基于HL7和WebSphere MQ的用药决策系统的设计及实现

Design and Implementation of a Drug Usage Guideline System Based on HL7 and Web Sphere MQ

目的开发用药决策支持系统,用于辅助管理、规范诊疗行为,使临床用药趋于合理。方法系统应用IBM Web Sphere MQ V7.0消息中间件获取医院各信息系统患者诊疗数据,并进行用药决策分析;数据按HL7标准格式封装、传输和解码,实现医院各信息系统间信息交互。结果建立了临床用药规则信息库、常用诊断信息库,系统实现了用药合理性决策支持功能。结论基于HL7和Web Sphere MQ的用药决策系统设计符合我院的实际需求,并能提升临床用药质量,减少临床药师的工作量,提升医院药事工作效率。

Objective To develop a drug usage guideline system based on HL7 and Web Sphere MQ for assisting the management and standardization of doctors’ diagnosis and treatment behavior so as to make clinical drug usage more rational.Methods The patients’ data acquired from various information systems in the hospital by using IBM Web Sphere MQ V7.0 message middleware was analyzed for drug usage decision.All the data was packaged,transmitted and decoded in line with the standard HL7 format to realize information interface across multiple information systems in the hospital.ResultsWith the establishment of the clinical drug usage guideline information database and common diagnosis information database,the system realized supporting functions for rational decision of drug usage.Conclusion Design of this drugs usage guideline system based on HL7 and Web Sphere MQ conformed to the needs of the hospital,which resulted in improved quality of clinical drug usage,reduced workload for clinical pharmacists as well as the promoted efficiency of pharmaceutical work in the hospital.