Mimi Liu, Jinni Luo, Lin Li, Xuemei Pan, Shuyan Tan, Weidong Ji, Hongzheng Zhang, Shengsheng Tang, Jingjing Liu, Bin Wu, Zebin Chen, Xiaoying Wu, Yi Zhou
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引用次数: 0
Abstract
Purpose: In order to meet restrictions and difficulties in the development of hospital medical informatization and clinical databases in China, in this study, a disease-specific clinical database system (DSCDS) was designed and built. It provides support for the full utilization of real world medical big data in clinical research and medical services for specific diseases.
Methods: The development of DSCDS involved (1) requirements analysis on precision medicine, medical big data, and clinical research; (2) design schematics and basic architecture; (3) standard datasets of specific diseases consisting of common data elements (CDEs); (4) collection and aggregation of specific disease data scattered in various medical business systems of the hospital; (5) governance and quality improvement of specific disease data; (6) data storage and computing; and (7) design of data application modules.
Results: A DSCDS for liver cirrhosis was created in the gastrointestinal department of a 3A grade hospital in China and had more than nine data application modules. Based on this DSCDS, a series of clinical studies are being carried out, such as retrospective or prospective cohorts, prognostic studies using multimodal data, and follow-up studies.
Conclusion: The development of the DSCDS for liver cirrhosis in this paper provides experience and reference for the design and development of DSCDSs for other specific diseases in China; it can even expand to the development of DSCDSs in other countries if they have the demand for DSCDS and the same or better medical informatization foundation. DSCDS has more accurate, standard, comprehensive, multimodal and usable data of specific diseases than the general clinical database system and clinical data repository (CDR) and provides a credible data foundation for medical research, clinical decision-making and improving the medical service quality of specific diseases.
Supplementary information: The online version contains supplementary material available at 10.1007/s13755-023-00211-4.
期刊介绍：
Health Information Science and Systems is a multidisciplinary journal that integrates artificial intelligence/computer science/information technology with health science and services, embracing information science research coupled with topics related to the modeling, design, development, integration and management of health information systems, smart health, artificial intelligence in medicine, and computer aided diagnosis, medical expert systems. The scope includes: i.) smart health, artificial Intelligence in medicine, computer aided diagnosis, medical image processing, medical expert systems ii.) medical big data, medical/health/biomedicine information resources such as patient medical records, devices and equipments, software and tools to capture, store, retrieve, process, analyze, optimize the use of information in the health domain, iii.) data management, data mining, and knowledge discovery, all of which play a key role in decision making, management of public health, examination of standards, privacy and security issues, iv.) development of new architectures and applications for health information systems.
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