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Iterative Evaluation of the Health Level 7—Logical Observation Identifiers Names and Codes Clinical Document Ontology for Representing Clinical Document Names: A Case Report

机译:健康级别7的迭代评估-逻辑观察标识符名称和代码代表临床文档名称的临床文档本体:一个病例报告

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摘要

The authors summarize their experience in iteratively testing the adequacy of three versions of the Health Level Seven (HL7) Logical Observation Identifiers Names and Codes (LOINC) Clinical Document Ontology (CDO) to represent document names at Columbia University Medical Center. The percentage of documents fully represented increased from 23.4% (Version 1) to 98.5% (Version 3). The proportion of unique representations increased from 7.9% (Analysis 1) to 39.4% (Analysis 4); the proportion reflects the level of specificity in the document names as well as the completeness and level of granularity of the CDO. The authors shared the findings of each analysis with the Clinical LOINC committee and participated in the decision-making regarding changes to the CDO on the basis of those analyses and those conducted by the Department of Veterans Affairs. The authors encourage other institutions to actively engage in testing healthcare standards and participating in standards development activities to increase the likelihood that the evolving standards will meet institutional needs.
机译:作者总结了他们在反复测试三个版本的“七级健康”(HL7)逻辑观察标识符名称和代码(LOINC)临床文档本体论(CDO)的适用性方面的经验,以代表哥伦比亚大学医学中心的文档名称。完全代表的文档百分比从23.4%(版本1)增加到98.5%(版本3)。唯一表示的比例从7.9%(分析1)增加到39.4%(分析4);该比例反映了文档名称中的特异性级别以及CDO的完整性和粒度级别。作者与临床LOINC委员会分享了每种分析的结果,并参与了基于这些分析和退伍军人事务部进行的关于CDO变更的决策。作者鼓励其他机构积极参与医疗保健标准的测试并参加标准制定活动,以提高不断发展的标准满足机构需求的可能性。

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