"SNOMEDizing"调查问卷用于标准化中风登记数据
Andrea Riedel1, Stefan Schulz2, Catalina Martínez Costa3
1Medical Center for Information and Communication Technology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Studies in health technology and informatics
|August 23, 2024
概括
标准化医疗保健数据对于国际互操作性至关重要. 评估SNOMED CT用于欧洲中风注册表显示,它可以代表大多数问卷数据,但需要指导方针和潜在的扩展才能完全整合.
科学领域:
- 医疗信息学 医疗信息学
- 医学术语 医学术语 医学术语
- 数据标准 数据标准
背景情况:
- 医疗保健和研究数据的国际互操作性需要遵守既定标准.
- 欧洲中风护理质量注册使用问卷,需要一个强大的数据表示方法.
研究的目的:
- 评估SNOMED CT适用于代表欧洲中风护理质量注册表中的问卷单项的适用性.
- 评估SNOMED CT可以代表的信息范围,并确定需要进一步开发的领域.
主要方法:
- 使用复杂的注释协议将问卷单项映射到SNOMED CT概念中.
- 计算了注释者之间的协议,以评估注释过程的可靠性.
主要成果:
- 验证器和注释器之间的协议为72.4%.
- 包括复杂的后协调在内的SNOMED CT可以代表至少64%的信息.
- 9%的信息需要信息模型,14%需要新的SNOMED CT内容.
结论:
- 在SNOMED CT中,显示了代表中风注册表问卷数据的巨大潜力.
- 建议进一步开发,包括注释准则,具体参考集和与HL7 FHIR等信息模型的集成,以实现全面的数据互操作性.
相关概念视频
Data Collection by Survey
The systematic method of obtaining and analyzing accurate information of a population is called data collection. A survey is a standard method of data collection that involves collecting information from a target human population about their experience, opinion, or knowledge of a product, service, or process. The responses are recorded and interpreted. The most common survey examples are written questionnaires, face-to-face or telephonic conversations, focus groups, and electronic (e-mail or...
Data Collection I
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of data...
Data Collection II
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and family,...
Data Collection III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
Data Reporting and Recording
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
Investigation of Disease Outbreaks
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...


