Usage secondaire du dossier médical informatisé à des fins épidémiologiques et d'évaluation de la qualité des soins : le projet SYNODOS A secondary use of the electronic health record for epidemiological studies and evaluation of health care quality: the SYNODOS project

Background: The purpose of the SYNODOS project is to develop a generic solution for extracting semantics out of medical data and organize this medical information in such a way that it could be used to support epidemiological studies or evaluate healthcare quality. Methods: SYNODOS proposes a general modular architecture that makes a clear distinction between linguistic rules and expert system rules. An interface between the semantic analyzer and multi-terminology server upstream during the extraction phase, linguistic rules to extract temporal expressions as well as an interface between linguistic engine and knowledge representation are being developed. Results: Project outcomes will be an operational system integrating the various technological modules described above. The project will also evaluate the quality of extracted information in two domains: hospital acquired infections and cancer. Conclusion: We have described a project whose originality lies in the integration into a single solution of the various technologies needed to produce epidemiological indicators in the context of hospital activity. Mots-cles : Epidemiologie; Systemes d’aide a la decision clinique ; Systemes informatises de dossiers medicaux ; Evaluation de programme.