Hammond W E
Division of Medical Informatics, Duke University Medical Center, Durham, NC 27710.
Int J Biomed Comput. 1994 Jan;34(1-4):29-44. doi: 10.1016/0020-7101(94)90008-6.
In the belief that the existence of a variety of standards is an absolute necessity for health care professional workstations to work, this paper provides a detailed overview of the standards efforts of a number of groups. According to the International Standards Organization (ISO) Reference Model, workstations require a full level of standards from the physical level through and beyond the applications level. Rapidly changing technology challenges acceptance of standards at the lower levels. Current recommendations include fiberoptic media using certain protocols. Other standards in these lower levels also have support. At the applications level, data messaging standards are being developed by six groups. The consensus standards body for the United States is coordinating the efforts of these groups in order to produce a harmonized effort, and is coordinating the effort with Europe for an international effort. Work on the development of the full set of standards necessary for workstation implementations is lagging. Accelerating the process is mandatory if we are to achieve the necessary seamless interoperability required by workstations for ubiquitous intelligent communications between the workstations and the sources of data.
鉴于多种标准的存在对于医疗保健专业工作站的运行绝对必要，本文详细概述了多个团体在标准制定方面所做的努力。根据国际标准化组织（ISO）参考模型，工作站需要从物理层到应用层及更高层的全面标准。快速变化的技术对较低层标准的接受度构成挑战。当前的建议包括使用特定协议的光纤介质。这些较低层的其他标准也得到了支持。在应用层，六个团体正在制定数据消息标准。美国的共识标准机构正在协调这些团体的工作，以达成统一的努力，并与欧洲协调以开展国际合作。工作站实施所需的全套标准的制定工作滞后。如果我们要实现工作站之间普遍智能通信以及与数据源之间无缝互操作性所需的必要条件，加快这一进程是必不可少的。
