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透析网络:通过连续性医疗记录整合和管理血液透析信息数据源的应用程序。

DialysisNet: Application for Integrating and Management Data Sources of Hemodialysis Information by Continuity of Care Record.

作者信息

Ku Ho Suk, Kim Sungho, Kim HyeHyeon, Chung Hee-Joon, Park Yu Rang, Kim Ju Han

机构信息

Departement of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.

Seoul National University Biomedical Informatics (SNUBI), Seoul National University College of Medicine, Seoul, Korea. ; Systems Biomedical Informatics Research Center, Seoul National University, Seoul, Korea.

出版信息

Healthc Inform Res. 2014 Apr;20(2):145-51. doi: 10.4258/hir.2014.20.2.145. Epub 2014 Apr 30.

DOI:10.4258/hir.2014.20.2.145
PMID:24872913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4030058/
Abstract

OBJECTIVES

Health Avatar Beans was for the management of chronic kidney disease and end-stage renal disease (ESRD). This article is about the DialysisNet system in Health Avatar Beans for the seamless management of ESRD based on the personal health record.

METHODS

For hemodialysis data modeling, we identified common data elements for hemodialysis information (CDEHI). We used ASTM continuity of care record (CCR) and ISO/IEC 11179 for the compliance method with a standard model for the CDEHI. According to the contents of the ASTM CCR, we mapped the CDHEI to the contents and created the metadata from that. It was transformed and parsed into the database and verified according to the ASTM CCR/XML schema definition (XSD). DialysisNet was created as an iPad application. The contents of the CDEHI were categorized for effective management. For the evaluation of information transfer, we used CarePlatform, which was developed for data access. The metadata of CDEHI in DialysisNet was exchanged by the CarePlatform with semantic interoperability.

RESULTS

The CDEHI was separated into a content list for individual patient data, a contents list for hemodialysis center data, consultation and transfer form, and clinical decision support data. After matching to the CCR, the CDEHI was transformed to metadata, and it was transformed to XML and proven according to the ASTM CCR/XSD. DialysisNet has specific consideration of visualization, graphics, images, statistics, and database.

CONCLUSIONS

We created the DialysisNet application, which can integrate and manage data sources for hemodialysis information based on CCR standards.

摘要

目的

健康阿凡达豆系统用于慢性肾脏病和终末期肾病(ESRD)的管理。本文介绍了健康阿凡达豆系统中的透析网络系统,用于基于个人健康记录对ESRD进行无缝管理。

方法

对于血液透析数据建模,我们确定了血液透析信息的通用数据元素(CDEHI)。我们使用ASTM连续护理记录(CCR)和ISO/IEC 11179来符合CDEHI的标准模型。根据ASTM CCR的内容,我们将CDHEI映射到其内容并从中创建元数据。它被转换并解析到数据库中,并根据ASTM CCR/XML模式定义(XSD)进行验证。透析网络被创建为一个iPad应用程序。对CDEHI的内容进行分类以进行有效管理。为了评估信息传输,我们使用了为数据访问而开发的CarePlatform。透析网络中CDEHI的元数据通过CarePlatform进行语义互操作性交换。

结果

CDEHI被分为个体患者数据的内容列表、血液透析中心数据的内容列表、咨询和转诊表以及临床决策支持数据。与CCR匹配后,CDEHI被转换为元数据,然后转换为XML并根据ASTM CCR/XSD进行验证。透析网络对可视化、图形、图像、统计和数据库有特殊考虑。

结论

我们创建了透析网络应用程序,它可以基于CCR标准集成和管理血液透析信息的数据源。

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1
Current status of dialysis therapy in Korea.韩国的透析治疗现状。
Korean J Intern Med. 2011 Jun;26(2):123-31. doi: 10.3904/kjim.2011.26.2.123. Epub 2011 Jun 1.
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K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification.《肾脏病生存质量指导(K/DOQI)慢性肾脏病临床实践指南:评估、分类及分层》
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多中心队列研究使用 DialysisNet 观察血钾水平较高的血液透析患者血钾的季节性变化差异。
Yonsei Med J. 2021 Apr;62(4):315-324. doi: 10.3349/ymj.2021.62.4.315.
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BMC Med Inform Decis Mak. 2020 Jul 3;20(1):147. doi: 10.1186/s12911-020-01168-0.
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Real-world treatment patterns of renal anemia in hemodialysis patients: A multicenter cohort study performed using DialysisNet (RRAHD study).血液透析患者肾性贫血的真实世界治疗模式:一项使用DialysisNet进行的多中心队列研究(RRAHD研究)。
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Clinical MetaData ontology: a simple classification scheme for data elements of clinical data based on semantics.临床元数据本体:基于语义的临床数据数据元素的简单分类方案。
BMC Med Inform Decis Mak. 2019 Aug 20;19(1):166. doi: 10.1186/s12911-019-0877-x.