Department of Biomedical Informatics, University of Utah, Salt Lake City, UT 84112-5750, USA.
J Biomed Inform. 2012 Aug;45(4):726-35. doi: 10.1016/j.jbi.2011.12.006. Epub 2012 Jan 2.
To support clinical decision-making, computerized information retrieval tools known as "infobuttons" deliver contextually-relevant knowledge resources into clinical information systems. The Health Level Seven International (HL7) Context-Aware Knowledge Retrieval (Infobutton) Standard specifies a standard mechanism to enable infobuttons on a large scale.
To examine the experience of organizations in the course of implementing the HL7 Infobutton Standard.
Cross-sectional online survey and in-depth phone interviews.
A total of 17 organizations participated in the study. Analysis of the in-depth interviews revealed 20 recurrent themes. Implementers underscored the benefits, simplicity, and flexibility of the HL7 Infobutton Standard. Yet, participants voiced the need for easier access to standard specifications and improved guidance to beginners. Implementers predicted that the Infobutton Standard will be widely or at least fairly well adopted in the next 5 years, but uptake will depend largely on adoption among electronic health record (EHR) vendors. To accelerate EHR adoption of the Infobutton Standard, implementers recommended HL7-compliant infobutton capabilities to be included in the United States Meaningful Use Certification Criteria for EHR systems.
Opinions and predictions should be interpreted with caution, since all the participant organizations have successfully implemented the standard and over half of the organizations were actively engaged in the development of the standard.
Overall, implementers reported a very positive experience with the HL7 Infobutton Standard. Despite indications of increasing uptake, measures should be taken to stimulate adoption of the Infobutton Standard among EHR vendors. Widespread adoption of the Infobutton Standard has the potential to bring contextually relevant clinical decision support content into the healthcare provider workflow.
研究实施 HL7 信息按钮标准过程中各组织的经验。
横断面在线调查和深入的电话访谈。
共有 17 家组织参与了这项研究。对深入访谈的分析揭示了 20 个反复出现的主题。实施者强调了 HL7 信息按钮标准的优势、简单性和灵活性。然而，参与者表示需要更容易地访问标准规范和为初学者提供更好的指导。实施者预测，信息按钮标准将在未来 5 年内得到广泛或至少相当程度的采用，但采用情况将在很大程度上取决于电子病历 (EHR) 供应商的采用情况。为了加速 EHR 对信息按钮标准的采用，实施者建议在美国 EHR 系统的有意义使用认证标准中包含符合 HL7 标准的信息按钮功能。
由于所有参与组织都成功实施了该标准，而且一半以上的组织都积极参与了该标准的制定，因此应该谨慎解读意见和预测。
总体而言，实施者报告了对 HL7 信息按钮标准的非常积极的体验。尽管采用率呈上升趋势，但应采取措施刺激 EHR 供应商采用信息按钮标准。信息按钮标准的广泛采用有可能将上下文相关的临床决策支持内容纳入医疗保健提供者的工作流程。
