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Integration of data from remote monitoring systems and programmers into the hospital electronic health record system based on international standards

机译:根据国际标准将来自远程监控系统和编程器的数据集成到医院电子病历系统中

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摘要

Remote follow-up of implanted ICDs may offer a solution to the problem of overcrowded outpatient clinics. All major device companies have developed a remote follow-up solution. Data obtained from the remote follow-up systems are stored in a central database system, operated and owned by the device company and accessible for the physician or technician. However, the problem now arises that part of the patient’s clinical information is stored in the local electronic health record (EHR) system in the hospital, while another part is only available in the remote monitoring database. This may potentially result in patient safety issues. Ideally all information should become available in the EHR system. IHE (Integrating the Healthcare Enterprise) is an initiative to improve the way computer systems in healthcare share information. To address the requirement of integrating remote monitoring data in the local EHR, the IHE Implantable Device Cardiac Observation (IDCO) profile has been developed. In our hospital, we have implemented the IHE IDCO profile to import data from the remote databases from two device vendors into the departmental Cardiology Information System. Data are exchanged via an HL7/XML communication protocol, as defined in the IHE IDCO profile.
机译:植入ICD的远程随访可能为门诊诊所人满为患的问题提供解决方案。所有主要的设备公司都开发了远程跟踪解决方案。从远程随访系统获得的数据存储在中央数据库系统中,由设备公司运营和拥有,并且医师或技术人员可以访问。但是,现在出现的问题是,部分患者的临床信息存储在医院的本地电子健康记录(EHR)系统中,而另一部分仅在远程监控数据库中可用。这可能会导致患者安全问题。理想情况下,所有信息都应在EHR系统中可用。 IHE(整合医疗保健企业)是一项旨在改善医疗保健中计算机系统共享信息的方式的计划。为了满足将远程监控数据集成到本地EHR中的要求,已经开发了IHE植入式设备心脏观察(IDCO)配置文件。在我们的医院中,我们已经实施了IHE IDCO配置文件,以将来自两个设备供应商的远程数据库中的数据导入部门的心脏病学信息系统。数据通过IHE IDCO配置文件中定义的HL7 / XML通信协议进行交换。

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