美国国家生命健康统计委员会确认HL7可用作病历核心信息

ironstone

　　本文为美国国家生命健康统计委员会(the National Committee on Vital and Health Statistics 以下简称NCVHS)向美国健康与公共事业部Tommy G. Thompson秘书长承交的报告摘要。
　　NCVHS负责调查研究病人病历(patient medical record information以下简称PMRI)使用统一的通讯协议标准以及电子病历交换等相关问题。目前，NCVHS已经向HHS Data Council提交了研究报告。此报告提供了如何推动使用病人病历信息统一标准(以下简称PMRI标准)的方法，以及一系列如何选择特定PMRI标准的指导原则，并且阐述了对PMRI标准版本的建议。
　　鉴于PMRI标准在促进病人诊断，病人安全，控制医疗费用，推动临床研究，帮助国家判定医院级别等方面的具有重大意义，NCVHS建议确定HL7为核心PMRI标准，确定NCPDP SCRIPT、IEEE 1073等为特殊的PMRI市场使用。此项建议从早期版本、目前通用版本、即将推出的版本等三方面分别阐述。
　　核心PMRI通讯标准版本：
1. 早期版本：
Health Level Seven (HL7 v2.1)
2. 目前通用版本：
Health Level Seven (HL7 v2.2， v2.3，cal Record/Image Management
Patient Administration
Observation Reporting
Financial Management
Patient Care
3. 即将推出的版本：
Health Level Seven (HL7 version 3)
此版本包括以下部分：
v3 Administrative Management
v3 Health and Clinical Management
v3 Infrastructure Management
来源：http://www.chis.com.cn/hl7/04.htm
在www.hl7.org上news中发布的消息为：
HL7 Messaging Standard Recommended as Core, National PMRI Standard Under HIPAA
Ann Arbor, Mich. --March 21, 2002 -- The National Committee on Vital and Health Statistics (NCVHS) has recommended that the Health Level Seven (HL7) Messaging Standard Version 2.2 and higher be recognized as the current core message format standard for the electronic exchange of Patient Medical Record Information (PMRI). The committee also recommended HL7\'s Version 3 be recognized as an emerging standard.
This recommendation was made to the secretary of the U.S. Department of Health and Human Services (DHHS) on February 27. The NCVHS serves as the statutory public advisory body to the DHHS in the area of health data and statistics and is responsible for making recommendations to the department in regard to health policy. As part of its responsibilities under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), NCVHS was called upon to study the issues related to the adoption of uniform data standards for PMRI and the electronic exchange of such information.
The HL7 Version 2 Messaging Standard was recommended as the core current standard based on its satisfaction of four main criteria: 1) its degree of market acceptance 2) the extent to which it enables interoperability between information systems, 3) its ability to facilitate the comparability of data, and 4) the aspects that support data quality.
As current standards, HL7 Version 2.2 and higher will be recognized as today\'s standards of choice for the exchange of PMRI messages. Vendors and users of these versions will not be asked to migrate to newer versions until the more advanced version is fully implementable with the supporting implementation guides and conformance tests.
Version 3 was recommended as an emerging standard based on its potential to provide improved interoperability and data comparability.
As an emerging standard, NCVHS recommended that DHHS provide incentives to accelerate the development and early adoption of HL7 Version 3. These incentives may include the funding and publication of Version 3 Implementation Guides, the development of conformance tests and the early adoption of Version 3 by government agencies. NCVHS has also recommended that all PMRI standards developing organizations be encouraged to harmonize their data elements and definitions for future versions so they are consistent with the HL7 Reference Information Model. An object model created as part of the Version 3 methodology, The Reference Information Model is the cornerstone of Version 3 development.
While the HL7 Standard was recommended as the core standard, two other standards were recommended as current standards for the exchange of market-specific PMRI. These standards are: the Digital Imaging and Communication (DICOM) Standard for imaging-specific exchange and The National Council for Prescription Drug Programs (NCPDP) SCRIPT Standard for the exchange of prescription information between providers and pharmacies.
Wes Rishel, HL7 chair, believes the recommendations will have a very positive impact on the industry. "NCVHS did a very thorough outreach to industry and wisely chose to recognize the dominant standards for current use even while supporting the advances needed to achieve full exchange of PMRI," said Rishel. " If DHHS follows through on these recommendations the industry will benefit by further recognition of Version 2 for current applications and more rapid evolution to the better interoperability that is the promise of Version 3."
来源：http://www.hl7.org