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创建医疗保健数据互操作时间轴的概念验证解决方案。

Proof-of-concept solution to create an interoperable timeline of healthcare data.

机构信息

Clinical Informatics (eHospital), Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Clinical Informatics (eHospital), Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

出版信息

BMJ Health Care Inform. 2023 Nov;30(1). doi: 10.1136/bmjhci-2023-100754.

Abstract

OBJECTIVES

To overcome the barriers of interoperability by sharing simulated patient data from different electronic health records systems and presenting them in an intuitive timeline of events.

METHODS

The 'Patient Story' software comprising database and blockchain, PS Timeline Windows interface, PS Timeline Web interface and network relays on Azure cloud was customised for Epic and Lorenzo electonic patient record (EPR) systems used at different hospitals, using site-specific adapters.

RESULTS

Each site could view their own clinical documents and view each other's site specific, fully coded test sets of (Care Connect) medications, conditions and allergies, in an aggregated single view.

DISCUSSION

This work has shown that clinical data from different EPR systems can be successfully integrated and visualised on a single timeline, accessible by clinicians and patients.

CONCLUSION

The Patient Story system combined the timeline visualisation with successful interoperability across healthcare settings, as well giving patients the ability to directly interact with their timeline.

摘要

目的

通过共享来自不同电子健康记录系统的模拟患者数据,并以直观的事件时间线呈现,克服互操作性的障碍。

方法

使用特定于站点的适配器,对包含数据库和区块链的“患者故事”软件、PS 时间线 Windows 界面、PS 时间线 Web 界面和 Azure 云网络中继器进行定制,以适用于不同医院使用的 Epic 和 Lorenzo 电子病历(EPR)系统。

结果

每个站点都可以查看自己的临床文档,并以聚合的单一视图查看彼此特定站点的、完全编码的(Care Connect)药物、病症和过敏测试集。

讨论

这项工作表明,可以成功地将来自不同 EPR 系统的临床数据集成到单个时间线上,并可供临床医生和患者查看。

结论

患者故事系统将时间线可视化与医疗保健环境中的成功互操作性相结合,同时使患者能够直接与其时间线进行交互。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d952/10693683/486de89620ab/bmjhci-2023-100754f01.jpg

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