RESUMO
INTRODUCTION: The goal of this project was to develop an interactive, web-based tool to explore patterns of prevalence and co-occurrence of diseases using data from the expanded Rochester Epidemiology Project (E-REP) medical records-linkage system. METHODS: We designed the REP Data Exploration Portal (REP DEP) to include summary information for people who lived in a 27-county region of southern Minnesota and western Wisconsin on January 1, 2014 (n = 694,506; 61% of the entire population). We obtained diagnostic codes of the International Classification of Diseases, 9th edition, from the medical records-linkage system in 2009 through 2013 (5 years) and grouped them into 717 disease categories. For each condition or combination of 2 conditions (dyad), we calculated prevalence by dividing the number of persons with a specified condition (numerator) by the total number of persons in the population (denominator). We calculated observed-to-expected ratios (OERs) to test whether 2 conditions co-occur more frequently than would co-occur as a result of chance alone. RESULTS: We launched the first version of the REP DEP in May 2017. The REP DEP can be accessed at http://rochesterproject.org/portal/. Users can select 2 conditions of interest, and the REP DEP displays the overall prevalence, age-specific prevalence, and sex-specific prevalence for each condition and dyad. Also displayed are OERs overall and by age and sex and maps of county-specific prevalence of each condition and OER. CONCLUSION: The REP DEP draws upon a medical records-linkage system to provide an innovative, rapid, interactive, free-of-charge method to examine the prevalence and co-occurrence of 717 diseases and conditions in a geographically defined population.
Assuntos
Registro Médico Coordenado/métodos , Sistemas Computadorizados de Registros Médicos/história , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Registros Eletrônicos de Saúde/organização & administração , Registros Eletrônicos de Saúde/estatística & dados numéricos , Feminino , História do Século XX , História do Século XXI , Humanos , Lactente , Classificação Internacional de Doenças , Internet , Masculino , Pessoa de Meia-Idade , Minnesota , Wisconsin , Adulto JovemAssuntos
Registros Eletrônicos de Saúde , Medicaid , Sistemas Computadorizados de Registros Médicos , Medicare , Previsões , História do Século XXI , Humanos , Medicaid/economia , Sistemas Computadorizados de Registros Médicos/economia , Sistemas Computadorizados de Registros Médicos/história , Medicare/economia , South Dakota , Estados UnidosAssuntos
Sistemas Computadorizados de Registros Médicos/instrumentação , Atenção Primária à Saúde/organização & administração , Computadores , Análise Custo-Benefício , História do Século XX , História do Século XXI , Humanos , Sistemas Computadorizados de Registros Médicos/economia , Sistemas Computadorizados de Registros Médicos/históriaRESUMO
The long-term use of the information system "Biopsy" has shown its efficiency in improving the organization of the department of morbid anatomy in a large hospital. Its advantages are the availability of materials and necessary information for the shortest period. The introduction of an electronic signature and the storage of signed documents are new real steps to the creation of paper-free technology, including the so-called electronic case history base. Automated exchange of orders for tests and their results not only reduces the time of their obtaining, but also lowers costs and enhances the efficiency of work pf a biopsy laboratory.
