Departments of Pediatrics and Biomedical Informatics and Medical Education, University of Washington and Seattle Children's Hospital, Seattle, Washington
Departments of Biomedical Informatics and Pediatrics, Vanderbilt University, Nashville, Tennessee.
Pediatrics. 2021 Jul;148(1). doi: 10.1542/peds.2021-052048. Epub 2021 Jun 28.
Electronic health record (EHR) systems do not uniformly implement pediatric-supportive functionalities. One method of adding these capabilities across EHR platforms is to integrate Web services and Web applications that may perform decision support and store data in the cloud when the EHR platform is able to integrate Web services. Specific examples of these services are described, such as immunization clinical decision support services, consumer health resources, and bilirubin nomograms. Health care providers, EHR vendors, and developers share responsibilities in the appropriate development, integration, and use of Web services and Web applications as they relate to best practices in the areas of data security and confidentiality, technical availability, audit trails, terminology and messaging standards, compliance with the Health Insurance Portability and Accountability Act, testing, usability, and other considerations. It is desirable for health care providers to have knowledge of Web services and Web applications that can improve pediatric capabilities in their own EHRs because this will naturally inform discussions concerning EHR features and facilitate implementation and subsequent use of these capabilities by clinicians caring for children.
电子健康记录 (EHR) 系统并非统一实现支持儿科的功能。在 EHR 平台中集成 Web 服务和 Web 应用程序是添加这些功能的一种方法，这些应用程序可以在 EHR 平台能够集成 Web 服务时执行决策支持并将数据存储在云端。本文详细描述了这些服务的具体示例，如免疫临床决策支持服务、消费者健康资源和胆红素图表。医疗保健提供者、EHR 供应商和开发人员在适当开发、集成和使用 Web 服务和 Web 应用程序方面共同承担责任，这些服务和应用程序涉及数据安全和保密性、技术可用性、审计跟踪、术语和消息传递标准、符合《健康保险流通与责任法案》、测试、可用性和其他注意事项。医疗保健提供者了解能够改善其自身 EHR 中儿科功能的 Web 服务和 Web 应用程序是理想的，因为这将自然有助于讨论 EHR 功能，并促进临床医生对儿童进行护理时对这些功能的实施和后续使用。
