ClinicalCodes: An Online Clinical Codes Repository to Improve the Validity and Reproducibility of Research Using Electronic Medical Records
نویسندگان
چکیده
Lists of clinical codes are the foundation for research undertaken using electronic medical records (EMRs). If clinical code lists are not available, reviewers are unable to determine the validity of research, full study replication is impossible, researchers are unable to make effective comparisons between studies, and the construction of new code lists is subject to much duplication of effort. Despite this, the publication of clinical codes is rarely if ever a requirement for obtaining grants, validating protocols, or publishing research. In a representative sample of 450 EMR primary research articles indexed on PubMed, we found that only 19 (5.1%) were accompanied by a full set of published clinical codes and 32 (8.6%) stated that code lists were available on request. To help address these problems, we have built an online repository where researchers using EMRs can upload and download lists of clinical codes. The repository will enable clinical researchers to better validate EMR studies, build on previous code lists and compare disease definitions across studies. It will also assist health informaticians in replicating database studies, tracking changes in disease definitions or clinical coding practice through time and sharing clinical code information across platforms and data sources as research objects.
منابع مشابه
Developing a Standardized Medical Speech Recognition Database for Reconstructive Hand Surgery
Fast and holistic access to the patients’ clinical record is a major requirement of modern medical decision support systems (DSS). While electronic health records (EHRs) have replaced the traditional paper-based records in most healthcare organization, the data entry into these systems remains largely manual. Speech recognition technology promises substitution of the more convenient speech-base...
متن کاملDesigning and Validating a Search Questionnaire for Searching in Online Information Resources Based on Clinical Questions Among Iranian Medical Students
Objective To be up-to-date, the medical community must have the ability to communicate in the electronic environment and search for information resources. The present study aims to develop a questionnaire to assess the attitudes of Iranian medical students towards searching for information resources by formulating clinical questions and evaluate its validly and reliability. Methods This is a d...
متن کاملIntegrating Medication Alert Data into a Clinical Data Repository to Enable Retrospective Study of Drug Interaction Alerts in Clinical Practice
Current clinical data repositories primarily extract data from multiple administrative and electronic medical record (EMR) data resources (e.g., hospital and physician billing records) containing specific patient-level data including demographics, medications, laboratory results, diagnoses, and procedure codes. It overlooks the importance of EMR system-level data (e.g., medication alerts that a...
متن کاملIdentifying and Ranking E-Health Cods of Medical Ethics
Background: The spread of electronic health has led to challenging ethical issues. This paper aims to identify the e-health codes of ethics based on virtue approach in hospitals and prioritize them in order to help managers for better understanding the nature of ethical challenges of e-health. Method: This research is an applied-descriptive study, in detail it is a single cross-survey. Statisti...
متن کاملElectronic patient records for dental school clinics: more than paperless systems.
The Electronic Patient Record (EPR) or "computer-based medical record" is defined by the Patient Record Institute as "a repository for patient information with one health-care enterprise that is supported by digital computer input and integrated with other information sources." The information technology revolution coupled with everyday use of computers in clinical dentistry has created new dem...
متن کامل