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案例研究:将开放电子健康记录原型应用于中国一家医院的临床数据存储库

Case Study: Applying OpenEHR Archetypes to a Clinical Data Repository in a Chinese Hospital.

作者信息

Min Lingtong, Wang Li, Lu Xudong, Duan Huilong

机构信息

College of Biomedical Engineering & Instrument Science, Zhejiang University, China.

出版信息

Stud Health Technol Inform. 2015;216:207-11.

Abstract

openEHR is a flexible and scalable modeling methodology for clinical information and has been widely adopted in Europe and Australia. Due to the reasons of differences in clinical process and management, there are few research projects involving openEHR in China. To investigate the feasibility of openEHR methodology for clinical information modelling in China, this paper carries out a case study to apply openEHR archetypes to Clinical Data Repository (CDR) in a Chinese hospital. The results show that a set of 26 archetypes are found to cover all the concepts used in the CDR. Of all these, 9 (34.6%) are reused without change, 10 are modified and/or extended, and 7 are newly defined. The reasons for modification, extension and newly definition have been discussed, including granularity of archetype, metadata-level versus data-level modelling, and the representation of relationships between archetypes.

摘要

openEHR是一种用于临床信息的灵活且可扩展的建模方法,已在欧洲和澳大利亚广泛采用。由于临床流程和管理存在差异,中国涉及openEHR的研究项目较少。为了研究openEHR方法在中国临床信息建模中的可行性,本文进行了一项案例研究,将openEHR原型应用于中国一家医院的临床数据仓库(CDR)。结果表明,发现一组26个原型涵盖了CDR中使用的所有概念。其中,9个(34.6%)未作更改直接复用,10个进行了修改和/或扩展,7个是新定义的。文中讨论了修改、扩展和新定义的原因,包括原型的粒度、元数据级别与数据级别建模以及原型之间关系的表示。

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