Ishigami T
SFL, Inc., Tokyo.
Rinsho Byori. 1997 Jun;45(6):559-63.
The standardization of clinical laboratory information systems is one of the most difficult but important subjects for clinical laboratory community and laboratorians. International Standard Organization (ISO) has the projects in this field (JTC1/SC7) which is the part of approach to the international laboratory standardization (ISO/TC 212). US NCCLS and European CEN/TC 251 are working under ISO/TC 212. In the United States, the National Academy for Clinical Biochemistry (NACB) and the American Association for Clinical Chemistry (AACC) had started recently to organize the international collaboration program on the subject. The Japan Society of Clinical Pathology (JSCP)'s Council of Laboratory Informatics had joined this program in 1995. NACB/AACC's Ad Hoc Committee which was organized in 1996 is now trying to collect the general opinions ("what and how") through their internet home page. The current status of the works on the standardization of clinical laboratory information systems in the U.S., Europe, and Japan is reviewed briefly in this article. HL7 electronic data exchange specification and clinical testing coding systems such as LOINC coding project and JSCP's coding project are also reviewed.
临床实验室信息系统的标准化是临床实验室界和检验人员面临的最困难但也是最重要的课题之一。国际标准化组织(ISO)在该领域有相关项目(JTC1/SC7),它是国际实验室标准化方法(ISO/TC 212)的一部分。美国国家临床实验室标准委员会(NCCLS)和欧洲标准化委员会/技术委员会251(CEN/TC 251)在ISO/TC 212的框架下开展工作。在美国,国家临床生物化学学会(NACB)和美国临床化学协会(AACC)最近开始组织关于该课题的国际合作项目。日本临床病理学会(JSCP)的实验室信息学委员会于1995年加入了该项目。1996年成立的NACB/AACC特别委员会现在正试图通过其互联网主页收集各方意见(“内容和方式”)。本文简要回顾了美国、欧洲和日本在临床实验室信息系统标准化方面的工作现状。同时也对HL7电子数据交换规范以及临床检验编码系统,如LOINC编码项目和JSCP的编码项目进行了回顾。