Objective:To classify the subtypes of metabolic-associated fatty liver disease(MAFLD)and provide new insights into the heterogeneity of MAFLD.Methods:Electronic medical records(EMR)of MAFLD diagnosed in accordance wit...Objective:To classify the subtypes of metabolic-associated fatty liver disease(MAFLD)and provide new insights into the heterogeneity of MAFLD.Methods:Electronic medical records(EMR)of MAFLD diagnosed in accordance with the diagnostic criteria of Hubei Provincial Hospital of Traditional Chinese Medicine from 2016-2020 were included in the study.for physical annotation,and the data on each clinical phenotype was normalized according to corresponding aspirational standards.The MAFLD heterogeneous medical record network(HEMnet)was constructed using sex,age,disease diagnosis,symptoms,and Western medicine prescriptions as nodes and the co-occurrence times between phenotypes as edges.K-means clustering was used for disease classification.Relative risk(RR)was used to assess the specificity of each phenotype.Statistical methods were used to compare differences in laboratory indicators among subtypes.Results:A total of patients(12,626)with a mean age of 55.02(±14.21)years were included in the study.MAFLD can be divided into five subtypes:digestive diseases(C0),mental disorders and gynecological diseases(C1),chronic liver diseases and decompensated complications(C2),diabetes mellitus and its complications(C3),and immune joint system diseases(C4).Conclusions:Patients with MAFLD experience various symptoms and complications.The classification of MAFLD based on the HEMnet method is highly reliable.展开更多
Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of e...Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of endoscopic data are an important key to improving endoscopy unit efficiency and productivity.This technology supports optimal program operation,monitoring and evaluation colorectal cancer screening.This article is a comprehensive survey of endoscopic electronic medical records and information systems.Computerized clinical records have the capability of identifying patients due for screening and to calculate baseline rates of colorectal cancer screening by patient characteristics and by primary care physician and practice group.This paper describes data flow in the endoscopy unit,the minimum data set of colorectal cancer and key features of endoscopic electronic medical record.In addition,the researchers state standards in different aspects,especially terminology standards and interoperability standards for image and text.展开更多
目的:设计一种基于后结构化电子病历的胰腺癌科研数据平台,为胰腺癌科研项目提供数据支持。方法:该平台基于SQL Server 2015数据库,采用浏览器/服务器(Browser/Server,B/S)架构进行设计。采用SQL Server Integration Services 2015工具...目的:设计一种基于后结构化电子病历的胰腺癌科研数据平台,为胰腺癌科研项目提供数据支持。方法:该平台基于SQL Server 2015数据库,采用浏览器/服务器(Browser/Server,B/S)架构进行设计。采用SQL Server Integration Services 2015工具抽取结构化后的电子病历数据和临床信息系统产生的异构数据;采用SQL Server Reporting Services 2015工具开发浏览器界面,实现数据查询和可视化。整个平台包括数据抽取、数据处理和查询分析3个功能模块。结果:该平台可将散落在各个系统中的非结构化数据和半结构化数据集成到一起,为胰腺癌科研项目提供真实可靠的数据,并能对数据进行管理、统计、筛选和生成各类图表。结论:该平台能基本满足胰腺癌科研工作的需求,为构建类似需求的其他病历研究平台提供了借鉴。展开更多
基金supported by grants from the Key project Natural Science Foundation of Hubei Province(No.2020CFA023)Project of the State Administration of Traditional Chinese Medicine(No Z155080000004):Key Laboratory of Liver and Kidney Treatment of Chronic Liver Diseases.
文摘Objective:To classify the subtypes of metabolic-associated fatty liver disease(MAFLD)and provide new insights into the heterogeneity of MAFLD.Methods:Electronic medical records(EMR)of MAFLD diagnosed in accordance with the diagnostic criteria of Hubei Provincial Hospital of Traditional Chinese Medicine from 2016-2020 were included in the study.for physical annotation,and the data on each clinical phenotype was normalized according to corresponding aspirational standards.The MAFLD heterogeneous medical record network(HEMnet)was constructed using sex,age,disease diagnosis,symptoms,and Western medicine prescriptions as nodes and the co-occurrence times between phenotypes as edges.K-means clustering was used for disease classification.Relative risk(RR)was used to assess the specificity of each phenotype.Statistical methods were used to compare differences in laboratory indicators among subtypes.Results:A total of patients(12,626)with a mean age of 55.02(±14.21)years were included in the study.MAFLD can be divided into five subtypes:digestive diseases(C0),mental disorders and gynecological diseases(C1),chronic liver diseases and decompensated complications(C2),diabetes mellitus and its complications(C3),and immune joint system diseases(C4).Conclusions:Patients with MAFLD experience various symptoms and complications.The classification of MAFLD based on the HEMnet method is highly reliable.
文摘Digestive endoscopy is currently the main diagnostic procedure for investigation of the digestive tract when a digestive disease is suspected.The use of computers and electronic medical records for the management of endoscopic data are an important key to improving endoscopy unit efficiency and productivity.This technology supports optimal program operation,monitoring and evaluation colorectal cancer screening.This article is a comprehensive survey of endoscopic electronic medical records and information systems.Computerized clinical records have the capability of identifying patients due for screening and to calculate baseline rates of colorectal cancer screening by patient characteristics and by primary care physician and practice group.This paper describes data flow in the endoscopy unit,the minimum data set of colorectal cancer and key features of endoscopic electronic medical record.In addition,the researchers state standards in different aspects,especially terminology standards and interoperability standards for image and text.
文摘目的:设计一种基于后结构化电子病历的胰腺癌科研数据平台,为胰腺癌科研项目提供数据支持。方法:该平台基于SQL Server 2015数据库,采用浏览器/服务器(Browser/Server,B/S)架构进行设计。采用SQL Server Integration Services 2015工具抽取结构化后的电子病历数据和临床信息系统产生的异构数据;采用SQL Server Reporting Services 2015工具开发浏览器界面,实现数据查询和可视化。整个平台包括数据抽取、数据处理和查询分析3个功能模块。结果:该平台可将散落在各个系统中的非结构化数据和半结构化数据集成到一起,为胰腺癌科研项目提供真实可靠的数据,并能对数据进行管理、统计、筛选和生成各类图表。结论:该平台能基本满足胰腺癌科研工作的需求,为构建类似需求的其他病历研究平台提供了借鉴。
