Duim Mitchell, Boterenbrood Frank, Goossen William T F
Results 4 Care, Amersfoort, Netherland.
Windesheim, Zwolle, Netherlands.
Stud Health Technol Inform. 2014;201:476-82.
The Clinical Data Ware House needs to meet three functions: reporting quality indicators, clinical research, and continuity of care. This paper reports on one function, namely the development and testing of data exchange for continuity of nursing care for oncology patients. The proof of principle was carried out using system analysis, requirements setting, system design, system development and experiment with the application of Health Level 7 version 3 Care Record electronic message. A successful testing of the Care Record message was conducted, using a case based data-subset for oncology nursing care including personal data, pain, weight and vital signs, among others.
The development illustrated that the system components facilitate electronic data exchange from hospital to home care, allowing home care nurses to use received clinical data in their local system. In an incremental approach this data exchange can be enhanced to meet all data and all systems requirements.
临床数据仓库需要满足三项功能:报告质量指标、临床研究以及护理连续性。本文报告其中一项功能,即肿瘤患者护理连续性数据交换的开发与测试。采用系统分析、需求设定、系统设计、系统开发以及应用卫生信息标准第七版第3版护理记录电子消息进行实验,从而验证了原理。利用包含个人数据、疼痛、体重及生命体征等在内的肿瘤护理病例数据子集,对护理记录消息进行了成功测试。
该开发表明,系统组件有助于实现从医院到家庭护理的电子数据交换,使家庭护理护士能够在其本地系统中使用接收到的临床数据。通过渐进式方法,可以增强这种数据交换,以满足所有数据和所有系统的要求。