论文标题
卫生领域社会决定因素的本体论
An Ontology for the Social Determinants of Health Domain
论文作者
论文摘要
卫生的社会决定因素是社会因素，例如一个人的出生，长大，工作，生活等，以及影响个人健康的社会经济和社区因素。健康的社会决定因素与许多临床结果相关，因此希望在电子健康记录（EHRS）中记录SDOH数据。除了存储图像，文本等外，EHR还依靠标准本体和术语中可用的编码术语来记录观察和分析。关于了解SDOH的临床影响，从筛查工具到基于练习的干预措施，有大量研究。但是，没有用于记录EHR中SDOH观察的术语的全面收集。我们的研究目标是开发一个涵盖描述SDOH术语的本体。我们提出了一个原型本体论，称为健康本体论（SOHO）的社会决定因素（SOHO），涵盖了相关概念，并且是一种描述社会决定因素的影响和关联的关系。我们描述了我们应用于SOHO的评估技术，包括人类专家评论和算法评估。
Social determinants of health are societal factors, such as where a person was born, grew up, works, lives, etc, along with socioeconomic and community factors that affect individual health. Social Determinants of Health are correlated with many clinical outcomes, hence it is desirable to record SDOH data in Electronic Health Records (EHRs). Besides storing images, text, etc., EHRs rely on coded terms available in standard ontologies and terminologies to record observations and analyses. There is a substantial amount of research on understanding the clinical impact of SDOH, ranging from screening tools to practice based interventions. However, there is no comprehensive collection of terms for recording SDOH observations in EHRs. Our research goal is to develop an ontology that covers the terms describing SDOH. We present a prototype ontology called Social Determinant of Health Ontology (SOHO) that covers relevant concepts and IS--A relationships describing impacts and associations of social determinants. We describe the evaluation techniques that we applied to SOHO, including human experts review and algorithmic evaluation.
