Opportunities and challenges in leveraging electronic health record data in oncology
Opportunities and challenges in leveraging electronic health record data in oncology
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DOI：
10.2217/fon-2015-0043
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发表时间：
2016-01-01
期刊：
影响因子：
3.3
通讯作者：
Abernethy, Amy P.
中科院分区：
文献类型：
--
作者：
Berger, Marc L.;Curtis, Melissa D.;Abernethy, Amy P.
电子健康记录（EHR）的广泛采用和患者数字化信息源的日益丰富正在迎来一个“大数据”时代，这可能会彻底改变肿瘤学的临床研究。研究可能会比目前手动图表审查研究的黄金标准更有效，也可能更准确。然而，目前存在的EHR有很大的局限性：重要的数据元素丢失或仅在自由文本或PDF文档中捕获。使用两个案例研究，我们说明了利用电子病历中医疗保健系统常规收集的数据的挑战（例如，真实世界的数据），在癌症领域遇到的具体挑战以及克服这些挑战后可以实现的机会。
The widespread adoption of electronic health records (EHRs) and the growing wealth of digitized information sources about patients is ushering in an era of 'Big Data' that may revolutionize clinical research in oncology. Research will likely be more efficient and potentially more accurate than the current gold standard of manual chart review studies. However, EHRs as they exist today have significant limitations: important data elements are missing or are only captured in free text or PDF documents. Using two case studies, we illustrate the challenges of leveraging the data that are routinely collected by the healthcare system in EHRs (e.g., real-world data), specific challenges encountered in the cancer domain and opportunities that can be achieved when these are overcome.