合并电子健康记录中的本体和数据

Future Internet Pub Date : 2024-02-17 DOI:10.3390/fi16020062
Salvatore Calcagno, Andrea Calvagna, E. Tramontana, Gabriella Verga
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引用次数: 0

摘要

电子病历(EHR)是一种收集和存储病人医疗记录的系统,这些记录是可以通过机械方式获取的数据,从而促进和协助医疗决策过程。电子病历有多种格式,每种格式都列出了数千个关键字,用于对病人数据进行分类。这些关键词都是特定的医学术语,因此数据分类非常准确。由于构成病历格式的关键字都是用特定的行话表达概念,没有定义或参考资料,因此只能由临床医生来正确使用这些关键字,而且可能会受到其背景的影响,因此数据解读可能会变得缓慢或不够准确。本文介绍了一种将电子病历中的数据与医学领域的本体准确联系起来的方法。有了本体论,临床医生在撰写或分析健康记录时就能得到帮助,例如,我们的解决方案能及时建议科学术语的严格定义,并自动连接电子病历中多个部分的数据。我们方法的第一步包括将多个电子病历格式中的选定数据和关键字转换为更易于解析的格式,然后第二步是将提取的数据与专门的医学本体论合并。最后,向专业人员提供丰富的医疗数据版本。通过采集现实世界中的医疗记录和本体样本,对所提出的方法进行了验证。结果表明,该方法具有处理数据的多功能性、查询结果的精确性以及对医疗记录之间关系的适当建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Merging Ontologies and Data from Electronic Health Records
The Electronic Health Record (EHR) is a system for collecting and storing patient medical records as data that can be mechanically accessed, hence facilitating and assisting the medical decision-making process. EHRs exist in several formats, and each format lists thousands of keywords to classify patients data. The keywords are specific and are medical jargon; hence, data classification is very accurate. As the keywords constituting the formats of medical records express concepts by means of specific jargon without definitions or references, their proper use is left to clinicians and could be affected by their background, hence the interpretation of data could become slow or less accurate than that desired. This article presents an approach that accurately relates data in EHRs to ontologies in the medical realm. Thanks to ontologies, clinicians can be assisted when writing or analysing health records, e.g., our solution promptly suggests rigorous definitions for scientific terms, and automatically connects data spread over several parts of EHRs. The first step of our approach consists of converting selected data and keywords from several EHR formats into a format easier to parse, then the second step is merging the extracted data with specialised medical ontologies. Finally, enriched versions of the medical data are made available to professionals. The proposed approach was validated by taking samples of medical records and ontologies in the real world. The results have shown both versatility on handling data, precision of query results, and appropriate suggestions for relations among medical records.
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