Wang D, Jenders R A
Department of Medical Informatics, Columbia University, New York, NY 10032, USA.
Proc AMIA Symp. 2000:878-82.
We have developed a model for clinical information routing within an immunization registry. Components in this model include partners, contents and mechanisms. Partners are classified into senders, receivers and intermediates. Contents are classified into core contents and management information. Mechanisms are classified into topological control, temporal control, process control and communication channel control. Immunization reminders, forecasts and recalls in e-mail, fax and regular mail format are routed based on this model. Algorithms for deducing patient provider and patient clinical site relationships are developed to facilitate routing. A dummy provider within each site and a dummy site are created to manipulate routing for incomplete data. 46.63% of patients' primary providers and 92.58% of patients' clinical sites are successfully identified.
我们开发了一种免疫接种登记系统内临床信息路由的模型。该模型的组成部分包括合作伙伴、内容和机制。合作伙伴分为发送方、接收方和中间方。内容分为核心内容和管理信息。机制分为拓扑控制、时间控制、流程控制和通信渠道控制。基于此模型对电子邮件、传真和普通邮件格式的免疫接种提醒、预测和召回进行路由。开发了用于推断患者与医疗服务提供者及患者临床地点关系的算法,以促进路由。在每个地点创建一个虚拟医疗服务提供者和一个虚拟地点,以处理不完整数据的路由。成功识别出46.63%的患者的主要医疗服务提供者和92.58%的患者的临床地点。