Eos和OMOCL:将开放EHR记录无整合到OMOP共同数据模型中
Severin Kohler1, Diego Boscá2, Florian Kärcher3
1Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Digital Health Center, Kapelle-Ufer 2, 10117 Berlin, Germany.
Journal of biomedical informatics
|July 13, 2023
概括
为了研究,将电子健康记录 (EHR) 标准化至关重要. 我们开发了OMOP转换语言 (OMOCL) 和Eos工具,将开放EHR数据自动转换为观察医学结果伙伴关系 (OMOP) 共同数据模型 (CDM),提高数据可访问性.
科学领域:
- 医疗信息学 医疗信息学
- 生物医学研究数据管理数据管理
背景情况:
- 电子健康记录 (EHR) 为研究提供了有价值的数据,但受到结构和语义异质性的困扰.
- 观察医学结果伙伴关系 (OMOP) 共同数据模型 (CDM) 标准化了研究数据,但EHR转换涉及复杂的提取转换和负载 (ETL) 过程.
- 由于其语义精度,openEHR正在获得采用,但将openEHR记录集成到OMOP CDM中需要采用标准化的方法.
研究的目的:
- 开发一个标准化流程,将开放的EHR记录集成到OMOP CDM中,以降低EHR数据在研究中的重用障碍.
- 为研究目的应对EHR数据异质性和语义不精确性的挑战.
主要方法:
- 分析并比较openEHR和OMOPCDM模型以确定潜在的数据映射.
- 定义了将openEHR记录转换为OMOP CDM表的流程.
- 开发了OMOP转换语言 (OMOCL) 用于声明性原型到CDM映射,并实施了Eos工具用于自动化的ETL.
主要成果:
- OMOP转换语言 (OMOCL) 允许定义openEHR转换为OMOP的通用映射.
- 通过使用OMOCL文件,Eos工具成功地将ETL过程从现实世界和样本EHR自动化到OMOP CDM中.
- 拟议的方法促进了临床和研究数据领域之间的互操作性.
结论:
- Eos和OMOCL提供了一个可行的方法,可以将开放的EHR记录集成到OMOP CDM中,从而提高研究数据的可访问性.
- 这种整合是实现临床和研究数据领域之间的互操作性的重要一步.
- 如果转换为表达力较低的OMOP CDM,可能会导致语义数据丢失,则存在限制.
相关概念视频
01:26Methods of Documentation II: POMR
998
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
998
01:30Methods of Documentation VII: EMR
867
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
867
01:20Integrated Healthcare System
1.7K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.7K
01:19Purpose of Health Records II
995
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
995
01:11Purpose of Health Records I
1.3K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.3K
01:18Methods of Documentation I: Source-Oriented Records
1.2K
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
1.2K