Harrison James H, Aller Raymond D
Department of Public Health Sciences, University of Virginia, Suite 3181 West Complex, 1335 Hospital Drive, Charlottesville, VA 22908, USA.
Clin Lab Med. 2008 Mar;28(1):101-17, vii. doi: 10.1016/j.cll.2007.10.006.
Efforts are underway to define a national framework for secondary analysis of health-related data. In the meantime, regional health databases have been constructed using insurance claims data, clinical data from single large health care providers, clinical data from multiple collaborating health care providers, and public health data. Large-scale survey data also are available in government databases. Clinical laboratory results are an important component of all these databases because they can provide validation for manually assigned diagnostic and procedure codes and can support inference of key information not provided by coding, such as severity of disease and prevalence of risk factors.
目前正在努力制定一个全国性的健康相关数据二次分析框架。与此同时,已经利用保险理赔数据、单个大型医疗服务提供者的临床数据、多个合作医疗服务提供者的临床数据以及公共卫生数据构建了区域健康数据库。政府数据库中也有大规模调查数据。临床实验室结果是所有这些数据库的重要组成部分,因为它们可以为人工分配的诊断和程序代码提供验证,并可以支持推断编码未提供的关键信息,如疾病严重程度和风险因素患病率。