RiskScape: A Data Visualization and Aggregation Platform for Public Health Surveillance Using Routine Electronic Health Record Data

2020 ◽  
pp. e1-e8
Author(s):  
Noelle M. Cocoros ◽  
Chaim Kirby ◽  
Bob Zambarano ◽  
Aileen Ochoa ◽  
Karen Eberhardt ◽  
...  

Automated analysis of electronic health record (EHR) data is a complementary tool for public health surveillance. Analyzing and presenting these data, however, demands new methods of data communication optimized to the detail, flexibility, and timeliness of EHR data. RiskScape is an open-source, interactive, Web-based, user-friendly data aggregation and visualization platform for public health surveillance using EHR data. RiskScape displays near-real-time surveillance data and enables clinical practices and health departments to review, analyze, map, and trend aggregate data on chronic conditions and infectious diseases. Data presentations include heat maps of prevalence by zip code, time series with statistics for trends, and care cascades for conditions such as HIV and HCV. The platform’s flexibility enables it to be modified to incorporate new conditions quickly—such as COVID-19. The Massachusetts Department of Public Health (MDPH) uses RiskScape to monitor conditions of interest using data that are updated monthly from clinical practice groups that cover approximately 20% of the state population. RiskScape serves an essential role in demonstrating need and burden for MDPH’s applications for funding, particularly through the identification of inequitably burdened populations. (Am J Public Health. Published online ahead of print December 22, 2020: e1–e8. https://doi.org/10.2105/AJPH.2020.305963 )

2011 ◽  
Vol 4 (0) ◽  
Author(s):  
James Cheek ◽  
Aneel Advani ◽  
Brigg Reilley ◽  
Frank Hack ◽  
Amy Groom ◽  
...  

2014 ◽  
Vol 3 (5) ◽  
pp. 55 ◽  
Author(s):  
Frank Boterenbrood ◽  
Irene Krediet ◽  
William Goossen

Objective: The aim was to create a reliable information provisioning system in healthcare for both care and research processes, based on existing data standards and standardized electronic messages. The research question is: How can a Clinical Data Ware House (CDWH) be developed for standardized basic patient data, generic nursing data and data about oncology nursing, allowing management of Electronic Health Record data, electronic data exchange and data analytics? Materials and methods: The main instrument used was the Detailed Clinical Model (DCM) data standardization approach. Further, data communication utilized HealthLevel7v3 (HL7v3) messages, transported by Mirth Connect. In an incremental, design-oriented research project, CDWH-prototypes were constructed using Enterprise Architect, a HL7v3 generator plug-in, SQL Server technology and PostgreSQL-based CDWH-technology. Results: The project resulted in 16 existing DCMs selected and 6 new DCMs defined. From those DCMs, a HL7v3 message structure was generated and a CDWH created. Implementing specialized Data Marts (DM) a connection between the CDWH and one Electronic Health Record system was built. Discussion: Detailed Clinical Models improve data quality, yet building them consumes time and resources. Some required data codes could not be identified in time and dummy codes were used instead. The existence of unstructured medical data in legacy systems may proof to be an obstacle in the future. Conclusion: The project shows that using Detailed Clinical Models as the sole source for system development leads to a sound design for a CDWH and HL7v3 messages, supporting a standards based health information system, suitable for multiple uses.


Author(s):  
Sharon E. Perlman ◽  
Katharine H. McVeigh ◽  
Remle Newton-Dame ◽  
Lorna E. Thorpe ◽  
Elisabeth F. Snell ◽  
...  

2011 ◽  
Vol 4 (0) ◽  
Author(s):  
Michael Klompas ◽  
Chaim Kirby ◽  
Jason McVetta ◽  
Paul Oppedisano ◽  
John Brownstein ◽  
...  

Author(s):  
José Carlos Ferrão ◽  
Mónica Duarte Oliveira ◽  
Daniel Gartner ◽  
Filipe Janela ◽  
Henrique M. G. Martins

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