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題名:以防疫資訊交換平臺為基礎利用LOING的標準建構實驗室疫情監測系統
書刊名:醫療資訊雜誌
作者:張啟明郭宏偉葉鎰維劉宇倫莊人祥
作者(外文):Chang, Chi-mingKuo, Hung-weiYe, Yi-weiLiu, Yu-lunChuang, Jen-hsiang
出版日期:2015
卷期:24:1
頁次:頁1-9
主題關鍵詞:疫情監測系統Infectious disease surveillance systemLOINC
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:6
  • 點閱點閱:10
傳染病流行疫情的監視與防治已被全球視為公共衛生重要的工作,結合資訊科技來輔助流行疫情的監視,即時的發現病毒變異與擴散趨勢,可以快速的掌握疫情的發展並有效的防治。防疫雲計畫結合醫院資訊系統,利用電子病歷的基礎進行自動化的傳染病通報作業,並且為了解病原體的流行趨勢,即時蒐集醫院端的病原體檢驗資料,利用醫院實驗室通報的陽性檢體資料,以建立病原體流行趨勢及波動之監測。本研究定義15項病原體檢驗項目,利用LOINC編碼,建立六個軸向的代碼,以醫院的實驗室檢驗資料,進行陽性檢體個案的通報,其結果如流感病毒與TCDC的病毒性合約實驗室監測系統有一致性的流行趨勢,利用LOINC的標準以流感病毒檢出趨勢,可以進行流感疫情監測,未來在增加參與醫院通報下,期能建立病原體流行趨勢及波動之監測。
The surveillance and control of infectious disease epidemics are among the global public health priorities. With the application of information technology in disease surveillance, it is possible to detect the changes of circulating viruses and the spread of diseases in real-time. This facilitates rapid detection of ongoing epidemics and timely delivery of effective control measures. The goals for the project of “Applications of using cloud computing for communicable disease surveillance" are comprised of improving the reporting timeliness of the national notifiable disease surveillance system by developing direct reporting modules based on the hospital electronic medical record system and developing an automated laboratory reporting system (ALRS) using positive test results from the hospital laboratory information system to monitor the trend and anomaly of the selected pathogens. To standardize the names of test results used by different hospital laboratories, this study defined code sets based on the six parts of the LOINC codes for the selected 15 pathogens. Positive test results are transmitted to Taiwan Centers for Disease Control (TCDC) electronically through the Epidemic Information Exchange Platform. The weekly numbers of positive tests for influenza received from 20 hospitals participating ALRS correlated well with the numbers of influenza positives received through the TCDC's contracted virological laboratories. The trend of the influenza positive test results from the ALRS have shown the potential for using the data from ALRS to monitor the influenza epidemic. With increasing numbers of hospitals participating ALRS in the future, we expect ALRS to become a robust and timely surveillance system for monitoring the trends and detecting outbreaks of selected pathogens.
期刊論文
1.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
2.黃衍文、張皓怡、王姿涵、姚相漢、邱淑芬、張啟明、周貝盈、黃純文(20131200)。建構新一代的防疫資訊交換平臺。醫療資訊雜誌,22(4),1-13。new window  延伸查詢new window
3.張啟明、黃衍文、高志強、邱瑞科、張彥群、洪睿璇、莊人祥、吳季勳、王永興(20080600)。防疫資料交換平臺現況之探討。醫療資訊雜誌,17(2),16-27。new window  延伸查詢new window
4.蔡永泰、張啟明、劉宇倫、莊人祥(20100300)。應用資料倉儲系統於臺灣防疫作為之支援--以支援H1N1新型流感防治為例。醫療資訊雜誌,19(1),17-28。new window  延伸查詢new window
5.Vreeman, D. J.、McDonald, C. J.、Huff, S. M.(2010)。LOINC(R)--A Universal Catalog of Individual Clinical Observations and Uniform Representation of Enumerated Collections。Int J Funct Inform Personal Med,3,273-291。  new window
6.Lin, M. C.、Vreeman, D. J.、McDonald, C. J.、Huff, S. M.(2011)。A characterization of local LOINC mapping for laboratory tests in three large institutions。Methods Inf. Med,50,105-114。  new window
7.Zunner, C.、Biirkle, T.、Prokosch, H. U.、Ganslandt, T.(2012)。Mapping local laboratory interface terms to loinc at a german university hospital using relma v.5: Asemi-automated approach。J Am Med Inform Assoc。  new window
8.Lee, L. H.、Gross, A.、Hartuiig, M.、Liou, D. M.、Ralim, E.(20131220)。A multi-part matching strategy for mapping LOINC with laboratory terminologies。J Am Med Inform Assoc。  new window
會議論文
1.姚相漢、黃衍文、張啟明(2013)。建置CDA與greenCDA文件格式轉換系統--以法定傳染病通報為例。JCMIT2013國際台灣醫學資訊聯合研討會,219-224。  延伸查詢new window
2.張啟明、吳宛真、莊人祥、江清輝、黃旭明(2009)。運用死亡通報資料建立防疫數據中心之肺炎及流感死亡即時監測。JCMIT 2009國際台灣醫學資訊聯合研討會,392-399。  延伸查詢new window
圖書
1.McDonald, Clem、Huff, Stan、Mercer, Kathy、Hernandez, Joanna、Vreeman, Daniel J.(2011)。Logical Observation Identifiers Names and Codes (LOINC ®) Users' Guide。  new window
其他
1.Regenstrief Institute(201407)。LOINC,http://loinc.org/。  new window
2.衛生福利部疾病管制署。傳染病流行疫情監視及預警系統實施辦法,http://law.moj.gov.tw/LawClass/LawContent.aspx?PCODE=L0050006, 2014/07/16。  延伸查詢new window
3.衛生福利部疾病管制署。實驗室傳染病自動通報系統暨跨院所實驗室資料雲端交換平台工作說明書,http://www.cdc.gov.tw/professional/info.aspx7treeid=4C19A0252BBEF869&nowtreeid-lA8C498AF5F8AF5D&tid=A96D6AE8638747A6, 2014/07/15。  延伸查詢new window
4.Regenstrief Institute(201107)。RELMA Regenstrief LOINC Mapping Assistant User Manual,http://loinc.org/relma/。  new window
 
 
 
 
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