Evans R Scott, Lloyd James F, Pierce Lee A
Medical Informatics, Intermountain Healthcare, Salt Lake City, Utah, USA.
AMIA Annu Symp Proc. 2012;2012:189-98. Epub 2012 Nov 3.
The enormous amount of data being collected by electronic medical records (EMR) has found additional value when integrated and stored in data warehouses. The enterprise data warehouse (EDW) allows all data from an organization with numerous inpatient and outpatient facilities to be integrated and analyzed. We have found the EDW at Intermountain Healthcare to not only be an essential tool for management and strategic decision making, but also for patient specific clinical decision support. This paper presents the structure and two case studies of a framework that has provided us the ability to create a number of decision support applications that are dependent on the integration of previous enterprise-wide data in addition to a patient's current information in the EMR.
电子病历(EMR)收集的大量数据在集成并存储于数据仓库时展现出了额外价值。企业数据仓库(EDW)能整合并分析来自一个拥有众多住院和门诊设施的组织的所有数据。我们发现山间医疗保健公司的EDW不仅是管理和战略决策的重要工具,也是针对患者的临床决策支持的重要工具。本文介绍了一个框架的结构及两个案例研究,该框架使我们有能力创建许多决策支持应用程序,这些应用程序不仅依赖于患者电子病历中的当前信息,还依赖于之前全企业范围数据的整合。