Analysis of laboratory data transmission between two healthcare institutions using a widely used point-to-point health information exchange platform: a case report

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-04-08 DOI:10.1093/jamiaopen/ooae032

Hung S Luu, Walter S Campbell, Raja A Cholan, Mary E. Edgerton, Andrea Englund, Alana Keller, Elizabeth D. Korte, Sandra H Mitchell, Greg T Watkins, Lindsay Westervelt, Daniel Wyman, Stephen Powell

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Abstract

Abstract Objective The objective was to identify information loss that could affect clinical care in laboratory data transmission between 2 health care institutions via a Health Information Exchange platform. Materials and Methods Data transmission results of 9 laboratory tests, including LOINC codes, were compared in the following: between sending and receiving electronic health record (EHR) systems, the individual Health Level Seven International (HL7) Version 2 messages across the instrument, laboratory information system, and sending EHR. Results Loss of information for similar tests indicated the following potential patient safety issues: (1) consistently missing specimen source; (2) lack of reporting of analytical technique or instrument platform; (3) inconsistent units and reference ranges; (4) discordant LOINC code use; and (5) increased complexity with multiple HL7 versions. Discussion and Conclusions Using an HIE with standard messaging, SHIELD (Systemic Harmonization and Interoperability Enhancement for Laboratory Data) recommendations, and enhanced EHR functionality to support necessary data elements would yield consistent test identification and result value transmission.

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利用广泛使用的点对点医疗信息交换平台分析两家医疗机构之间的实验室数据传输：案例报告

摘要目的通过健康信息交换平台在两家医疗机构之间进行实验室数据传输时，找出可能影响临床护理的信息丢失情况。材料与方法比较了包括 LOINC 代码在内的 9 项实验室检验的数据传输结果：发送和接收电子健康记录（EHR）系统之间的数据传输结果、仪器、实验室信息系统和发送电子健康记录之间的单个健康七级国际（HL7）第 2 版信息。结果类似检验信息的丢失表明存在以下潜在的患者安全问题：(1) 始终缺少标本来源；(2) 缺少分析技术或仪器平台的报告；(3) 单位和参考范围不一致；(4) LOINC 代码使用不一致；(5) 多个 HL7 版本增加了复杂性。讨论与结论使用具有标准信息传递功能的 HIE、SHIELD（实验室数据的系统协调与互操作性增强）建议，以及增强的 EHR 功能来支持必要的数据元素，将产生一致的检验标识和结果值传输。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.