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通过检索中国知网核心期刊数据库和中国知网中国专利全文数据库,运用共词聚类分析方法,对档案文献与专利进行对比分析发现,社区卫生服务与社区健康管理、远程医疗实现技术、HL7、XML是较有前景的电子健康档案技术。 相似文献
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我国电子健康档案研究现状分析 总被引:5,自引:1,他引:4
电子健康档案研究是目前国内外关注的热点.介绍我国建立电子健康档案的国际背景,从文献发表情况和国内相关事件回顾两方面阐述我国电子健康档案研究现状,对其发展前景进行展望,指出电子健康档案的建立可从疾病预防评估和慢性病管理方面增进全民健康水平. 相似文献
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电子健康档案是国内外卫生信息化研究的热点。本文探讨了电子健康档案的涵义与作用,分析国外电子健康档案的发展现状,以期为我国电子健康档案的建设提供借鉴。 相似文献
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目的:系统梳理国内外电子病历研究热点和前沿趋势,为完善中国电子病历研究提供参考。方法:利用Cite Space 5.8.R1绘制知识图谱,使用文献计量方法对来自于Web of Science核心集数据库和CNKI数据库的国内外电子病历研究文献进行聚类分析。结果:纳入研究的716篇国内电子病历研究文献关键词聚类模块值为0.6945,聚类平均轮廓值为0.9595,形成了16个高信度研究热点聚类;纳入研究的17131篇国外电子病历研究文献关键词聚类模块值为0.3073,聚类平均轮廓值为0.6700,形成10个高信度研究热点聚类。结论:1960年以来国内外电子病历研究关注度不断增强,且研究热点存在一定相似性,相较国内电子病历研究而言,国外电子病历研究热点更有深度。此外,电子病历规范化研究与电子病历隐私研究也得到国内外学界关注。 相似文献
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目的从文献剂量学的视角对近五年肝脏肿瘤分子影像学领域的研究状况进行分析。方法下载PubMed数据库中近五年发表的肝脏肿瘤分子影像学研究文献题录,使用Bicomb 2.0软件统计分析文献的发表年代、来源期刊及期刊所属国家、第一作者以及高频主要主题词分布情况。对文献第一作者所属研究机构进行人工逐条统计分析。将出现频次≥2次的主要主题词作为高频主要主题词,建立词篇矩阵,使用SPSS 22.0软件进行聚类分析,得到该领域的研究热点。结果筛选出相关文献30篇,获得该领域研究热度趋势、来源期刊分布、各国研究热度等数据资料。高频主要主题词共计20个,通过对高频主要主题词进行聚类分析,得到4个主要研究热点方向。结论近五年肝脏肿瘤分子影像学研究热点主要集中在方法学、诊断、代谢与磁共振成像、病理学与治疗四个方向。 相似文献
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目的:根据新医改政策及卫生部关于电子健康档案的建设方案和相关标准,提出支持标准和可扩展标记语言(Extensible MarkupLanguage,XML)标准、符合临床文档结构(Clinical Document Architecture,CDA)规范原则、能快捷建档的技术方案。方法:1遵照现行中国标准GB、GB/T、卫生部和国家中医药管理局近期发布政策标准规范,采用XML和CDA规范,针对健康档案涉及栏目及其填写内容,建立具有白解释能力和符合XML标准的CDA元数据,并集储于CDA资源库;2.通过弹性结构式电子健康档案(Flexible Structured Electronic Health Records,FS—EHRs)系统,从CDA资源库导入相关结构的CDA,系统的文体为多个CDA构成的XML文档:3.采用DES算法和X.509协议处理CDA数据加密和抗抵赖的信息安全。结果:执行标准和规范的同时能快速组合构建包括电子病历在内的健康档案信息采集模板:FS—HERs为“即见所得”式自由文本录入界面,可供现场实时导入或直接编辑CDA文档,能快捷地在CDA规范下弹性扩展个性化结构,统一了模板规范化与个性化和实时性的矛盾;FS—HER生成的由CDA集仍属于XML,并自含加密或签名属性。结论:本技术方案有助于区域卫生跨平台互联互通的信息交换和安全保障。 相似文献
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ObjectiveHigh-throughput electronic phenotyping algorithms can accelerate translational research using data from electronic health record (EHR) systems. The temporal information buried in EHRs is often underutilized in developing computational phenotypic definitions. This study aims to develop a high-throughput phenotyping method, leveraging temporal sequential patterns from EHRs.Materials and MethodsWe develop a representation mining algorithm to extract 5 classes of representations from EHR diagnosis and medication records: the aggregated vector of the records (aggregated vector representation), the standard sequential patterns (sequential pattern mining), the transitive sequential patterns (transitive sequential pattern mining), and 2 hybrid classes. Using EHR data on 10 phenotypes from the Mass General Brigham Biobank, we train and validate phenotyping algorithms.ResultsPhenotyping with temporal sequences resulted in a superior classification performance across all 10 phenotypes compared with the standard representations in electronic phenotyping. The high-throughput algorithm’s classification performance was superior or similar to the performance of previously published electronic phenotyping algorithms. We characterize and evaluate the top transitive sequences of diagnosis records paired with the records of risk factors, symptoms, complications, medications, or vaccinations.DiscussionThe proposed high-throughput phenotyping approach enables seamless discovery of sequential record combinations that may be difficult to assume from raw EHR data. Transitive sequences offer more accurate characterization of the phenotype, compared with its individual components, and reflect the actual lived experiences of the patients with that particular disease.ConclusionSequential data representations provide a precise mechanism for incorporating raw EHR records into downstream machine learning. Our approach starts with user interpretability and works backward to the technology. 相似文献
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Nicholas D Soulakis Matthew B Carson Young Ji Lee Daniel H Schneider Connor T Skeehan Denise M Scholtens 《J Am Med Inform Assoc》2015,22(2):299-311
