GARDE: a standards-based clinical decision support platform for identifying population health management cohorts.
GARDE: a standards-based clinical decision support platform for identifying population health management cohorts.
复制标题
Garde：基于标准的临床决策支持平台，用于识别人口健康管理队列。
DOI：
10.1093/jamia/ocac028
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发表时间：
2022-04-13
影响因子：
6.4
通讯作者：
Del Fiol, Guilherme
中科院分区：
文献类型：
--
作者：
Bradshaw, Richard L.;Kawamoto, Kensaku;Kaphingst, Kimberly A.;Kohlmann, Wendy K.;Hess, Rachel;Flynn, Michael C.;Nanjo, Claude J.;Warner, Phillip B.;Shi, Jianlin;Morgan, Keaton;Kimball, Kadyn;Ranade-Kharkar, Pallavi;Ginsburg, Ophira;Goodman, Melody;Chambers, Rachelle;Mann, Devin;Narus, Scott P.;Gonzalez, Javier;Loomis, Shane;Chan, Priscilla;Monahan, Rachel;Borsato, Emerson P.;Shields, David E.;Martin, Douglas K.;Kessler, Cecilia M.;Del Fiol, Guilherme
关键词：
人口健康管理（PHM）是促进健康并向符合预防措施或治疗标准的目标人群提供医疗保健的重要方法。任何 PHM 计划的一个关键组成部分是一个可以针对那些符合条件的个人的数据分析平台。本研究的目的是设计和实施一种可扩展的基于标准的临床决策支持 (CDS) 方法，以确定 PHM 的患者队列并最大限度地增加多站点传播的机会。建立了一个架构来支持异构电子健康记录 (EHR) 数据源、PHM 系统和 CDS 组件之间的双向数据交换。 HL7 快速医疗保健互操作性资源和 CDS Hooks 用于促进互操作性和传播。通过在多个地点部署该平台来识别符合家族性癌症遗传评估标准的患者，该方法得到了验证。创建了遗传癌症风险检测器 (GARDE) 平台，该平台由四个组件组成：(1) 用于计算 PHM 队列患者资格的开源 CDS Hooks 服务器，(2) 用于处理 GARDE 请求并将结果传达给 PHM 系统的开源群体协调器，(3) EHR 患者数据存储库，以及 (4) 用于管理患者和执行外展功能的 EHR PHM 工具。特定于站点的部署是在现场虚拟机和基于云的 Amazon Web Services 上执行的。 GARDE 的组件架构建立了通用的基于标准的方法来计算 PHM 队列。使用已建立的部署方法之一复制部署需要最少的本地自定义。大多数部署工作与获得特定于站点的信息技术治理批准有关。
Population health management (PHM) is an important approach to promote wellness and deliver health care to targeted individuals who meet criteria for preventive measures or treatment. A critical component for any PHM program is a data analytics platform that can target those eligible individuals. The aim of this study was to design and implement a scalable standards-based clinical decision support (CDS) approach to identify patient cohorts for PHM and maximize opportunities for multi-site dissemination. An architecture was established to support bidirectional data exchanges between heterogeneous electronic health record (EHR) data sources, PHM systems, and CDS components. HL7 Fast Healthcare Interoperability Resources and CDS Hooks were used to facilitate interoperability and dissemination. The approach was validated by deploying the platform at multiple sites to identify patients who meet the criteria for genetic evaluation of familial cancer. The Genetic Cancer Risk Detector (GARDE) platform was created and is comprised of four components: (1) an open-source CDS Hooks server for computing patient eligibility for PHM cohorts, (2) an open-source Population Coordinator that processes GARDE requests and communicates results to a PHM system, (3) an EHR Patient Data Repository, and (4) EHR PHM Tools to manage patients and perform outreach functions. Site-specific deployments were performed on onsite virtual machines and cloud-based Amazon Web Services. GARDE’s component architecture establishes generalizable standards-based methods for computing PHM cohorts. Replicating deployments using one of the established deployment methods requires minimal local customization. Most of the deployment effort was related to obtaining site-specific information technology governance approvals.
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DOI：
10.1136/amiajnl-2013-001935
发表时间：
2014-03
期刊：
Journal of the American Medical Informatics Association : JAMIA
影响因子：
--
作者：
Shivade C;Raghavan P;Fosler-Lussier E;Embi PJ;Elhadad N;Johnson SB;Lai AM
通讯作者：
Lai AM
DOI：
10.1136/amiajnl-2013-001990
发表时间：
2014-02-01
影响因子：
6.4
作者：
Goldberg, Howard S.;Paterno, Marilyn D.;Middleton, Blackford
通讯作者：
Middleton, Blackford
DOI：
10.1016/j.ijmedinf.2010.06.002
发表时间：
2010-09-01
影响因子：
4.9
作者：
Cho, InSook;Kim, JeongAh;Kim, Yoon
通讯作者：
Kim, Yoon
DOI：
10.1093/jamia/ocab028
发表时间：
2021-03-01
影响因子：
6.4
作者：
Jones, James;Gottlieb, Daniel;Mandl, Kenneth D.
通讯作者：
Mandl, Kenneth D.
影响因子：
4.2
作者：
Del Fiol, Guilherme;Kohlmann, Wendy;Kawamoto, Kensaku
通讯作者：
Kawamoto, Kensaku