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Creating an immunization content database for knowledge management across clinical systems.

Hamilton Wen1, Janos L Mathe1, Stuart T Weinberg2

  • 1HealthIT, Vanderbilt University Medical Center, Nashville, TN.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 29, 2019
PubMed
Summary
This summary is machine-generated.

Creating a centralized immunization database using Centers for Disease Control and Prevention (CDC) data improved clinical system accuracy and content management. This initiative ensures immunization knowledge assets are current and correctly configured.

Keywords:
clinical decision supportclinical knowledge managementdata managementimmunizationinformation retrievalinformation systems

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Area of Science:

  • Health Informatics
  • Knowledge Management
  • Immunization Systems

Background:

  • Academic medical centers face challenges in maintaining consistent immunization data across multiple clinical systems.
  • Disparate data sources can lead to inaccuracies and outdated immunization information.

Purpose of the Study:

  • To describe an initiative establishing a unified immunization content database.
  • To inform the development and configuration of immunization knowledge assets in clinical systems.

Main Methods:

  • Conducted semistructured expert interviews to identify clinical system immunization information needs.
  • Developed an immunization domain model using Centers for Disease Control and Prevention (CDC) data.
  • Analyzed and compared institutional clinical system content with CDC data sources.

Main Results:

  • Identified 22 unique information concepts required by five clinical systems.
  • Found that 59%-95% of active CDC vaccines were represented in clinical systems, with some inaccuracies.
  • Implemented content updates in clinical systems following review.

Conclusions:

  • A single, CDC-data-driven immunization database enhances knowledge management and ensures accurate, current clinical system content.
  • The developed immunization domain model can aid in automated update detection and dissemination to clinical systems.