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題名：建置醫學詞彙代碼系統協助電子病歷交換之研究
書刊名：醫療資訊雜誌
作者：林建羽／黃衍文／邱淑芬 引用關係
作者(外文)：Lin, Chien-yu／Huang, Ean-wen／Chiou, Shwu-fen
出版日期：2013
卷期：22:3
頁次：頁25-42
主題關鍵詞：醫療資訊標準；電子病歷；臨床文件架構；醫學詞彙代碼系統；網路服務；Health information standards；Electronic medical record；Clinical document architecture；Medical terminology coding system；Web services
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:1
  • 點閱點閱:12
近年來衛生主管機關積極推動電子病歷交換，但是符合標準的臨床文件的資料轉換程序複雜，至今成果並不顯著，特別是在醫學詞彙編碼系統方面的轉換，如果能夠在網路上維護一套完整的醫學代碼系統，並且提供轉換服務，相信對於電子病歷交換會有很大的幫助。本研究參考國際醫療資訊標準的臨床文件架構（CDA）及標準的轉換工具，提供醫學詞彙的編碼和轉換服務。依據國際HL7協會所建議的通用術語服務（CTS）的概念，分析符合臨床文件架構標準的病歷資料交換的欄位，建立詞彙代碼系統的網路服務轉換工具。本系統的資料庫收集了電子病歷交換所需的完整中英文醫學詞彙及代碼資料，並提供線上查詢、轉換和管理的功能，透過網路服務製作電子病歷文件可以獲得一致性的臨床文件架構的編碼資訊，促進醫療資訊交換標準的發展與提升健康照護品質。
Electronic medical record (EMR) exchange has been promoted by Ministry of Health and Welfare for several years, but the accomplishment so far can be further improved. The primary issue to be improved is that medical records difficultly conform to the medical information standards especially in the medical terminology coding system. In this study, we adopt the international standard of Clinical Document Architecture (CDA) and provide standard conversion tools to present and translate medical vocabulary and coding system. We use the concept of Health Level Seven's Common Terminology Services (CTS) to analyze the data fields of the EMR system mapped to the CDA document and implement web service tools to translate medical vocabulary and coding system. The database contains all of the vocabulary code class information. The system functions include online medical vocabulary code query, translation and management services. Therefore, users may create electronic medical record files with a consistent code to improving the development of medical record exchange and enhancing the overall healthcare quality.
期刊論文
1.溫信財、簡文山、李友專、陳筱如(20090900)。互通性電子病歷之辭彙標準--臨床醫學術語系統(SNOMED CT)之現狀與發展。病歷資訊管理期刊，9(1)，56-67。  延伸查詢new window
2.劉建財、許明輝、楊沛墩、馮容莊(20120600)。臺灣醫療機構實施電子病歷之探討。領導護理，13(2)，2-11。  延伸查詢new window
3.Rose, J. S.、Fisch, B. J.、Hogan, W. R.、Levy, B.、Marshall, P.、Thomas, D. R.(2001)。Common Medical Terminology Comes of Age, Part Two: Current Code and Terminology Sets-Strengths and Weaknesses。Journal of Healthcare Information Management，15，319-330。  new window
4.Dieng-Kuntz, R.、Minier, D.、Ruzicka, M.、Corby, F.、Corby, O.、Alamarguy, L.(2006)。Building and using a medical ontology for knowledge management and cooperative work in a health care network。Computers in Biology and Medicine，36，871-892。  new window
5.Tao, C.、Pathak, J.、Solbrig, H. R.、Wei, W. Q.、Chute, C. G.(2012)。Terminology representation guidelines for biomedical ontologies in the semantic web notations。Journal of Biomedical Informatics，46(1)。  new window
6.Handel, D. A.、Hackman, J. L.(2010)。Implementing electronic health records in the Emergency Department。The Journal of emergency medicine，38，257-263。  new window
7.Kawamoto, K.、Houlihan, C. A.、Balas, E. A.、Lobach, D. F.(2005)。Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success。Bmj，330，765。  new window
8.Grant, R. W.、Wald, J. S.、Poon, E. G.、Schnipper, J. L.、Gandhi, T. K.、Volk, L. A.(2006)。Design and implementation of a web-based patient portal linked to an ambulatory care electronic health record: patient gateway for diabetes collaborative care。Diabetes technology & therapeutics，8，576-586。  new window
