Sakurabayashi I
Department Clinical Laboratory, Omiya Medical Center, Jichi Medical School.
Rinsho Byori. 1997 Jun;45(6):573-6.
The field of clinical laboratory tests is facing an increase in the number of test items as well as a corresponding diversification due to the demands of medical institutions as well as improvements in analytical techniques. To respond to this situation, medical institutions have been promoting systematization of their testing procedures; information exchange among the institutions has likewise expanded with the use of media such as on-line systems and internet. Standardization of interfaces has been proposed to secure a common framework compatible with different types of information. Some embodiments in this country includes; (1) Interface Standards on Clinical Laboratory Information For information exchange, the format and reporting comments used in the media systems were standardized under the sponsorship of The Medical Information System Development Center, with a publication issued on 1993. (2) Standardization of Laboratory Test Code Standardization of codes for information exchange has been established under the sponsorship of The Japan Society of Clinical Pathology (Laboratory Test Coding Committee), through the systematization of laboratory test code used in media systems. A publication entitled "Classification & Coding for Clinical Laboratory Tests (8th edition in 1992, 9th edition in 1994 and supplement in 1996)" has been issued. The system for "Classification & Coding for Clinical Laboratory Tests" is divided into 5 components; (1) analyte code, (2) identification code, (3) specimen code, (4) methodology code, and (5) data classification code. The Laboratory test codes are precisely classified by "(1) analyte code", and then are identified by combination of additional codes such as specimen and methodology codes. In this year, we are making a new easily-used-codes composed of 5 Arabic figures.
由于医疗机构的需求以及分析技术的进步,临床检验领域面临着检验项目数量的增加以及相应的多样化。为应对这种情况,医疗机构一直在推进其检验程序的系统化;机构间的信息交流也随着在线系统和互联网等媒介的使用而扩大。已提议对接口进行标准化,以确保与不同类型信息兼容的通用框架。该国的一些实施方案包括:(1) 临床检验信息接口标准 为了进行信息交换,在医学信息系统开发中心的赞助下,对媒介系统中使用的格式和报告注释进行了标准化,并于1993年发布了一份出版物。(2) 检验代码标准化 在日本临床病理学会(检验编码委员会)的赞助下,通过对媒介系统中使用的检验代码进行系统化,建立了信息交换代码的标准化。已发布一份题为《临床检验分类与编码(1992年第8版、1994年第9版和1996年补编)》的出版物。“临床检验分类与编码”系统分为5个部分:(1) 分析物代码,(2) 识别代码,(3) 标本代码,(4) 方法代码,以及(5) 数据分类代码。检验代码通过“(1) 分析物代码”进行精确分类,然后通过标本和方法代码等附加代码的组合进行识别。今年,我们正在编制一种由5位阿拉伯数字组成的新的易用代码。