Min Lingtong, Liu Juanjian, Lu Xudong, Duan Huilong, Qiao Qingzhi
College of Biomedical Engineering & Instrument Science, Zhejiang University, China.
Department of Information Technology, Shanxi Dayi Hospital, Taiyuan, Shanxi, China.
Stud Health Technol Inform. 2016;227:100-5.
Since electronic healthcare records are widely implemented in the hospitals, the explosion of the clinical data brings great opportunities to secondary use. Clinical data repository (CDR) plays an important role in clinical data using, including healthcare service, research and management. With evolving of clinical knowledge, it is a challenge for CDR to meet more and more requirements with adaptability and flexibility. In order to overcome this challenge, this paper proposed a solution that implemented a CDR with openEHR approach from data model to implementation. This study modelled archetypes according actual CDR requirements and implemented a CDR system in a tertiary hospital. Furthermore, this study developed data applications to facilitate healthcare service and research based on the CDR. The results of CDR system and data application demonstrate that openEHR approach could meet the continually evolving need of systems.
由于电子健康记录在医院中广泛应用，临床数据的激增为二次利用带来了巨大机遇。临床数据仓库（CDR）在临床数据利用中发挥着重要作用，包括医疗服务、研究和管理。随着临床知识的不断发展，CDR要以适应性和灵活性满足越来越多的需求面临着挑战。为了克服这一挑战，本文提出了一种从数据模型到实现采用openEHR方法来实现CDR的解决方案。本研究根据实际CDR需求对原型进行建模，并在一家三级医院实现了一个CDR系统。此外，本研究还开发了数据应用程序以促进基于CDR的医疗服务和研究。CDR系统和数据应用的结果表明，openEHR方法能够满足系统不断发展的需求。
