■今天,现代技术用于诊断和治疗心血管疾病。这些医疗设备提供精确的测量和原始数据,例如成像数据或生物信号。到目前为止,将这些健康数据广泛整合到医院信息技术结构中-特别是在德国-缺乏,如果进行数据集成,只有不具有价值的发现通常被整合到医院信息技术结构中。原始数据和结构化医疗信息的全面集成尚未建立。该项目的目的是设计和实现一个可互操作的数据库(心血管信息系统,CVIS)用于在心血管医学中自动集成所有医疗设备数据(参数和原始数据)。
■CVIS在各种设备与医院IT基础架构之间的接口处充当数据集成和准备系统。在我们的项目中,我们能够建立一个集成专有设备接口的数据库,它可以通过各种HL7和Web界面集成到电子健康记录(EHR)中。
■在1.7.2020至30.6.2022之间的时期内,对集成到该数据库中的数据进行了评估。在此期间,114,858名患者被自动纳入数据库,并输入了其中50,295名患者的医疗数据。对于技术考试,超过450万次读数(平均每次检查28.5次)和684,696次图像数据和原始信号(28,935次ECG文件,655761份结构化报告,91,113个X射线物体,559,648个不同检查类型的超声对象,5,000个内窥镜检查对象)被集成到数据库中。成功处理了超过1020万条双向HL7消息(约14,000条/天)。将98,458个文件转入中央文件管理系统,55,154份材料(平均每单7.77份)被记录并存储在数据库中,记录和转移了21,196次诊断和50,353次服务/OPS。平均而言,记录每位患者的3.3次检查;此外,平均有13次实验室检查。
■包括原始数据在内的医疗设备的全自动数据集成是可行的,并且已经在短时间内为多模态现代分析方法创建了一个全面的数据库。这是通过使用FHIR提取研究数据的国家和国际项目的基础。
UNASSIGNED: Today, modern technology is used to diagnose and treat cardiovascular disease. These medical devices provide exact measures and raw data such as imaging data or biosignals. So far, the Broad Integration of These Health Data into Hospital Information Technology Structures-Especially in Germany-is Lacking, and if data integration takes place, only non-Evaluable Findings are Usually Integrated into the Hospital Information Technology Structures. A Comprehensive Integration of raw Data and Structured Medical Information has not yet Been Established. The aim of this project was to design and implement an interoperable database (cardio-vascular-information-system, CVIS) for the automated integration of al medical device data (parameters and raw data) in cardio-vascular medicine.
UNASSIGNED: The CVIS serves as a data integration and preparation system at the interface between the various devices and the hospital IT infrastructure. In our project, we were able to establish a database with integration of proprietary device interfaces, which could be integrated into the electronic health record (EHR) with various HL7 and web interfaces.
UNASSIGNED: In the period between 1.7.2020 and 30.6.2022, the data integrated into this database were evaluated. During this time, 114,858 patients were automatically included in the database and medical data of 50,295 of them were entered. For technical examinations, more than 4.5 million readings (an average of 28.5 per examination) and 684,696 image data and raw signals (28,935 ECG files, 655,761 structured reports, 91,113 x-ray objects, 559,648 ultrasound objects in 54 different examination types, 5,000 endoscopy objects) were integrated into the database. Over 10.2 million bidirectional HL7 messages (approximately 14,000/day) were successfully processed. 98,458 documents were transferred to the central document management system, 55,154 materials (average 7.77 per order) were recorded and stored in the database, 21,196 diagnoses and 50,353 services/OPS were recorded and transferred. On average, 3.3 examinations per patient were recorded; in addition, there are an average of 13 laboratory examinations.
UNASSIGNED: Fully automated data integration from medical devices including the raw data is feasible and already creates a comprehensive database for multimodal modern analysis approaches in a short time. This is the basis for national and international projects by extracting research data using
FHIR.