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題名：利用LONIC建立高品質實驗室傳染病自動通報系統--以三家醫院為例
書刊名：醫療資訊雜誌
作者：葉智陽／林明錦／Atique, Suleman／徐建業 引用關係
作者(外文)：Yeh, Chih-yang／Lin, Ming-chin／Hsu, Chien-yeh
出版日期：2016
卷期：25:1
頁次：頁45-54
主題關鍵詞：實驗室檢查；流行病；疫情；通報；Laboratory；LOINC；Mapping；Completeness；Correctness；Consistency；Usefulness
原始連結：連回原系統網址new window
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為加速對傳染病疫情的掌握，疾病管制署(以下簡稱疾管署)需要能快速的收集各家醫院實驗室的簡易資料，自民國103年起疾管署推廣以LONIC為基礎來開發實驗室傳染病自動通報系統(National Disease Surveillance System, NDSS)。我們研究三家醫院NDSS的發展過程得知，各家醫院實驗室工作流程有相當大的差異性，雖然LONIC委員會制定了LONIC編碼提供各實驗室使用，但實際在使用LONIC編碼時仍有許多困難之處。例如，相同的傳染病對應到不同的實驗室檢查碼。為了建立高品質的通報系統，我們利用完整性(Completeness)、正確性(Correctness)、一致性(Consistency)、及可用性(Usefulness)來評估系統，並系統化分析系統效能低下的原因，歸納出可以提升通報系統品質的方法。其方法如下：1.教育訓練有助於各實驗室人員對LONIC的正確使用；2.訂立LONIC對應風格和準則促進大家使用LONIC的一致性；3.須要有完整的評估玲成確保系統性能的提升；4.成立一個LONIC的諮詢委員會－訂定LONIC使用通則，以提高NDSS的語義互操控性。以上，這些步驟都是可以促進建立高品質的實驗室傳染病自動通報系統。
In this study, we focus our research on how to develop the high-quality Automated National Disease Surveillance System (NDSS) by using LOINC (Logical Observation Identifiers Names and Codes). Standardized medical terminology, LOINC, was used in this study to report laboratory test names in each hospital. The LOINC committee began to develop a universal vocabulary for reporting laboratory and clinical observations in February of 1994. The LOINC committee releases an updated version of the terminology twice each year. LOINC is widely used in many areas. First, we examined the whole developing process of NDSS in three hospitals. Especially we documented all difficulties encountered by three hospitals. Second, we applied completeness, correctness, consistency, and usefulness to evaluate the performance of this system. Based on above methods, we can prepare LOINC mapping styles and guideline to improve semantic interoperability of NDSS.
期刊論文
1.McDonald, C. J.、Huff, S. M.、Suico, J. G.、Hill, G.、Leavelle, D.、Aller, R.、Forrey, A.、Mercer, K.、DeMoor, G.、Hook, J.、Williams, W.、Case, J.、Maloney, P.(2003)。Laboratory management: LOINC, a Universal Standard for Identifying Laboratory Observations: A 5-Year Update。Clinical Chemistry: International Journal of Laboratory Medicine and Molecular Diagnostic，49(4)，624-632。  new window
2.Forrey, A. W.、McDonald, C. J.、DeMoor, G.、Huff, S. M.、Leavelle, D.、Leland, D.、Fiers, T.、Charles, L.、Stalling, F.、Tullis, A.(1996)。The logical observation identifier names and codes (LOINC) database: A public use set of codes and names for electronic reporting of clinical laboratory results。Clinical Chemistry，42(1)，81-90。  new window
3.Effler, P.、Ching-Lee, M.、Bogard, A.、Ieong, M. C.、Nekomoto, T.、Jemigan, D.(1999)。Statewide system of electronic notifiable disease reporting from clinical laboratories: comparing automated reporting with conventional methods。JAMA，282(19)，1845-1850。  new window
4.Huff, S. M.、Rocha, R. A.、McDonald, C. J.、De Moor, G. J.、Fiers, T.、Bidgood, W. D. Jr.(1998)。Development of the Logical Observation Identifier Names and Codes (LOINC) vocabulary。J Am Med Inform Assoc，5(3)，276-292。  new window
5.Dugas, M.、Thun, S.、Frankewitsch, T.、Heitmann, K. U.(2009)。LOINC codes for hospital information systems documents: a case study。J Am Med Inform Assoc，16(3)，400-403。  new window
6.Dixon, B. E.、Vreeman, D. J.、Grannis, S. J.(2014)。The long road to semantic interoperability in support of public health: experiences from two states。J Biomed Inform，49，3-8。  new window
7.Lin MC、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(2)，105-114。  new window
8.Lin, M. C.、Vreeman, D. J.、McDonald, C. J.、Huff, S. M.(2012)。Auditing consistency and usefulness of LOINC use among three large institutions -Using version spaces for grouping LOINC codes。J Biomed Inform，45(4)，658-666。  new window
會議論文
1.Devanbu, P. T.、Jones, M. A.(1994)。The use of description logics in KBSE systems: experience report。16th International Conference on Software Engineering。Los Alamitos, CA：IEEE Computer Society Press。23-25。  new window
圖書
1.(2014)。LOINC® users’ guide。Indianapolis：Regenstrief Institute。  new window
其他
1.(2013)。RELMA™--Regenstrief LOINC mapping assistant, version 6.4 users’ manual，Indianapolis：Regenstrief Institute。，http://loinc.org， 2013/06。  new window
2.衛生福利部疾病管制署(2014)。實驗室傳染病自動通報系統技術建立與實作工作說明書Version 1.0。  延伸查詢new window
圖書論文
1.Gamache, R. E.、Dixon, B. E.、Grannis, S.、Vreeman, D. J.(2012)。Impact of selective mapping strategies on automated laboratory result notification to public health authorities。AMIA Annu Symp Proc. 2012。  new window
2.Lin, M. C.、Vreeman, D. J.、McDonald, C. J.、Huff, S. M.(2010)。Correctness of Voluntary LOINC Mapping for Laboratory Tests in Three Large Institutions。AMIA Annu Symp Proc. 2010。  new window
3.Lin, M. C.、Vreeman, D. J.、Huff, S. M.(2011)。Investigating the Semantic Interoperability of Laboratory Data Exchanged Using LOINC Codes in Three Large Institutions。AMIA Annu Symp Proc. 2011。  new window
 
 
 
 
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