6047 Shelter Bay Ave, Mill Valley, CA 94941, United States.
J Am Med Inform Assoc. 2023 Nov 17;30(12):2083-2085. doi: 10.1093/jamia/ocad185.
To discuss the origins of HL7 and its subsequent impact on interoperability in hospitals.
Reconstruction of historical events from review of personal notes, interviews with key participants and review of relevant publications.
The first versions of HL7 were based on the StatLAN protocol developed at the University of California, San Francisco and later commercialized by Simborg Systems Corporation. With the emergence of specialty clinical and departmental systems in the 1990s, a debate ensued between proponents of "open architecture" vs. "single vendor" systems. Although HL7 became the most widely used data-interchange protocol worldwide in healthcare, open architecture did not prevail in healthcare as it did in other industries. This is due to the unique market characteristics of the healthcare provider industry. The result today is the dominance of the healthcare IT marketplace by a small number of large vendors with relatively few options for in-depth specialty clinical systems.
讨论 HL7 的起源及其对医院互操作性的后续影响。
从个人笔记回顾、与关键参与者的访谈以及相关出版物的回顾中重建历史事件。
HL7 的最初版本基于加利福尼亚大学旧金山分校开发的 StatLAN 协议，后来由 Simborg Systems 公司商业化。随着 20 世纪 90 年代专业临床和部门系统的出现，出现了赞成“开放架构”与“单一供应商”系统的争论。尽管 HL7 成为全球医疗保健领域使用最广泛的数据交换协议，但开放架构并没有像在其他行业那样在医疗保健领域占据主导地位。这是由于医疗保健提供商行业的独特市场特征所致。今天的结果是，少数几家大型供应商主导了医疗信息技术市场，而深入的专业临床系统的选择相对较少。
