Rare Diseases in Hospital Information Systems-An Interoperable Methodology for Distributed Data Quality Assessments.

Autor:	Tahar K; Department of Medical Informatics, University Medical Center Göttingen, Georg-August-University, Göttingen, Germany., Martin T; Centre for Rare Diseases, University Hospital Tübingen, Tübingen, Germany., Mou Y; Chair of Computer Science 5, RWTH Aachen University, Aachen, Germany., Verbuecheln R; Medical Data Integration Center, University Hospital Tübingen, Tübingen, Germany., Graessner H; Centre for Rare Diseases, University Hospital Tübingen, Tübingen, Germany., Krefting D; Department of Medical Informatics, University Medical Center Göttingen, Georg-August-University, Göttingen, Germany.
Jazyk:	angličtina
Zdroj:	Methods of information in medicine [Methods Inf Med] 2023 Sep; Vol. 62 (3-04), pp. 71-89. Date of Electronic Publication: 2023 Jan 03.
DOI:	10.1055/a-2006-1018
Abstrakt:	Background: Multisite research networks such as the project "Collaboration on Rare Diseases" connect various hospitals to obtain sufficient data for clinical research. However, data quality (DQ) remains a challenge for the secondary use of data recorded in different health information systems. High levels of DQ as well as appropriate quality assessment methods are needed to support the reuse of such distributed data. Objectives: The aim of this work is the development of an interoperable methodology for assessing the quality of data recorded in heterogeneous sources to improve the quality of rare disease (RD) documentation and support clinical research. Methods: We first developed a conceptual framework for DQ assessment. Using this theoretical guidance, we implemented a software framework that provides appropriate tools for calculating DQ metrics and for generating local as well as cross-institutional reports. We further applied our methodology on synthetic data distributed across multiple hospitals using Personal Health Train. Finally, we used precision and recall as metrics to validate our implementation. Results: Four DQ dimensions were defined and represented as disjunct ontological categories. Based on these top dimensions, 9 DQ concepts, 10 DQ indicators, and 25 DQ parameters were developed and applied to different data sets. Randomly introduced DQ issues were all identified and reported automatically. The generated reports show the resulting DQ indicators and detected DQ issues. Conclusion: We have shown that our approach yields promising results, which can be used for local and cross-institutional DQ assessments. The developed frameworks provide useful methods for interoperable and privacy-preserving assessments of DQ that meet the specified requirements. This study has demonstrated that our methodology is capable of detecting DQ issues such as ambiguity or implausibility of coded diagnoses. It can be used for DQ benchmarking to improve the quality of RD documentation and to support clinical research on distributed data. Competing Interests: None declared. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).)
Databáze:	MEDLINE
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