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首页> 外文期刊>Journal of the American Medical Informatics Association : >Exchange of computable patient data between the Department of Veterans Affairs (VA) and the Department of Defense (DoD): terminology mediation strategy.
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Exchange of computable patient data between the Department of Veterans Affairs (VA) and the Department of Defense (DoD): terminology mediation strategy.

机译：退伍军人事务部（VA）与国防部（DoD）之间可计算的患者数据交换：术语调解策略。

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摘要

Complete patient health information that is available where and when it is needed is essential to providers and patients and improves healthcare quality and patient safety. VA and DoD have built on their previous experience in patient data exchange to establish data standards and terminology services to enable real-time bi-directional computable (i.e., encoded) data exchange and achieve semantic interoperability in compliance with recommended national standards and the eGov initiative. The project uses RxNorm, UMLS, and SNOMED CT terminology standards to mediate codified pharmacy and allergy data with greater than 92 and 60 percent success rates respectively. Implementation of the project has been well received by users and is being expanded to multiple joint care sites. Stable and mature standards, mediation strategies, and a close relationship between healthcare institutions and Standards Development Organizations are recommended to achieve and maintain semantic interoperability in a clinical setting.
机译：提供者和患者必不可少的完整的患者健康信息对提供者和患者至关重要，并可以提高医疗质量和患者安全。 VA和DoD利用他们在患者数据交换方面的先前经验来建立数据标准和术语服务，以实现实时双向可计算（即，编码）数据交换，并实现符合推荐国家标准和eGov倡议的语义互操作性。该项目使用RxNorm，UMLS和SNOMED CT术语标准来调解编码的药房和过敏数据，成功率分别超过92％和60％。该项目的实施已受到用户的好评，并正在扩展到多个联合护理场所。为了在临床环境中实现并保持语义互操作性，建议使用稳定，成熟的标准，中介策略以及医疗机构与标准制定组织之间的紧密关系。

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