系统审查和开发推的代码列表,以识别电子健康记录 (EHR) 中的吸烟和蒸汽状态
Rong Ding1, Sarah Cook2, Philip W Stone3
1School of Public Health, Imperial College London, London, UK.
Clinical epidemiology
|September 15, 2025
概括
电子健康记录 (EHR) 的标准化代码列表对于准确评估吸烟和蒸汽行为至关重要. 这项研究审查了现有的准则,并制定了推清单,以提高卫生研究的一致性.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 吸烟和电子烟是与各种疾病相关的重要健康行为.
- 在电子健康记录 (EHR) 中准确识别吸烟和蒸汽状态对于疾病关联研究至关重要.
- 目前在研究中使用的代码列表往往不一致,不易获得,阻碍了标准化.
研究的目的:
- 审查和总结科学文献和存储库中用于识别电子健康记录中的吸烟和电子烟状态的现有代码.
- 导出并推标准化代码列表,以便在基于电子健康记录的吸烟和电子烟研究中一致使用.
主要方法:
- 从2010年1月到2024年4月,对出版物 (MEDLINE,Embase,Scopus) 和代码列表存储库 (LSHTM Data Compass,OpenCodelists,HDR UK Phenotype Library) 进行了全面的搜索. 这项搜索是从2010年1月到2024年4月进行的.
- 所有与吸烟或电子烟身份相关的已识别的代码列表都被提取并分析了不同编码系统 (例如ICD,Read,SNOMED CT) 的频率和一致性.
主要成果:
- 总共有100个代码列表被确定 (55个来自出版物,45个来自存储库),其中23个专门用于vaping状态.
- 只有10%的出版物报告了他们的代码列表,突出了缺乏透明度.
- 阅读和SNOMED CT代码比ICD代码更频繁地用于识别吸烟和电子烟状态.
结论:
- 对于电子健康记录数据中吸烟和电子烟状态的标准化和透明的代码列表至关重要.
- 基于彻底的审查,开发的代码列表为未来的研究提供了标准化的方法.
- 改进的编码列表标准化将提高使用EHR的健康行为研究的可靠性和一致性.
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