J Med Syst - Building clinical data groups for electronic medical record in China.

Tópicos

{ data(3963) clinic(1234) research(1004) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ group(2977) signific(1463) compar(1072) }
{ research(1218) medic(880) student(794) }
{ use(976) code(926) identifi(902) }
{ inform(2794) health(2639) internet(1427) }
{ survey(1388) particip(1329) question(1065) }
{ patient(2315) diseas(1263) diabet(1191) }
{ clinic(1479) use(1117) guidelin(835) }
{ estim(2440) model(1874) function(577) }
{ system(1050) medic(1026) inform(1018) }
{ perform(1367) use(1326) method(1137) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ can(774) often(719) complex(702) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ control(1307) perform(991) simul(935) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ analysi(2126) use(1163) compon(1037) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ framework(1458) process(801) describ(734) }
{ learn(2355) train(1041) set(1003) }
{ data(1714) softwar(1251) tool(1186) }
{ research(1085) discuss(1038) issu(1018) }
{ model(3480) simul(1196) paramet(876) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

This article aims at building clinical data groups for Electronic Medical Records (EMR) in China. These data groups can be reused as basic information units in building the medical sheets of Electronic Medical Record Systems (EMRS) and serve as part of its implementation guideline. The results were based on medical sheets, the forms that are used in hospitals, which were collected from hospitals. To categorize the information in these sheets into data groups, we adopted the Health Level 7 Clinical Document Architecture Release 2 Model (HL7 CDA R2 Model). The regulations and legal documents concerning health informatics and related standards in China were implemented. A set of 75 data groups with 452 data elements was created. These data elements were atomic items that comprised the data groups. Medical sheet items contained clinical records information and could be described by standard data elements that exist in current health document protocols. These data groups match different units of the CDA model. Twelve data groups with 87 standardized data elements described EMR headers, and 63 data groups with 405 standardized data elements constituted the body. The later 63 data groups in fact formed the sections of the model. The data groups had two levels. Those at the first level contained both the second level data groups and the standardized data elements. The data groups were basically reusable information units that served as guidelines for building EMRS and that were used to rebuild a medical sheet and serve as templates for the clinical records. As a pilot study of health information standards in China, the development of EMR data groups combined international standards with Chinese national regulations and standards, and this was the most critical part of the research. The original medical sheets from hospitals contain first hand medical information, and some of their items reveal the data types characteristic of the Chinese socialist national health system. It is possible and critical to localize and stabilize the adopted international health standards through abstracting and categorizing those items for future sharing and for the implementation of EMRS in China.

Resumo Limpo

articl aim build clinic data group electron medic record emr china data group can reus basic inform unit build medic sheet electron medic record system emr serv part implement guidelin result base medic sheet form use hospit collect hospit categor inform sheet data group adopt health level clinic document architectur releas model hl cda r model regul legal document concern health informat relat standard china implement set data group data element creat data element atom item compris data group medic sheet item contain clinic record inform describ standard data element exist current health document protocol data group match differ unit cda model twelv data group standard data element describ emr header data group standard data element constitut bodi later data group fact form section model data group two level first level contain second level data group standard data element data group basic reusabl inform unit serv guidelin build emr use rebuild medic sheet serv templat clinic record pilot studi health inform standard china develop emr data group combin intern standard chines nation regul standard critic part research origin medic sheet hospit contain first hand medic inform item reveal data type characterist chines socialist nation health system possibl critic local stabil adopt intern health standard abstract categor item futur share implement emr china