9.Matney, S. A.、Warren, J. J.、Evans, J. L.、Kim, T. Y.、Coenen, A.、Auld, V. A.(2011)。Development of the nursing problem list subset of SNOMED CT®。Journal of Biomedical Informatics，82。  new window
10.McDonald, C. J.、Huff, S. M.、Suico, J. G.、Hill, G.、Leavelle, D.、Aller, R.、Maloney, P.(200304)。LOINC, a universal standard for identifying laboratory observations: a 5-year update。Clinical chemistry，49，624-633。  new window
11.Dugas, M.、Thun, S.、Frankewitsch, T.、Heitmann, K. U.(2009)。LOINC® Codes for Hospital Information Systems Documents: A Case Study。Journal of the American Medical Informatics Association，16，400-403。  new window
12.Cimino, J.(2011)。High-quality, Standard, Controlled Healthcare Terminologies Come of Age。Methods of information in medicine，50，101。  new window
13.Pathak, J.、Solbrig, H. R.、Buntrock, J. D.、Johnson, T. M.、Chute, C. G.(2009)。LexGrid: a framework for representing, storing, and querying biomedical terminologies from simple to sublime。Journal of the American Medical Informatics Association，16，305-315。  new window
14.張慧銖、黃婷鈺(19961200)。統一醫學語言系統簡介。圖書館學刊. 臺大，11，165-204。new window  延伸查詢new window
15.Dolin, R. H.、Alschuler, L.、Boyer, S.、Beebe, C.、Behlen, F. M.、Biron, P. V.、Shabo, A.(2006)。HL7 clinical document architecture, release 2。Journal of the American Medical Informatics Association，13(1)，30-39。  new window
16.Benhamou, P. Y.(2011)。Improving diabetes management with electronic health records and patients' health records。Journal of Diabetes & Metabolism，37(4)，53-56。  new window
會議論文
1.Klein, A.(2006)。Experiences with an interoperable data acquisition platform for multi-centric research networks based on HL7 CDA。AMIA Annual Symposium，986。  new window
2.Vreeman, D. J.、Finnell, J. T.、Overhage, J. M.(2007)。A rationale for parsimonious laboratory term mapping by frequency。AMIA Annual Symposium，771。  new window
3.Vreeman, D. J.、McDonald, C. J.(2005)。Automated mapping of local radiology terms to LOINC。AMIA Annual Symposium，769-775。  new window
4.Vreeman, D. J.、McDonald, C. J.(2006)。A comparison of Intelligent Mapper and document similarity scores for mapping local radiology terms to LOINC。AMIA Annu Symp，809-813。  new window
單篇論文
1.Solbrig, H. R.，Armbrust, D. C.，Chute, C. G.(2003)。The Open Terminology Services Project: AMIA 2003 Open Source Expo。  new window
其他
1.National Library of Medicine(2009)。UMLS® Reference Manual- Metathesaurus，http://www.ncbi.nlm.nih.gov/books/NBK9684/， 2013/06/12。  new window
2.國家衛生研究院(2011)。全民健康保險研究資料庫，http://w3.nhri.org.tw/nhird//talk_01_1.htm， 2013/06/01。  延伸查詢new window
3.衛生福利部中央健康保險署(2013)。國際疾病分類，http://www.nhi.gov.tw/webdata/webdata.aspx?menu=23&menu_id=957&WD_ID=957&webdata_id=4224， 2013/05/05。  new window
4.3M(2010)。HL7 Common Terminology Services，http://www.3mtcs.com/resources/hl7cts， 2013/06/01。  new window
5.Solbrig, Harold，Weida, Tony，Streepy, Larry，Markwell, David，Campbell, Keith，Stanley Huff, M. D.，Frosdick, Paul(2013)。HL7 Common Terminology Services，http://informatics.mayo.edu/LexGrid/downloads/CTS/specification/ctsspec/cts.htm， 2013/06/01。  new window
6.HL7(2013)。HL7 OID Registry，http://www.hl7.org/oid/index.cfm， 2013/05/02。  new window
 
 
 
 
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