Sutherland Scott M, Kaelber David C, Downing N Lance, Goel Veena V, Longhurst Christopher A
Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Room G-306, Stanford, CA 94304, USA; Department of Clinical Informatics, Stanford Children's Health, 1265 Welch Road, MSOB XIC65A, Stanford, CA 94305, USA.
Departments of Information Services, Internal Medicine, Pediatrics, Epidemiology and Biostatistics, Center for Clinical Informatics Research and Education, The MetroHealth System, Case Western Reserve University, 2500 MetroHeatlh Drive, Cleveland, OH 44109, USA.
Pediatr Clin North Am. 2016 Apr;63(2):251-68. doi: 10.1016/j.pcl.2015.12.002.
Initially described more than 50 years ago, electronic health records (EHRs) are now becoming ubiquitous throughout pediatric health care settings. The confluence of increased EHR implementation and the exponential growth of digital data within them, the development of clinical informatics tools and techniques, and the growing workforce of experienced EHR users presents new opportunities to use EHRs to augment clinical discovery and improve pediatric patient care. This article reviews the basic concepts surrounding EHR-enabled research and clinical discovery, including the types and fidelity of EHR data elements, EHR data validation/corroboration, and the steps involved in analytical interrogation.
电子健康记录（EHRs）在50多年前首次被描述，如今在儿科医疗环境中已变得无处不在。电子健康记录实施的增加以及其中数字数据的指数级增长、临床信息学工具和技术的发展，再加上经验丰富的电子健康记录用户队伍的不断壮大，为利用电子健康记录来加强临床发现和改善儿科患者护理带来了新的机遇。本文回顾了围绕基于电子健康记录的研究和临床发现的基本概念，包括电子健康记录数据元素的类型和保真度、电子健康记录数据验证/确证以及分析询问所涉及的步骤。