Resumos Similares

Perspect Health Inf Manag - Integrating research data capture into the electronic health record workflow: real-world experience to advance innovation. ( 0,865326955599955 )
BMC Med Inform Decis Mak - CIS-based registration of quality of life in a single source approach. ( 0,858392299332717 )
Methods Inf Med - Harmonization of detailed clinical models with clinical study data standards. ( 0,824956596218859 )
J Med Syst - Performance assessment of EMR systems based on post-relational database. ( 0,806458484116627 )
AMIA Annu Symp Proc - Demonstrating collect once, use many--assimilating public health secondary data use requirements into an existing Domain Analysis Model. ( 0,803223304755856 )
AMIA Annu Symp Proc - An application for monitoring order set usage in a commercial electronic health record. ( 0,799383200192255 )
AMIA Annu Symp Proc - Quantifying clinical data quality using relative gold standards. ( 0,795869399286177 )
Int J Med Inform - Does single-source create an added value? Evaluating the impact of introducing x4T into the clinical routine on workflow modifications, data quality and cost-benefit. ( 0,790508743771388 )
Methods Inf Med - Development of an open metadata schema for prospective clinical research (openPCR) in China. ( 0,785495809134892 )
AMIA Annu Symp Proc - What Is Asked in Clinical Data Request Forms? A Multi-site Thematic Analysis of Forms Towards Better Data Access Support. ( 0,777155317919478 )
J Biomed Inform - Integrating clinical research with the Healthcare Enterprise: from the RE-USE project to the EHR4CR platform. ( 0,775559680692121 )
AMIA Annu Symp Proc - The NIH Office of Rare Diseases Research patient registry Standard: a report from the University of New Mexico's Oculopharyngeal Muscular Dystrophy Patient Registry. ( 0,765708228792281 )
Int J Med Inform - Harmonization of health data at national level: a pilot study in China. ( 0,763000255353148 )
J Biomed Inform - A multi-technique approach to bridge electronic case report form design and data standard adoption. ( 0,75842752084009 )
Comput Methods Programs Biomed - Efficient data management in a large-scale epidemiology research project. ( 0,757842387598417 )
J Chem Inf Model - Electronic laboratory notebook: the academic point of view. ( 0,75201525793258 )
J Biomed Inform - The National Institutes of Health's Biomedical Translational Research Information System (BTRIS): design, contents, functionality and experience to date. ( 0,751810563443678 )
Appl Clin Inform - Multilingual Medical Data Models in ODM Format: A Novel Form-based Approach to Semantic Interoperability between Routine Healthcare and Clinical Research. ( 0,74337248026467 )
J Med Syst - Linkage of data from diverse data sources (LDS): a data combination model provides clinical data of corresponding specimens in biobanking information system. ( 0,741535410074149 )
Comput Methods Programs Biomed - QAIT: a quality assurance issue tracking tool to facilitate the improvement of clinical data quality. ( 0,740995258742239 )
Int J Med Inform - Understanding data requirements of retrospective studies. ( 0,738522126118329 )
J Biomed Inform - The utility of general purpose versus specialty clinical databases for research: warfarin dose estimation from extracted clinical variables. ( 0,737952443793565 )
BMC Med Inform Decis Mak - Clinical data needs in the neonatal intensive care unit electronic medical record. ( 0,734507659667634 )
J Chem Inf Model - How does the quality of phospholipidosis data influence the predictivity of structural alerts? ( 0,725502959862443 )
Appl Clin Inform - Concept and Implementation of a Single Source Information System in Nuclear Medicine for Myocardial Scintigraphy (SPECT-CT data). ( 0,723927143098705 )
Int J Med Inform - Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting. ( 0,722789503218092 )
Appl Clin Inform - Using a scripted data entry process to transfer legacy immunization data while transitioning between electronic medical record systems. ( 0,708977445280904 )
AMIA Annu Symp Proc - ClinData Express--a metadata driven clinical research data management system for secondary use of clinical data. ( 0,706042250754113 )
Inform Health Soc Care - Multicentre clinical trials' data management: a hybrid solution to exploit the strengths of electronic data capture and electronic health records systems. ( 0,705131365007407 )
J Biomed Inform - Integrating electronic health record information to support integrated care: practical application of ontologies to improve the accuracy of diabetes disease registers. ( 0,704707666136233 )
J Med Syst - Evaluating the ability of hospital information systems to establish evidence-based medicine in Iran. ( 0,698828211254609 )
J Am Med Inform Assoc - Implementing an interface terminology for structured clinical documentation. ( 0,695790708835099 )
