 |
 |
|
|
|  PubMed
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
15 October 1997 | Volume 127 Issue 8 Part 2 | Pages 675-682
The pressure to improve health care and provide better care at a lower cost has generated the need for efficient capture of clinical data. Many data sets are now being defined to analyze health care. Historically, review and research organizations have simply determined what data they wanted to collect, developed forms, and then gathered the information through chart review without regard to what is already available institutionally in computerized databases. Today, much electronic patient information is available in operational data systems (for example, laboratory systems, pharmacy systems, and surgical scheduling systems) and is accessible by agencies and organizations through standards for messages, codes, and encrypted electronic mail. Such agencies and organizations should define the elements of their data sets in terms of standardized operational data, and data producers should fully adopt these code and message standards. The Health Plan Employer Data and Information Set and the Council of State and Territorial Epidemiologists in collaboration with the Centers for Disease Control and Prevention and the Association of State and Territorial Public Health Laboratory Directors provide examples of how this can be done.
Author and Article Information
From the Regenstrief Institute for Health Care and Indiana University Medical Center, Indianapolis, Indiana; and the Maryland Department of Health and Mental Hygiene, Baltimore, Maryland.
THE DATABASES
A Framework for Capturing Clinical Data Sets from Computerized Sources
Note: This article is one of a series of articles comprising an Annals of Internal Medicine supplement entitled "Measuring Quality, Outcomes, and Cost of Care Using Large Databases: The Sixth Regenstrief Conference." To see a complete list of the articles included in this supplement, please view its Table of Contents.
Grant Support: In part by grant HS 07719-03 from the Agency for Health Care Policy and Research, contracts NO1-LM-4-3410 and NO1-LM-6-3456 from the National Library of Medicine, and grant 92196-H from the John A. Hartford Foundation of New York.
Requests for Reprints: Clement J. McDonald, MD, Department of Medicine, Regenstrief Institute for Health Care, Indiana University Medical Center, 5th floor RHC, 1001 West 10th Street, Indianapolis, IN 46202.
Current Author Addresses: Drs. McDonald, Overhage, Dexter, and Takesue: Department of Medicine, Regenstrief Institute for Health Care, Indiana University School of Medicine, 1001 West 10th Street, Indianapolis, IN 46202.
Dr. Dwyer: Epidemiology and Disease Control Program, Maryland Department of Health and Mental Hygiene, 201 West Preston Street, Room 325, Baltimore, MD 21201.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  A. Turchin, M. Shubina, E. Breydo, M. L. Pendergrass, and J. S. Einbinder Comparison of Information Content of Structured and Narrative Text Data Sources on the Example of Medication Intensification J. Am. Med. Inform. Assoc., May 1, 2009; 16(3): 362 - 370. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Overhage, S. Grannis, and C. J. McDonald A Comparison of the Completeness and Timeliness of Automated Electronic Laboratory Reporting and Spontaneous Reporting of Notifiable Conditions Am J Public Health, February 1, 2008; 98(2): 344 - 350. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Weiner, C. M. Callahan, W. M. Tierney, J M. Overhage, B. Mamlin, P. R. Dexter, and C. J. McDonald Using Information Technology To Improve the Health Care of Older Adults Ann Intern Med, September 2, 2003; 139(5_Part_2): 430 - 436. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. D. Schiff, D. Klass, J. Peterson, G. Shah, and D. W. Bates Linking Laboratory and Pharmacy: Opportunities for Reducing Errors and Improving Care Arch Intern Med, April 28, 2003; 163(8): 893 - 900. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. J. McDonald, S. M. Huff, J. G. Suico, G. Hill, D. Leavelle, R. Aller, A. Forrey, K. Mercer, G. DeMoor, J. Hook, et al. LOINC, a Universal Standard for Identifying Laboratory Observations: A 5-Year Update Clin. Chem., April 1, 2003; 49(4): 624 - 633. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T R Dresselhaus, J Luck, and J W Peabody The ethical problem of false positives: a prospective evaluation of physician reporting in the medical record J. Med. Ethics, October 1, 2002; 28(5): 291 - 294. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. J. Doyle, M. K. Glynn, and S. L. Groseclose Completeness of Notifiable Infectious Disease Reporting in the United States: An Analytical Literature Review Am. J. Epidemiol., May 1, 2002; 155(9): 866 - 874. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. B. Lober, B. Thomas Karras, M. M. Wagner, J. Marc Overhage, A. J. Davidson, H. Fraser, L. J. Trigg, K. D. Mandl, J. U. Espino, and F.-C. Tsui Roundtable on Bioterrorism Detection: Information System-based Surveillance J. Am. Med. Inform. Assoc., March 1, 2002; 9(2): 105 - 115. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Paltiel, E. Salakhov, I. Ronen, D. Berg, and A. Israeli Management of Severe Hypokalemia in Hospitalized Patients: A Study of Quality of Care Based on Computerized Databases Arch Intern Med, April 23, 2001; 161(8): 1089 - 1095. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Peabody, J. Luck, P. Glassman, T. R. Dresselhaus, and M. Lee Comparison of Vignettes, Standardized Patients, and Chart Abstraction: A Prospective Validation Study of 3 Methods for Measuring Quality JAMA, April 5, 2000; 283(13): 1715 - 1722. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. D. Bidgood Jr, B. Bray, N. Brown, A. R. Mori, K. A. Spackman, A. Golichowski, R. H. Jones, L. Korman, B. Dove, L. Hildebrand, et al. Image Acquisition Context: Procedure Description Attributes for Clinically Relevant Indexing and Selective Retrieval of Biomedical Images J. Am. Med. Inform. Assoc., January 1, 1999; 6(1): 61 - 75. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Schiff and T. D. Rucker Computerized Prescribing: Building the Electronic Infrastructure for Better Medication Usage JAMA, April 1, 1998; 279(13): 1024 - 1029. [Abstract] [Full Text] [PDF]
|
|
