远程:从非结构化临床数据创建快速医疗互操作性资源 (FHIR) 的框架
概括
本研究介绍了REMOTE,这是一个将非结构化临床笔记转换为快速医疗互操作资源 (FHIR) 的框架. 这使得电子健康记录中的有价值的患者数据更容易用于研究和临床应用.
科学领域:
- 医疗信息学 医疗信息学
- 临床数据管理 临床数据管理
- 生物医学数据标准 生物医学数据标准
背景情况:
- 电子健康记录 (EHR) 中的非结构化临床笔记包含有价值的患者信息.
- 临床笔记的非结构性质阻碍了其在人口健康,基因组研究,精准医学,质量改进和临床决策支持方面的使用.
研究的目的:
- 引入REMOTE,这是一个系统的框架,用于从非结构化的临床笔记中生成快速医疗互操作性资源 (FHIR).
- 证明将临床笔记转化为可互操作和可操作数据的可行性.
主要方法:
- 开发了REMOTE,一个逐步的管道:重新格式化,提取,映射,转换,交换.
- 处理了1,618个非结构化的临床笔记.
- 提取了主要的抱怨,症状,诊断和药物.
- 将概念映射到 SNOMED CT 代码中.
- 将数据转换为FHIR观察,条件和药物请求资源.
- 将资源上传到FHIR存储库中.
主要成果:
- 成功证明了REMOTE框架的可行性.
- 从非结构化的临床笔记中生成FHIR资源.
- 启用了跨健康存储库的数据交换.
结论:
- 自由文本临床笔记中的信息可以转化为离散的FHIR资源.
- 这种转变使得临床数据具有互操作性,可交换性和可操作性.
- 远程促进利用EHR中未充分利用的患者信息.
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