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1.
Stud Health Technol Inform ; 273: 170-175, 2020 Sep 04.
Artigo em Inglês | MEDLINE | ID: mdl-33087608

RESUMO

The use of different data formats complicates the standardization and exchange of valuable medical data. Moreover, a big part of medical data is stored as unstructured medical records that are complicated to process. In this work we solve the task of unstructured allergy anamnesis categorization according to categories provided by FHIR. We applied two stage classification model with manually labeled records. On the first stage the model filters records with information about allergies and on the second stage it categorizes each record. The model showed high performance. The development of this approach will ensure secondary use of data and interoperability.


Assuntos
Registros Eletrônicos de Saúde , Hipersensibilidade , Humanos , Registros
2.
Methods Inf Med ; 58(4-05): 151-159, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32170719

RESUMO

BACKGROUND: Evaluating potential data losses from mapping proprietary medical data formats to standards is essential for decision making. The article implements a method to evaluate the preliminary content overlap of proprietary medical formats, including national terminologies and Fast Healthcare Interoperability Resources (FHIR)-international medical standard. METHODS: Three types of mappings were evaluated in the article: proprietary format matched to FHIR, national terminologies matched to the FHIR mappings, and concepts from national terminologies matched to Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT). We matched attributes of the formats with FHIR definitions and calculated content overlap. RESULTS: The article reports the results of a manual mapping between a proprietary medical format and the FHIR standard. The following results were obtained: 81% of content overlap for the proprietary format to FHIR mapping, 88% of content overlap for the national terminologies to FHIR mapping, and 98.6% of concepts matching can be reached from national terminologies to SNOMED CT mapping. Twenty tables from the proprietary format and 20 dictionaries were matched with FHIR resources; nine dictionaries were matched with SNOMED CT concepts. CONCLUSION: Mapping medical formats is a challenge. The obtained overlaps are promising in comparison with the investigated results. The study showed that standardization of data exchange between proprietary formats and FHIR is possible in Russia, and national terminologies can be used in FHIR-based information systems.


Assuntos
Interoperabilidade da Informação em Saúde , Systematized Nomenclature of Medicine , Dicionários como Assunto , Federação Russa
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