Wong Austen, Lau Maggie, Fung Vicky, Ho Eric, Szeto Karen, Chan Ellen
Health Informatics Section, Hospital Authority, Hong Kong Special Administrative Region, Information Technology Department, Hong Kong Hospital Authority, Hong Kong Special Administrative Region.
Stud Health Technol Inform. 2013;192:1082.
The development of electronic health records and clinical information systems has been progressing at a quickened pace in recent years. With such change, the use of standard vocabulary has aroused much interest. However, classification code sets are developed for their distinctive purposes, no single vocabulary set could satisfy the needs of all specialties; moreover, local customization would be inevitable. This poster describes how a controlled vocabulary with contribution from frontline clinicians was set up in Hong Kong Hospital Authority (HA). The adoption of an electronic maintenance portal with collaboration of representatives from all institutions would also be discussed. The use of such table has helped to maintain the interoperability of captured data between departments, specialties and institutions.
近年来，电子健康记录和临床信息系统的发展步伐不断加快。随着这种变化，标准词汇的使用引起了广泛关注。然而，分类代码集是因其独特目的而开发的，没有单一的词汇集能够满足所有专业的需求；此外，本地定制将不可避免。本海报描述了香港医院管理局（医管局）如何在一线临床医生的参与下建立一个受控词汇表。还将讨论在所有机构代表的协作下采用电子维护门户的情况。使用这样的表格有助于维持各部门、专业和机构之间所采集数据的互操作性。
