区域卫生数据用于临床疗效分析的可用性研究

doi:10.11959/j.issn.2096-0271.2018026

Abstract

Abstract:

The regional electronic health records data are initially collected from several different hospitals and then undergo several rounds of data collection,transformation and integration,so there may exist a variety of quality problems.A new evaluation process for data usability was presented.The evaluation metrics were obtained by firstly gathering research requirements of clinicians,and then designing of requirement templates in the process.An example of obtaining evaluation metrics based on the requirement analysis with heart failure was also given.By using the process,ten metrics related to the data completeness and consistency were obtained and then the data of the provincial regional platform were evaluated for the usability.Finally,that the completeness and the consistency of data related to clinical research needs to be improved was shown.

Key words: regional health data, data quality, data usability, efficacy analysis

CLC Number:

TP391

Qi YE, Liang ZHAO, Tong RUAN, DongLei FENG, Ju GAO, Min LIU. Usability research of regional health data for clinical efficacy analysis[J]. Big Data Research, 2018, 4(3): 13-23.

Figures/Tables 6

References 24

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需求编号	评估字段类别	评估字段	质量要求	字段重要程度	语义相关字段	需求来源
数字	诊断信息	诊断名称、诊断代码等	诊断代码必须是ICD10的编码	重要/一般	病人主诉	诊断和治疗指南/临床科研人员

评估指标	度量规则
出生日期	出生日期不为空
性别	性别字段编码不为空，应为“1”或“2”
血压	入院时主要症状及体征信息包含“血压%”或“BP%”
心律	入院时主要症状及体征信息包含“心律% ”或“HR%”
诊断编码	诊断编码不为空且不等于“自定义”或“-”
诊断名称	诊断说明不为空且不等于“null”
血脂	同一流水号的收费项目中包含血脂信息，且实验室检查报告中存在一条报告类别名称为血脂信息的记录
BNP	同一流水号的收费项目中包含“BNP”且实验室检查报告中存在一条报告类别名称为“BNP”的记录
治疗效果	治疗效果不为空
死亡信息	死亡原因不为空且不等于“0”，或者死亡时间不为空且不等于“1900”

评估指标	度量规则
出生日期	患者基本信息与病案首页中出生日期的数据格式统一；
	同一患者在患者基本信息与病案首页中出生日期相同
性别	同一患者在患者基本信息表与病案首页中性别相同；
	同一患者在患者基本信息表与实验室检查报告中性别相同；
	同一患者在病案首页（旧）与病案首页（新）中性别相同；
	同一住院患者在患者基本信息表、病案首页、实验室检查报告、医学影像检查报告、出院小结表中性别均相同；
	同一门诊患者在患者信息表、实验室检验报告、医学影像检查报告中性别相同
诊断编码	属于GB/T 14396疾病编码
诊断名称	属于GB/T 14396疾病名称

检验指标	检验报告		收费记录		检验记录总数/个
检验指标	报告数/收费记录	报告数/个	收费记录/检验记录总数	记录数/个	检验记录总数/个
血脂	58.69%	412 744	11.04%	703 306	6 369 697
BNP	22.61%	35 343	2.45%	156 308	6 369 697

Usability research of regional health data for clinical efficacy analysis

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