J Am Med Inform Assoc - Design and development of an international clinical data exchange system: the international layer function of the Dolphin Project.

Tópicos

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{ implement(1333) system(1263) develop(1122) }
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{ design(1359) user(1324) use(1319) }
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{ compound(1573) activ(1297) structur(1058) }
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{ ehr(2073) health(1662) electron(1139) }
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{ cancer(2502) breast(956) screen(824) }
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{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
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{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
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{ motion(1329) object(1292) video(1091) }
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{ method(1557) propos(1049) approach(1037) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }

Resumo

JECTIVE: At present, most clinical data are exchanged between organizations within a regional system. However, people traveling abroad may need to visit a hospital, which would make international exchange of clinical data very useful.BACKGROUND: Since 2007, a collaborative effort to achieve clinical data sharing has been carried out at Zhejiang University in China and Kyoto University and Miyazaki University in Japan; each is running a regional clinical information center. Methods An international layer system named Global Dolphin was constructed with several key services, sharing patients' health information between countries using a medical markup language (MML). The system was piloted with 39 test patients.RESULTS: The three regions above have records for 966,000 unique patients, which are available through Global Dolphin. Data exchanged successfully from Japan to China for the 39 study patients include 1001 MML files and 152 images. The MML files contained 197 free text-type paragraphs that needed human translation. Discussion The pilot test in Global Dolphin demonstrates that patient information can be shared across countries through international health data exchange. To achieve cross-border sharing of clinical data, some key issues had to be addressed: establishment of a super directory service across countries; data transformation; and unique one-language translation. Privacy protection was also taken into account. The system is now ready for live use.CONCLUSION: The project demonstrates a means of achieving worldwide accessibility of medical data, by which the integrity and continuity of patients' health information can be maintained.

Resumo Limpo

jectiv present clinic data exchang organ within region system howev peopl travel abroad may need visit hospit make intern exchang clinic data usefulbackground sinc collabor effort achiev clinic data share carri zhejiang univers china kyoto univers miyazaki univers japan run region clinic inform center method intern layer system name global dolphin construct sever key servic share patient health inform countri use medic markup languag mml system pilot test patientsresult three region record uniqu patient avail global dolphin data exchang success japan china studi patient includ mml file imag mml file contain free texttyp paragraph need human translat discuss pilot test global dolphin demonstr patient inform can share across countri intern health data exchang achiev crossbord share clinic data key issu address establish super directori servic across countri data transform uniqu onelanguag translat privaci protect also taken account system now readi live useconclus project demonstr mean achiev worldwid access medic data integr continu patient health inform can maintain

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