临床检验信息标准化工作的进展

临床检验信息标准化是医学信息标准化的重要组成部分,实现标准化的主要手段就是对检验项目进行分类并编码.美国、欧洲、日本等国家和地区在这方面开展工作较早,现已形成了相对成熟的标准.中国起步较晚,虽也形成了一定的标准,但存在问题有待完善.本文围绕检验信息标准的主要内容、编码方法、标准格式、应用等方面对上述几个国家和地区作了回顾与比较,为进一步提高中国的检验信息标准化工作提供思路.

Advancement on standardization of clinical laboratory information

The standardization of clinical laboratory information is an important part of standardization of medical infor-mation,and the critical means to realize this standardiaztion is to classify and code the clinical laboratory items.Earlier work has been done mainly in the United States,Europe and Japan.However,it develops later in China.Although we have had our standard,there are still some problems to be resolved.In this article,we retrospectively reviewed and compared the main contents,coding methods,standard form and applications,etc.in the above countries and regions,providing some ideas for improving the standardization of clinical laboratory information in China.