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Development of an Open Metadata Schema for Clinical Pathway (openCP) in China
Methods of Information in Medicine ( IF 1.3 ) Pub Date : 2018-09-01 , DOI: 10.3414/me17-01-0110 Yanxin Zhu , Yibing Geng , Wei Xu
Methods of Information in Medicine ( IF 1.3 ) Pub Date : 2018-09-01 , DOI: 10.3414/me17-01-0110 Yanxin Zhu , Yibing Geng , Wei Xu
BACKGROUND
By the end of the first quarter of 2017, 1212 standard Clinical Pathways (CPs) had been developed and implemented in China since 2009, however, Chinese standard CPs are still paper-based CPs. OBJECTIVES
To optimize the data structure and content of Chinese standard CPs based on Chinese health standards by two-level modeling approach and archetype method, and develop an Open Metadata Schema for Clinical Pathway (openCP) in China. METHODS
We chose 43 diseases covering 7 departments of internal medicine as samples and source materials including Respiratory, Gastroenterology, Neurology, Cardiology, Nephrology, Endocrinology, and Hematology, and we followed 4 steps to develop openCP: identify reference model of openCP; develop archetype models; standardize archetype terms and metadata; and evaluate its functionality. RESULTS
We have built hierarchical reference model and archetypes of openCP, created and standardized archetype terms and metadata, and evaluate the functionality of openCP. The qualitative comments from 5 doctors were inspiring. DISCUSSION AND CONCLUSIONS
Medical staff may easily build localized CPs in openCP which can be integrated into EHR systems and shared among different hospitals and clinics.
更新日期：2018-09-01
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