第一步。医学图书馆协会连接兽医健康记录与信息资源特别工作组的兽医医学图书馆组（VMLS）编制了一份在医疗点可能有用的资源清单。资源详情取自产品网站，并按照用于评估医疗点资源的指标进行整理。通过电子邮件发送的问题以及对两名从业者、一个医院网络、两名软件开发人员和三名发布者的后续访谈收集了更多信息。拥有电子记录的兽医使用各种未与其软件关联的信息资源。系统缺乏使用在人类EHR中越来越受欢迎的信息按钮标准的基础设施。虽然一些兽医知识资源是数字化的，但发布者网站和回复并未表明兽医资源与EHR之间基于网络的关联。为了促进终身学习和循证实践，兽医及未来从业者的教育工作者必须向兽医实践软件开发人员和发布者证明将知识资源与兽医EHR连接的基于临床的必要性。
