Impacts of structuring the electronic health record: Results of a systematic literature review from the perspective of secondary use of patient data
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- 作者：Riikka Vuokko ; riikka.vuokko@thl.fi ; riikka.vuokko@apotti.fi ; Pä ; ivi Mä ; kelä ; -Bengs ; Hannele Hyppö ; nen ; Minna Lindqvist ; Persephone Doupi
- 关键词：Electronic health records ; Structured data ; Free text ; Secondary use of patient data ; Systematic literature review
- 刊名：International Journal of Medical Informatics
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：97
- 期：Complete
- 页码：293-303
- 全文大小：1403 K
- 卷排序：97
文摘
The impact of various methods for structuring EHR content – incl. both at the time of care and post hoc structuring approaches – were reviewed from the viewpoint of secondary use of data. Information and system quality were common evaluation topics, and the evaluation outcomes were structure and context sensitive. Evaluation of NLP-applications and their potential in free text re-use in the secondary use context is the predominant research focus of an increasing number of studies after 2005. Parallel to NLP-application evaluations, research of ad hoc structuring methods showed a clear increase in volume after 2000. The benefits of standardized structured EHR data warrant further research, as potential benefits in the secondary use context are based on standardized and interoperable structured patient data. Common evaluation methods would enhance comparable studies on structuring methods to generate more standardized results to be used in evidence-based policy making.