Marrs K A, Kahn M G
Section of Medical Informatics, Washington University, St. Louis, Missouri, USA.
Proc Annu Symp Comput Appl Med Care. 1995:387-91.
With the consolidation of health care organizations and services, a clinical repository comprising data from a single site is no longer sufficient. Individual patient data are now spread across multiple sites comprising a single enterprise. Users require an integrated view, or at least a common view, of these clinical data across multiple sites. Many issues arise when one tries to merge data from multiple, distinct organizations into an existing schema. We have addressed these issues while extending our clinical repository for Barnes Hospital with data from Jewish Hospital, both of which are members of the recently formed BJC Health System. We describe the architecture of our existing repository, approaches and issues in extending this repository to include multiple sites, and the specific issues we addressed in our system.
随着医疗保健组织和服务的整合，仅包含来自单个站点数据的临床存储库已不再足够。现在，个体患者数据分散在构成单个企业的多个站点中。用户需要对跨多个站点的这些临床数据有一个集成视图，或者至少是一个通用视图。当试图将来自多个不同组织的数据合并到现有模式中时，会出现许多问题。我们在将巴恩斯医院的临床存储库扩展为包含犹太医院的数据时解决了这些问题，这两家医院都是最近成立的BJC医疗系统的成员。我们描述了现有存储库的架构、将此存储库扩展到多个站点的方法和问题，以及我们在系统中解决的具体问题。
