在野外的互操作性:比较两个来源的现实世界电子C-CDA文档
Brian E Dixon1,2, Nate C Apathy2,3
1Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.
Studies in health technology and informatics
|January 25, 2024
概括
卫生信息交换 (HIE) 网络往往缺乏数据一致性. 患者 患者 患者 患者
科学领域:
- 医疗信息学 医疗信息学
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康信息交换 (HIE) 网络对于数据共享至关重要.
- 当前的HIE系统面临着数据可访问性和完整性的挑战.
- 提供者通常需要访问多个来源以获得全面的患者记录.
研究的目的:
- 为了比较区域HIE和EHR基于供应商的网络之间的数据存在和一致性.
- 在不同的健康信息交换平台上识别患者数据中的差异.
- 评估当前HIE策略在提供完整患者信息方面的有效性.
主要方法:
- 为1,054名患者生成了综合临床文档架构 (C-CDA) 文档.
- 来自区域HIE网络和基于供应商的电子健康记录 (EHR) 网络的比较数据.
- 分析了不同数据域的数据存在和一致性.
主要成果:
- 778名 (74%) 患者至少有一份来自任何来源的C-CDA文件.
- 有数据的患者中有三分之二的信息只存在于一个来源.
- 临床数据领域显示不到一半的患者数据存在,跨网络的数据不一致.
结论:
- HIE网络对同一患者拥有不同的,可能互补的数据.
- 需要改善国家HIE倡议的整合和脱重复策略.
- 目前的HIE系统需要加强,以确保全面和准确的患者数据访问.
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