Xu Wei, Zhu Yanxin, Geng Yibing
Methods Inf Med. 2018 Sep;57(4):159-167. doi: 10.3414/ME17-01-0110. Epub 2018 Sep 24.
By the end of the first quarter of 2017, 1212 standard Clinical Pathways (CPs) had been developed and implemented in China since 2009, however, Chinese standard CPs are still paper-based CPs.
To optimize the data structure and content of Chinese standard CPs based on Chinese health standards by two-level modeling approach and archetype method, and develop an Open Metadata Schema for Clinical Pathway (openCP) in China.
We chose 43 diseases covering 7 departments of internal medicine as samples and source materials including Respiratory, Gastroenterology, Neurology, Cardiology, Nephrology, Endocrinology, and Hematology, and we followed 4 steps to develop openCP: identify reference model of openCP; develop archetype models; standardize archetype terms and metadata; and evaluate its functionality.
We have built hierarchical reference model and archetypes of openCP, created and standardized archetype terms and metadata, and evaluate the functionality of openCP. The qualitative comments from 5 doctors were inspiring.
Medical staff may easily build localized CPs in openCP which can be integrated into EHR systems and shared among different hospitals and clinics.
截至2017年第一季度末，自2009年以来中国已制定并实施了1212条标准临床路径（CPs），然而，中国的标准CPs仍为纸质版。
通过两级建模方法和原型法，基于中国卫生标准优化中国标准CPs的数据结构和内容，并在中国开发临床路径开放元数据模式（openCP）。
我们选取了涵盖呼吸、消化、神经、心脏、肾脏、内分泌和血液7个内科科室的43种疾病作为样本和源材料，并遵循4个步骤来开发openCP：确定openCP的参考模型；开发原型模型；规范原型术语和元数据；评估其功能。
我们构建了openCP的分层参考模型和原型，创建并规范了原型术语和元数据，并评估了openCP的功能。5位医生的定性评价很有启发性。
医务人员可以轻松地在openCP中构建本地化CPs，这些CPs可以集成到电子健康记录系统中，并在不同医院和诊所之间共享。
