基于HL7标准的医院信息集成平台构建及其在慢性咽炎疾病管理中的应用  

Construction of hospital information integration platform based on HL7 standard and its application in the management of chronic pharyngitis

作　　者：曹媛媛 吴震 孙海萍 高峰 Cao Yuanyuan;Wu Zhen;Sun Haiping;Gao Feng(Department of Eye,Ear,Nose and Throat,Hai'an People's Hospital,Hai'an 226600,China;Department of Information,Hai'an People's Hospital,Hai'an 226600,China)

机构地区：[1]海安市人民医院眼耳鼻咽喉科,海安226600 [2]海安市人民医院信息科,海安226600

出　　处：《中国医学装备》2024年第6期115-120,共6页China Medical Equipment

摘　　要：目的:构建基于健康等级7(HL7)标准的医院信息集成平台并将其应用于慢性咽炎疾病管理中,以期提高慢性咽炎患者管理水平。方法:基于海安市人民医院已有院内患者管理系统,采用基于数据库的组件架构平台(DBCF)和面向服务的架构(SOA)开发模型进行设计,结合医院耳鼻喉科对患者诊疗数据的处理、管理及应用等医疗业务需求,以HL7开放信息交互标准作为系统的标准信息交互模型构建医院信息集成平台,实现医院实验室信息系统(LIS)、影像归档和通信系统(PACS)等的无缝连接及交互应用,用于慢性咽炎患者疾病管理。选取2020年4月至2021年5月就诊的患者为对照组(45例),实施常规管理方法,2021年6月至2022年7月就诊患者为观察组(45例),采用基于HL7标准的医院信息集成平台进行管理,比较两组患者满意度。结果:基于HL7标准的医院信息集成平台可实现患者电子病历的共享管理、医疗管理、质量管理绩效考核、决策支持功能以及公共服务等功能。该信息集成平台在医院应用后,患者满意度明显升高,差异有统计学意义(χ^(2)=10.497,P<0.05)。结论:基于HL7标准的医院信息集成平台能够提高患者满意度,提高医院耳鼻喉整体工作质量。Objective:To construct an information integration platform of hospital based on the health level seven(HL7)standard,and to apply it to patients with chronic pharyngitis,so as to improve the management level for them.Methods:Based on the existing in-hospital patient management system at Haian People's Hospital,a database-based component framework(DBCF)platform and a service-oriented architecture(SOA)were adopted to conduct design.Combined with the requirements of medical business of Department of Eye,Ear,Nose and Throat for the processing,management and application of the data of diagnosis and treatment of patients,the HL7 open information-exchange standard was used as standard information-exchange model of system to construct information integration platform of hospital.Finally,the seamless connection and interactive application between laboratory information system(LIS),picture archiving and communication system(PACS),etc.of hospital were realized,which could be used in the management for patients with chronic pharyngitis.Patients treated from April 2020 to May 2021 were selected as the control group(45 cases),and routine management methods were implemented;patients treated from June 2021 to July 2022 were treated as the observation group(45 cases).The hospital information integration platform based on HL7 standard was used for management,and patient satisfaction of the two groups was compared.Results:The information integration platform of hospital based on HL7 standard could realize shared management,medical management,quality management performance evaluation,decision support,public service and other functions.After the information integration platform was used in hospital.The satisfaction of patients significantly was increased,with a statistically significant difference(χ^(2)=10.497,P<0.05).Conclusion:The hospital information integration platform based on the HL7 standard can improve patient satisfaction and enhance the overall quality of ENT work in the hospital.

关 键 词：健康等级7(HL7)标准 慢性咽炎 并发症 满意度 依从性 

分 类 号：R772.2[医药卫生—眼科]