将ICD 11集成到自动预警系统中的挑战
Masresha Derese Tegegne1, Maike Krips1, Islam Ibrahim2
1Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany.
Studies in health technology and informatics
|August 23, 2024
概括
将自动警报系统 (AAS) 与国际疾病分类第十一修订 (ICD-11) 集成,可以自动化紧急通信. 存在挑战,但建议包括AAS数据词典和ICD-11更新外在伤害原因.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 紧急医疗 紧急医疗
背景情况:
- 自动警报系统 (AAS) 提高了不良健康事件的检测,但依赖于手动解释.
- 由于编码各种不良事件的复杂性,目前的紧急通讯缺乏完全的自动化.
- 与国际疾病分类 (ICD) 等标准化编码系统的整合对于自动化至关重要.
研究的目的:
- 探索将国际疾病分类第十一修订版 (ICD-11) 纳入AAS以加强紧急通讯的挑战.
- 在ICD-11中分析疾病发病率和死亡率的外部原因,寻找潜在的整合点.
- 确定阻碍无整合的具体主题和挑战.
主要方法:
- 分析ICD-11伤害外部原因的章节和维度.
- 确定关键主题:伤害事件,运输方式,室内/室外位置和建筑类型.
- 概念差异的评估,伤害的识别,ICD-11数据的细节性和代码的特异性.
主要成果:
- 确定了四个主要挑战:概念上的差异,伤害识别问题,ICD-11的"海岸线以下"数据的局限性以及某些代码缺乏特异性.
- 目前,ICD-11支持EHR中的事件后编码,但不支持实时伤害报告集成.
- 交通方式和位置等主题带来了整合的复杂性.
结论:
- 将ICD-11成功整合到AAS中需要解决已识别的挑战.
- 建议包括开发AAS数据词典,并提出ICD-11对外因伤害的更新.
- 加强整合可以带来更细致的数据,以实现最佳的紧急调度和自动化通信.
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