医生对HL7信息政策敏感价值集的看法:通过健康概念分类进行验证研究
Maheswari Eluru1, Daniel Hector Mendoza1, Audrey Wong1
1College of Health Solutions, Arizona State University, Phoenix, AZ 85054, USA.
Healthcare (Basel, Switzerland)
|November 14, 2023
概括
医生改进了电子同意的健康7级 (HL7) 敏感数据类别,改善了患者对医疗记录的控制. 进一步的修订应该包括患者的观点和数据验证以患者为中心的规范.
科学领域:
- 医疗信息学 医疗信息学
- 医疗记录管理 医疗记录管理
- 患者同意技术的使用
背景情况:
- 卫生7级 (HL7) 组织开发了一套信息敏感性政策价值集,包含45个类别.
- 目的是使细粒度的电子同意能够对敏感的医疗记录进行患者控制.
研究的目的:
- 这项研究首次探讨了医生对HL7敏感数据类别的观点.
- 修订和验证这些类别,以改善患者友好和包容性的电子同意.
主要方法:
- 在12名医生中使用了两项调查方法.
- 第一次调查涉及根据医生反对21个HL7类别的修订.
- 第二次调查涉及医生使用更新的类别对600个临床数据项目进行分类,并使用描述性测量和热图分析数据.
主要成果:
- 在第一次调查中,医生提出了19个新类别和对25个现有类别定义的修改.
- 两个新的类别和16个修订后的定义被纳入,增强了对患者友好和包容性的语言.
- 第二次调查导致十名医生对额外的类别提出了建议.
结论:
- 医生的意见对于未来对HL7类别的修订至关重要.
- 建议用患者数据验证类别,并纳入患者的观点.
- 制定以患者为中心的类别规范对于有效的电子同意系统至关重要.
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