医学信息学论文-HL7诞生之前(John Rosen)

3 Vendors in The Market 市场有三个供 应商
China Today – 600 Vendors China Today – Vendors 今天的中国－600 600 Vendors Increase to 10 个供应商 350,000
unique interfaces Total of 90 350,000 unique interfaces required unique interfaces required 需要350，000个 特殊的接口
Clinical Interfaces: Cost vs. Quantity临床接口：成本和数量
140 120 100 80 60 40 20 0 1980 1985 1990 Cost 成本 1995 2000 Quantity 数量 2005 2010
$80,000
$70,000
$60,000 $50,000 $40,000 $30,000
• Properly developed interfaces will be reusable
正确开发的接口可以重复使用 • It does not need to take many months to fully deploy an interface 不需要花数月去部署一个接口 • It won’t happen instantly but it can be done just as it has in other markets throughout the world 它不会立即改变，但由于在世界的其它市场 做到了，在中国也是可以做到的。
600 350,000
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2013中华医院信息网络大会
Help from the International Standards Organization 来自国际标准组织的帮助 Open Systems Interconnect Model 开放系统互联模型 OSI Model开放系统互联模型
Radiology放射
HIS
Surgery 手术
HIS
Laboratory实验室 Business Office办公
HIS
Pharmacy药房
HIS
HIS
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2013中华医院信息网络大会
Emergence of New Focused Specialty Vendors 出现了新的专注于某个专业的供应商
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Βιβλιοθήκη Baidu
2013中华医院信息网络大会
How Will HL7 Become a Standard in China? 在中国HL7如何成为一个标准？
HL7 HL7 HL7 HL7
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The Time Before HL7 Existed HL7诞生之前的时代 How Old Would You Need to be to remember that time? 能记住那些日子的人，年龄有多大了？
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2013中华医院信息网络大会
Life in the United States- Late 1970’s/early 1980’s 美国的生活－70年代末／80年代初 No HL7 but many Hospital Information System (HIS) Vendors 没有HL7，但是有很多医院HIS供应商
Data数据
Host Layer主机层 Data Data数据 Data Data数据
Layer层面
Application
Network Process to Application
HL7
Presentation Presentation
Data Representation and Encryption Data Representation and Encryption
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2013中华医院信息网络大会
Vendor Marketing War 供应商的市场战
Best of Breed
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2013中华医院信息网络大会
Need for products to share information with other vendors 需要产品与其它供应商分享信息
Network
Path Determination and IP (Logical Addressing)
Data Link
MAC and LLC IP (Physical Addressing)
Physical
Media, Signal, and Binary Transmission Signal, and
2013中华医院信息网络大会
John Rosen, Omnicell
约翰.罗森，美国奥施公司医院智能管理优化顾问
06 June 2013
© 2013 Omnicell, Inc.
2013中华医院信息网络大会
Life Before HL7 HL7诞生之前
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2013中华医院信息网络大会
$20,000
$10,000 $-
90% of all interfaces between U.S. HIS vendors are HL7 compliant 90%美国HIS供应商之间的接口是接纳HL7的
Shaver, D. The Evolution of HL7. 2010;4. Retrieved from http://www.corepointhealth.com/whitepapers/evolution-hl7
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2013中华医院信息网络大会
Adoption of HL7 Took Several Years 采用HL7花了数年时间
Figure 2: The cost and quantity of application interfaces at a typical hospital over time. 随着时间的推移，在一个典型医院应用接口的成本和数量
Radiology放射
HIS Best of Breed 最佳品种
Surgery 手术
HIS Best of Breed 最佳品种
Pharmacy药房
Laboratory实验室
Best of Breed 最佳品种
Business Office办公
HIS
HIS
HIS
Best of Breed 最佳品种
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2013中华医院信息网络大会
How to Drive HL7 Adoption in China? 如何在中国推进采用HL7
• Build bridges not walls 建立桥梁而不是围墙 • Customer Education 客户的培养 • Customer Demand 客户的需求 • No need to pay 400,000 RMB for a custom interface between 2 vendors 在两个供应商之间不需要支付40万人民币的 定制接口费
Radiology
HIS
Surgery
HIS
Best of Breed
Pharmacy
Laboratory Business Office
HIS
HIS
HIS
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2013中华医院信息网络大会
A look at the numbers
Total of 6 interfaces 一共有六种接口
Data Data数据
Segments Segments段
Session
Interhost Communication
Transport
End-to-End Connections and Reliability
Media Layers媒体层
Packets Packets包 Frames帧 Frames Bits Bits位
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2013中华医院信息网络大会
HL7 is Now an International Standard 现在HL7是国际标准
• Formed as a non-profit organization in 1987 在1987年成立了一个非赢利组织 • Today has over 4,000 members in 55 countries across six continents 今天在六大洲，55个国家，超过了4000个成员 • HL7 Version 2.X – the most widely implemented standard for healthcare interfaces in the world. HL7 2.X版本－ 在全世界医疗领域的接口最为广泛采用的标准