Rosenbloom S T, Carroll R J, Warner J L, Matheny M E, Denny J C
Yearb Med Inform. 2017 Aug;26(1):139-147. doi: 10.15265/IY-2017-018. Epub 2017 Sep 11.
Electronic health records (EHRs) have increasingly emerged as a powerful source of clinical data that can be leveraged for reuse in research and in modular health apps that integrate into diverse health information technologies. A key challenge to these use cases is representing the knowledge contained within data from different EHR systems in a uniform fashion. We reviewed several recent studies covering the knowledge representation in the common data models for the Observational Medical Outcomes Partnership (OMOP) and its Observational Health Data Sciences and Informatics program, and the United States Patient Centered Outcomes Research Network (PCORNet). We also reviewed the Health Level 7 Fast Healthcare Interoperability Resource standard supporting app-like programs that can be used across multiple EHR and research systems. There has been a recent growth in high-impact efforts to support quality-assured and standardized clinical data sharing across different institutions and EHR systems. We focused on three major efforts as part of a larger landscape moving towards shareable, transportable, and computable clinical data. The growth in approaches to developing common data models to support interoperable knowledge representation portends an increasing availability of high-quality clinical data in support of research. Building on these efforts will allow a future whereby significant portions of the populations in the world may be able to share their data for research.
电子健康记录(EHRs)已日益成为临床数据的强大来源,可用于研究以及集成到各种健康信息技术中的模块化健康应用程序中进行再利用。这些用例面临的一个关键挑战是以统一的方式表示来自不同EHR系统的数据中所包含的知识。我们回顾了最近的几项研究,这些研究涵盖了观察性医疗成果合作组织(OMOP)及其观察性健康数据科学与信息学计划以及美国以患者为中心的成果研究网络(PCORNet)的通用数据模型中的知识表示。我们还回顾了支持可跨多个EHR和研究系统使用的类似应用程序的健康级别7快速医疗保健互操作性资源标准。最近,为支持跨不同机构和EHR系统进行质量保证和标准化临床数据共享而进行的高影响力努力有所增加。作为朝着可共享、可传输和可计算临床数据发展的更大格局的一部分,我们重点关注了三项主要努力。开发通用数据模型以支持可互操作知识表示的方法的增加预示着支持研究的高质量临床数据的可用性将不断提高。在这些努力的基础上,未来世界上很大一部分人口或许能够共享他们的数据用于研究。