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AMIA Annu Symp Proc ; 2011: 19-27, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22195051

RESUMO

The fragmentation of clinical and public health systems results in divergent information collection practices, presenting challenges to standardization and EHR certification efforts. Data forms employed in public health jurisdictions nationwide reflect these differences in patient treatment, monitoring and evaluation, and follow-up, presenting challenges for data integration. To study these variations, we surveyed tuberculosis contact investigation forms from all fifty states, three municipalities and two countries. We apply statistics and cluster analysis to analyze the divergent content of contact investigation forms with the goal of characterizing normative practices and identifying a common core of data fields. We found widespread variation in data elements between states in the study, with the "Name" field being the only ubiquitous data element. Our method reveals distinct groupings of data fields employed in certain regions, allowing the simultaneous identification of core standard data fields as well as variations in practice.


Assuntos
Busca de Comunicante , Registros Eletrônicos de Saúde/normas , Informática em Saúde Pública/normas , Análise por Conglomerados , Coleta de Dados/normas , Controle de Formulários e Registros , Humanos , Gestão da Informação , Registro Médico Coordenado , Integração de Sistemas , Tuberculose , Estados Unidos
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