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临床试验中的医学编码。

Medical coding in clinical trials.

作者信息

Babre Deven

机构信息

Director, Data Management, PharmaNet Clinical Services Pvt Ltd.

出版信息

Perspect Clin Res. 2010 Jan;1(1):29-32.

Abstract

Data generated in all clinical trial are recorded on the data collection instrument Case report Form / Electronic Case Report Form by investigators located at various sites in various countries. In multicentric clinical trials since different investigator or medically qualified experts are from different sites / centers recording the medical term(s) uniformly is a big challenge. Medical coders from clinical data management team process these terms and perform medical coding. Medical coding is performed to categorize the medical terms reported appropriately so that they can be analyzed/reviewed. This article describes process which is used for medical coding in clinical data management and two most commonly used medical dictionaries MedDRA and WHO-DDE in brief. It is expected to help medical coders to understand the process of medical coding in clinical data management. Few common issues which the medical coder faces while performing medical coding, are also highlighted.

摘要

所有临床试验中产生的数据由位于不同国家不同地点的研究人员记录在数据收集工具病例报告表/电子病例报告表上。在多中心临床试验中,由于不同的研究人员或医学合格专家来自不同的地点/中心,统一记录医学术语是一项巨大的挑战。临床数据管理团队的医学编码员处理这些术语并进行医学编码。进行医学编码是为了对报告的医学术语进行适当分类,以便进行分析/审查。本文简要介绍了临床数据管理中用于医学编码的过程以及两个最常用的医学词典——医学术语词典(MedDRA)和世界卫生组织药物词典(WHO-DDE)。预计这将有助于医学编码员理解临床数据管理中的医学编码过程。文中还强调了医学编码员在进行医学编码时面临的一些常见问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/780b/3149405/1ed2a8e341c9/PCR-1-29-g001.jpg

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