Winnenburg Rainer, Bodenreider Olivier
National Library of Medicine, National Institutes of Health, Bethesda, Maryland, USA.
AMIA Annu Symp Proc. 2013 Nov 16;2013:1497-505. eCollection 2013.
To assess the quality of value sets in clinical quality measures, both individually and as a population of value sets.
The concepts from a given value set are expected to be rooted by one or few ancestor concepts and the value set is expected to contain all the descendants of its root concepts and only these descendants. (1) We assessed the completeness and correctness of individual value sets by comparison to the extension derived from their roots. (2) We assessed the non-redundancy of value sets for the entire population of value sets (within a given code system) using the Jaccard similarity measure.
We demonstrated the utility of our approach on some cases of inconsistent value sets and produced a list of 58 potentially duplicate value sets from the current set of clinical quality measures for the 2014 Meaningful Use criteria.
These metrics are easy to compute and provide compact indicators of the completeness, correctness, and non-redundancy of value sets.
评估临床质量指标中价值集的质量,包括单个价值集以及作为一个价值集总体的质量。
给定价值集中的概念应源于一个或少数几个祖先概念,并且该价值集应包含其根概念的所有后代且仅包含这些后代。(1)我们通过与从其根派生的扩展进行比较,评估单个价值集的完整性和正确性。(2)我们使用杰卡德相似性度量评估整个价值集总体(在给定代码系统内)中价值集的非冗余性。
我们在一些不一致的价值集案例中展示了我们方法的实用性,并从2014年有意义使用标准的当前临床质量指标集中生成了一份包含58个潜在重复价值集的列表。
这些指标易于计算,并提供了价值集完整性、正确性和非冗余性的简洁指标。