J Am Med Inform Assoc - Electronic health records based phenotyping in next-generation clinical trials: a perspective from the NIH Health Care Systems Collaboratory. ( 0,691194175525061 )
Methods Inf Med - An electronic specimen collection protocol schema (eSCPS). Document architecture for specimen management and the exchange of specimen collection protocols between biobanking information systems. ( 0,690489434491698 )
J Am Med Inform Assoc - The ADVANCE network: accelerating data value across a national community health center network. ( 0,686413970438736 )
AMIA Annu Symp Proc - Precision and negative predictive value of links between ClinicalTrials.gov and PubMed. ( 0,684479538629483 )
J Biomed Inform - Utilizing RxNorm to support practical computing applications: capturing medication history in live electronic health records. ( 0,681852936388033 )
AMIA Annu Symp Proc - OPIC: Ontology-driven Patient Information Capturing system for epilepsy. ( 0,680317459535577 )
J Am Med Inform Assoc - Informatics and data quality at collaborative multicenter Breast and Colon Cancer Family Registries. ( 0,671803414065607 )
AMIA Annu Symp Proc - Electronic laboratory data quality and the value of a health information exchange to support public health reporting processes. ( 0,671493383146597 )
J Am Med Inform Assoc - Exchanging care records using HL7 V3 care provision messages. ( 0,664712803579859 )
Perspect Health Inf Manag - Digital family histories for data mining. ( 0,663963725004811 )
J Am Med Inform Assoc - Multi-source development of an integrated model for family health history. ( 0,663299277144801 )
J Am Med Inform Assoc - The Mid-South clinical Data Research Network. ( 0,658878493223528 )
J Am Med Inform Assoc - Quality evaluation of value sets from cancer study common data elements using the UMLS semantic groups. ( 0,65724808792479 )
J Biomed Inform - An informatics framework for the standardized collection and analysis of medication data in networked research. ( 0,655379433808913 )
BMC Med Inform Decis Mak - Web-browser encryption of personal health information. ( 0,653677795753137 )
J Am Med Inform Assoc - Practices and perspectives on building integrated data repositories: results from a 2010 CTSA survey. ( 0,650507912853292 )
J Am Med Inform Assoc - N-CANDA data integration: anatomy of an asynchronous infrastructure for multi-site, multi-instrument longitudinal data capture. ( 0,647345585240453 )
Int J Med Inform - Description and comparison of quality of electronic versus paper-based resident admission forms in Australian aged care facilities. ( 0,639644841457504 )
Telemed J E Health - Users and nonusers of university-based dermatology services following a teledermatology encounter: a retrospective descriptive analysis. ( 0,633795151428706 )
J Am Med Inform Assoc - Two open access, high-quality datasets from anesthetic records. ( 0,633745191358744 )
BMC Med Inform Decis Mak - Feasibility test of a UK-scalable electronic system for regular collection of patient-reported outcome measures and linkage with clinical cancer registry data: the electronic Patient-reported Outcomes from Cancer Survivors (ePOCS) system. ( 0,633614905526643 )
BMC Med Inform Decis Mak - A comparison of smartphones to paper-based questionnaires for routine influenza sentinel surveillance, Kenya, 2011-2012. ( 0,628618831180423 )
J Am Med Inform Assoc - Evaluation of record linkage between a large healthcare provider and the Utah Population Database. ( 0,61848937274047 )
AMIA Annu Symp Proc - The Knowledge Program: an innovative, comprehensive electronic data capture system and warehouse. ( 0,618101525028264 )
Brief. Bioinformatics - Three-stage quality control strategies for DNA re-sequencing data. ( 0,617961645389956 )
AMIA Annu Symp Proc - Methods to identify standard data elements in clinical and public health forms. ( 0,61762273856192 )
Int J Comput Assist Radiol Surg - Medical imaging informatics simulators: a tutorial. ( 0,610717113185859 )
Int J Med Inform - Overcoming challenges integrating patient-generated data into the clinical EHR: lessons from the CONtrolling Disease Using Inexpensive IT--Hypertension in Diabetes (CONDUIT-HID) Project. ( 0,610031163374013 )
Appl Clin Inform - Comparison of manual versus automated data collection method for an evidence-based nursing practice study. ( 0,60945658040944 )
J Am Med Inform Assoc - PEDSnet: a National Pediatric Learning Health System. ( 0,608932356146355 )
J Am Med Inform Assoc - National-scale clinical information exchange in the United Kingdom: lessons for the United States. ( 0,604755900583979 )
J Am Med Inform Assoc - PaTH: towards a learning health system in the Mid-Atlantic region. ( 0,603981434320701 )
AMIA Annu Symp Proc - Using Digital Crumbs from an Electronic Health Record to identify, study and improve health care teams. ( 0,60395117441014 )
