电子健康记录(EHR)抽象。

Q3 Medicine Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2021-03-15 eCollection Date: 2021-01-01

Amal A Alzu'bi, Valerie J M Watzlaf, Patty Sheridan

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引用次数: 0

摘要

电子健康档案(EHR)抽象的目的包括收集与管理编码功能、质量改进、临床登记功能和临床研究相关的数据。本文研究了不同的抽象方法，例如手动抽象、简单查询和自然语言处理(NLP)。本文还讨论了每种方法的优缺点。还讨论了用于成功提取EHR的流程，包括所需的范围和资源(时间、预算、医疗保健专业人员RHIA、RHIT等类型)。电子病历和临床登记之间的关系也被检查，重点是数据提取的有效性。在该领域的未来研究，以检查跨医院进行数据抽象的抽象方法，正在为未来的出版物最终确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Electronic Health Record (EHR) Abstraction.

The purpose of electronic health record (EHR) abstraction includes collection of data related to administrative coding functions, quality improvement, clinical registry functions and clinical research. This article examines the different abstraction methods, such as manual abstraction, simple query, and natural language processing (NLP). It also discusses the advantages and disadvantages of each of those methods. The process used for successful EHR abstraction is also discussed and includes the scope and resources needed (time, budget, type of healthcare professionals RHIA, RHIT, etc.). The relationship between EHRs and the clinical registry is also examined with a focus on validity of the data extracted. Future research in this area to examine abstraction methods across hospitals who do data abstraction are being finalized for a future publication.

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来源期刊

Perspectives in health information management / AHIMA, American Health Information Management Association Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.