Objective To visualize and describe collaborative electronic health record (EHR) usage for hospitalized patients with heart failure.Materials and methods We identified records of patients with heart failure and all associated healthcare provider record usage through queries of the Northwestern Medicine Enterprise Data Warehouse. We constructed a network by equating access and updates of a patient’s EHR to a provider-patient interaction. We then considered shared patient record access as the basis for a second network that we termed the provider collaboration network. We calculated network statistics, the modularity of provider interactions, and provider cliques.Results We identified 548 patient records accessed by 5113 healthcare providers in 2012. The provider collaboration network had 1504 nodes and 83 998 edges. We identified 7 major provider collaboration modules. Average clique size was 87.9 providers. We used a graph database to demonstrate an ad hoc query of our provider-patient network.Discussion Our analysis suggests a large number of healthcare providers across a wide variety of professions access records of patients with heart failure during their hospital stay. This shared record access tends to take place not only in a pairwise manner but also among large groups of providers.Conclusion EHRs encode valuable interactions, implicitly or explicitly, between patients and providers. Network analysis provided strong evidence of multidisciplinary record access of patients with heart failure across teams of 100+ providers. Further investigation may lead to clearer understanding of how record access information can be used to strategically guide care coordination for patients hospitalized for heart failure. 相似文献
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Ronald M Salomon Jennifer Urbano Blackford S Trent Rosenbloom Sandra Seidel Ellen Wright Clayton David M Dilts Stuart G Finder 《J Am Med Inform Assoc》2010,17(1):54-60
Objectives
Improvements in electronic health record (EHR) system development will require an understanding of psychiatric clinicians'' views on EHR system acceptability, including effects on psychotherapy communications, data-recording behaviors, data accessibility versus security and privacy, data quality and clarity, communications with medical colleagues, and stigma.Design
Multidisciplinary development of a survey instrument targeting psychiatric clinicians who recently switched to EHR system use, focus group testing, data analysis, and data reliability testing.Measurements
Survey of 120 university-based, outpatient mental health clinicians, with 56 (47%) responding, conducted 18 months after transition from a paper to an EHR system.Results
Factor analysis gave nine item groupings that overlapped strongly with five a priori domains. Respondents both praised and criticized the EHR system. A strong majority (81%) felt that open therapeutic communications were preserved. Regarding data quality, content, and privacy, clinicians (63%) were less willing to record highly confidential information and disagreed (83%) with including their own psychiatric records among routinely accessed EHR systems.Limitations
single time point; single academic medical center clinic setting; modest sample size; lack of prior instrument validation; survey conducted in 2005.Conclusions
In an academic medical center clinic, the presence of electronic records was not seen as a dramatic impediment to therapeutic communications. Concerns regarding privacy and data security were significant, and may contribute to reluctances to adopt electronic records in other settings. Further study of clinicians'' views and use patterns may be helpful in guiding development and deployment of electronic records systems. 相似文献18.
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Charlene R Weir Peter Taber Teresa Taft Thomas J Reese Barbara Jones Guilherme Del Fiol 《J Am Med Inform Assoc》2021,28(5):1042
The psychology of motivation can help us understand the impact of electronic health records (EHRs) on clinician burnout both directly and indirectly. Informatics approaches to EHR usability tend to focus on the extrinsic motivation associated with successful completion of clearly defined tasks in clinical workflows. Intrinsic motivation, which includes the need for autonomy, sense-making, creativity, connectedness, and mastery is not well supported by current designs and workflows. This piece examines existing research on the importance of 3 psychological drives in relation to healthcare technology: goal-based decision-making, sense-making, and agency/autonomy. Because these motives are ubiquitous, foundational to human functioning, automatic, and unconscious, they may be overlooked in technological interventions. The results are increased cognitive load, emotional distress, and unfulfilling workplace environments. Ultimately, we hope to stimulate new research on EHR design focused on expanding functionality to support intrinsic motivation, which, in turn, would decrease burnout and improve care. 相似文献