J Clin Monit Comput - Implementation of a standards-based anaesthesia record compliant with the health level 7 (HL7) clinical document architecture (CDA). ( 0,60052072533192 )
J Chem Inf Model - Generalized workflow for generating highly predictive in silico off-target activity models. ( 0,598886119463958 )
Appl Clin Inform - Developing a tool to assess the quality of socio-demographic data in community health centres. ( 0,597635191767678 )
BMC Med Inform Decis Mak - Evaluation of data completeness in the electronic health record for the purpose of patient recruitment into clinical trials: a retrospective analysis of element presence. ( 0,597198968051228 )
J Med Syst - A novel system architecture for the national integration of electronic health records: a semi-centralized approach. ( 0,59623363878386 )
Int J Med Inform - Secondary use of routinely collected patient data in a clinical trial: an evaluation of the effects on patient recruitment and data acquisition. ( 0,59086522574601 )
IEEE Trans Vis Comput Graph - Interactive Visual Analysis of Heterogeneous Scientific Data across an Interface. ( 0,59022510890439 )
J Biomed Inform - Standardizing clinical laboratory data for secondary use. ( 0,589929105914843 )
Telemed J E Health - Review of American Indian veteran telemental health. ( 0,588639565351227 )
BMC Med Inform Decis Mak - Developing an electronic health record (EHR) for methadone treatment recording and decision support. ( 0,586676499741002 )
BMC Med Inform Decis Mak - A repository based on a dynamically extensible data model supporting multidisciplinary research in neuroscience. ( 0,581343784176652 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,578785743190299 )
Appl Clin Inform - Transforming user needs into functional requirements for an antibiotic clinical decision support system: explicating content analysis for system design. ( 0,571033652732754 )
AMIA Annu Symp Proc - Federating clinical data from six pediatric hospitals: process and initial results for microbiology from the PHIS+ consortium. ( 0,5704827485791 )
BMC Med Inform Decis Mak - Clinical map document based on XML (cMDX): document architecture with mapping feature for reporting and analysing prostate cancer in radical prostatectomy specimens. ( 0,570079095104899 )
Health Informatics J - Protecting privacy in a clinical data warehouse. ( 0,569088222696241 )
J Med Syst - Development and application of a Chinese webpage suicide information mining system (sims). ( 0,568853449134335 )
Comput. Biol. Med. - LabSystem Gen, a tool for structuring and analyzing genetic data in histocompatibility laboratories. ( 0,56836364113527 )
IEEE J Biomed Health Inform - Utility-aware anonymization of diagnosis codes. ( 0,563839806712787 )
J Am Med Inform Assoc - Challenges in creating an opt-in biobank with a registrar-based consent process and a commercial EHR. ( 0,563324908928954 )
Inform Health Soc Care - Construction of a linked health and social care database resource--lessons on process, content and culture. ( 0,562974216283484 )
Int J Med Inform - A standardised graphic method for describing data privacy frameworks in primary care research using a flexible zone model. ( 0,56273611032307 )
AMIA Annu Symp Proc - Timeliness and data element completeness of immunization data in Washington State in 2010: a comparison of data exchange methods. ( 0,561912272241771 )
J Biomed Inform - The ISO/IEC 11179 norm for metadata registries: does it cover healthcare standards in empirical research? ( 0,560658736865262 )
AMIA Annu Symp Proc - Clinical use of an enterprise data warehouse. ( 0,560511151235926 )
BMC Med Inform Decis Mak - Extension of the primary care research object model (PCROM) as clinical research information model (CRIM) for the learning healthcare system. ( 0,558382767077882 )
J Biomed Inform - The Ontology of Clinical Research (OCRe): an informatics foundation for the science of clinical research. ( 0,557427178877803 )
Brief. Bioinformatics - Data management strategies for multinational large-scale systems biology projects. ( 0,555248757871897 )
Int J Health Geogr - Defining socially-based spatial boundaries in the region of Peel, Ontario, Canada. ( 0,554370479790861 )
Int J Med Inform - Operational rules for the implementation of INN prescribing. ( 0,553540581722947 )
J Chem Inf Model - Managing the computational chemistry big data problem: the ioChem-BD platform. ( 0,551137551356598 )
AMIA Annu Symp Proc - Practical choices for infobutton customization: experience from four sites. ( 0,549103833454913 )
Health Info Libr J - Evaluation of three point-of-care healthcare databases: BMJ Point-of-Care, Clin-eguide and Nursing Reference Centre. ( 0,548798070603257 )
Brief. Bioinformatics - Integrative Genomics Viewer (IGV): high-performance genomics data visualization and exploration. ( 0,548521007239172 )
Appl Clin Inform - Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record. ( 0,548059295407699 )