Investigation of Data Representation Issues in Computerizing Clinical Practice Guidelines in China

Danhong Liu; Qing Ye; Peng Yang; Yongyong Xu; Jingkuan Su

추천

검색

자료유형: 학술저널

저자정보: Danhong Liu Qing Ye Peng Yang Yongyong Xu Jingkuan Su

저널정보: 대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제20권 제3호

발행연도: 2014.1

수록면: 236 - 242 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives: From the point of view of clinical data representation, this study attempted to identify obstacles in translating clinical narrative guidelines into computer interpretable format and integrating the guidelines with data in Electronic Health Records in China. Methods: Based on SAGE and K4CARE formulism, a Chinese clinical practice guideline for hypertension was modeled in Protégé by building an ontology that had three components: flowchart, node, and vMR. Meanwhile, data items imperative in Electronic Health Records for patients with hypertension were reviewed and compared with those from the ontology so as to identify conflicts and gaps between. Results: A set of flowcharts was built. A flowchart comprises three kinds of node: State, Decision, and Act, each has a set of attributes, including data input/output that exports data items, which then were specified following ClinicalStatement of HL7 vMR. A total of 140 data items were extracted from the ontology. In modeling the guideline, some narratives were found too inexplicit to formulate, and encoding data was quite difficult. Additionally, it was found in the healthcare records that there were 8 data items left out, and 10 data items defined differently compared to the extracted data items. Conclusions: The obstacles in modeling a clinical guideline and integrating with data in Electronic Health Records include narrative ambiguity of the guideline, gaps and inconsistencies in representing some data items between the guideline and the patient’ records, and unavailability of a unified medical coding system. Therefore, collaborations among various participants in developing guidelines and Electronic Health Record specifications is needed in China.

#Clinical Practice Guideline #Standardization #Knowledge Representation #Clinical Decision Support Systems

참고문헌 (25)

참고문헌 신청

/ / HL7 Clinical Decision Support. Virtual medical record (vMR) for Clinical Decision Support: Domain Analysis Model, release 1

Ahmadian L / 2010 / Facilitating preoperative assessment guidelines representation using SNOMED CT / J Biomed Inform 43 (6) : 883 ~ 890

Ahmadian L / 2011 / The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey / Int J Med Info

Cabana MD / 1999 / Why don't physicians follow clinical practice guidelines? A framework for improvement / JAMA 282 (15) : 1458 ~ 1465

Chen CC / 2011 / Developing guidelinebased decision support systems using Protege and jess / Comput Methods Programs Biomed 102 (3) : 288 ~ 294