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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=Using LOINC to Develop the High Quality of National Disease Surveillance System --Take Three Hospitals for Examples |
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作 者 | 葉智陽; 林明錦; 徐建業; | 書刊名 | 醫療資訊雜誌 |
卷 期 | 25:1 2016.03[民105.03] |
頁 次 | 頁45-54 |
分類號 | 419.21 |
關鍵詞 | 實驗室檢查; 流行病; 疫情; 通報; Laboratory; LOINC; Mapping; Completeness; Correctness; Consistency; Usefulness; |
語 文 | 中文(Chinese) |
中文摘要 | 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。 |
英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。