Hudson Donna L, Cohen Maurice E
Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:4783-6. doi: 10.1109/EMBC.2013.6610617.
In many instances disease diagnosis is more of an art than a science due to the complexity of disease, lack of detailed information on parameters that are indicative of the disease, and lack of sufficient data to apply these parameters to both diagnosis and treatment. Broad-based expansion of electronic health records (EHRs) will produce additional data for improved model development. However many obstacles remain. Patient record content is not broadly available because of privacy concerns and the lack of standardization of EHR formats. If available on a large scale, de-identified medical records can provide a basis for development of disease models by removing privacy concerns. Once comprehensive disease models have been developed that assist in identifying possible diseases and also include parameters that were utilized along with their relative importance, automated analytic methods can be used to indicate the likelihood of the presence of specific diseases. Although the physician will always remain as the final expert, these methods can provide an expanded information set and provide analysis that is too complex for standard methods.
在许多情况下,由于疾病的复杂性、缺乏表明疾病的参数的详细信息以及缺乏足够的数据将这些参数应用于诊断和治疗,疾病诊断更多的是一门艺术而非科学。电子健康记录(EHR)的广泛扩展将产生更多数据以改进模型开发。然而,仍然存在许多障碍。由于隐私问题和EHR格式缺乏标准化,患者记录内容无法广泛获取。如果大规模提供去识别化的医疗记录,那么通过消除隐私问题,可为疾病模型的开发提供基础。一旦开发出全面的疾病模型,有助于识别可能的疾病,并包括所使用的参数及其相对重要性,就可以使用自动化分析方法来表明特定疾病存在的可能性。尽管医生始终是最终的专家,但这些方法可以提供扩展的信息集,并提供标准方法难以处理的复杂分析。