A Standard Information Model for General Dental Records

一般牙科记录的标准信息模型

基本信息

批准号：
8105075
负责人：
TITUS K. SCHLEYER
金额：
$ 21.82万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-06 至 2013-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8105075
关键词：
Adopted Adoption Agreement Algorithms American American Dental Association Arbitration Architecture Back Clinical Clinical Data Clinical Research Computer software Computerized Patient Records Computers Consensus Data Data Collection Data Element Data Set Databases Dental Dental Care Dental Informatics Dental Records Dentistry Dentists Electronic Health Record Electronics Elements Ensure Environment Epidemiologic Studies Epidemiology Evaluation Studies Future General Practices Goals Health Health Personnel Health Services Information Technology Institutes Marketing Medical Care Team Methodology Modeling Outcome Outcomes Research Paper Participant Patient Care Patients Physicians Practice Management Process Publishing Recommendation Records Reference Standards Research Research Infrastructure Research Personnel Resources Retrieval Sampling Semantics Source Structure System Time Translating United States Agency for Healthcare Research and Quality United States National Library of Medicine Vendor Vocabulary Test Work base clinical care clinical decision-making data exchange database design design electronic structure evidence base improved information model interest lexical member practice-based research network prevent public health relevance tool web based interface

项目摘要

DESCRIPTION (provided by applicant): Electronic dental records (EDR) for general dentists vary widely with regard to the content and structure of the information they contain. At a time when electronic patient records are becoming increasingly essential to delivering high-quality patient care, the "Tower of Babel" that today's EDRs represent is an increasingly significant drawback. Not only does this situation currently prevent computational approaches for supporting patient care (for instance through automatic, patient-specific retrieval of evidence-based dental resources), it also will significantly hamper the exchange of patient information within the emerging National Health Information Infrastructure. Our research indicates that incomplete and fragmented EDRs force many practitioners to maintain both paper-and computer-based patient records, which situation potentially contributes to the very limited adoption of completely electronic patient records by general dentists. The objective of this project is to develop a comprehensive, consensus-based Electronic Dental Record Information Model (EDRIM) as a reference standard for the content and structure of EDRs. In Specific Aim 1, we will iterative refine the previously compiled candidate list of data elements to develop a validated, prioritized, comprehensive list of data elements for documenting patient care in general dentistry through a Delphi approach and transform this refined list of data elements into a formal information model. In Specific Aim 2, we will conduct a formal evaluation study to access the patient information coverage offered by the EDRIM developed in Specific Aim 1 by adopting a similar methodology used in the Large Scale Vocabulary Test conducted by National Library of Medicine and the Agency for Health Care Policy and Research. The goal of our project is to develop a consensus-based, comprehensive dental information model that covers at least 70- 80% of the clinical concepts recorded by general dentists in daily practice. The proposed information model will have multiple benefits. First, EDR developers will have available a ready-made template for patient information that can easily be translated into a physical database design. Second, practitioners will benefit from EDRs that represent patient information more comprehensively than is currently the case. Third, future data exchange among dentists and their colleagues, as well as other members of the healthcare team, will be facilitated by a common data infrastructure. Last, rich and comprehensive EDRs will provide a significant opportunity to support clinical, epidemiological and health outcomes research. We expect the model to have far-reaching and beneficial impact on how patient information is represented and stored, how EDRs are designed and, ultimately, how electronic systems are used in support of clinical care and research. PUBLIC HEALTH RELEVANCE: The objective of this project is to develop a comprehensive, consensus-based Electronic Dental Record Information Model (EDRIM) as a reference standard for the content and structure of electronic dental records (EDRs).

描述（由申请人提供）：普通牙医的电子牙科记录 (EDR) 在其所包含信息的内容和结构方面存在很大差异。当电子病历对于提供高质量的患者护理变得越来越重要时，今天的 EDR 所代表的“巴别塔”是一个越来越显着的缺点。目前这种情况不仅阻碍了支持患者护理的计算方法（例如通过自动、针对患者特定的循证牙科资源检索），还将严重阻碍新兴国家卫生信息基础设施内患者信息的交换。我们的研究表明，不完整和分散的 EDR 迫使许多从业者同时维护纸质和计算机患者记录，这种情况可能导致普通牙医对完全电子患者记录的采用非常有限。该项目的目标是开发一个全面的、基于共识的电子牙科记录信息模型（EDRIM），作为 EDR 内容和结构的参考标准。在具体目标 1 中，我们将迭代细化先前编译的候选数据元素列表，以开发经过验证的、优先考虑的、全面的数据元素列表，用于通过 Delphi 方法记录普通牙科中的患者护理，并将此细化的数据元素列表转换为正式信息模型。在具体目标 2 中，我们将进行正式的评估研究，以获取由具体目标 1 中开发的 EDRIM 提供的患者信息覆盖范围，采用与国家医学图书馆和卫生局进行的大规模词汇测试中使用的类似方法护理政策和研究。我们项目的目标是开发一个基于共识的综合牙科信息模型，涵盖普通牙医在日常实践中记录的至少 70-80% 的临床概念。所提出的信息模型将有多种好处。首先，EDR 开发人员将拥有一个现成的患者信息模板，可以轻松转换为物理数据库设计。其次，从业者将从比目前更全面地代表患者信息的 EDR 中受益。第三，未来牙医及其同事以及医疗团队其他成员之间的数据交换将通过通用数据基础设施得到促进。最后，丰富而全面的 EDR 将为支持临床、流行病学和健康结果研究提供重要机会。我们预计该模型将对患者信息的表示和存储方式、EDR 的设计方式以及最终如何使用电子系统支持临床护理和研究产生深远且有益的影响。公共健康相关性：该项目的目标是开发一个全面的、基于共识的电子牙科记录信息模型（EDRIM），作为电子牙科记录（EDR）内容和结构的参考标准。