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Proceedings. Symposium on Computer Applications in Medical Care最新文献

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The role of the information architect at King Faisal Specialist Hospital and Research Centre. 费萨尔国王专科医院和研究中心信息架构师的作用。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
D F Sittig, S Sengupta, H al-Daig, T H Payne, P Pincetl
{"title":"The role of the information architect at King Faisal Specialist Hospital and Research Centre.","authors":"D F Sittig,&nbsp;S Sengupta,&nbsp;H al-Daig,&nbsp;T H Payne,&nbsp;P Pincetl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Successful implementation of integrated clinical information system requires modification of the institution's long range strategic plans and its personnel's behavior. The changes warrant a concerted effort on the part of many different individuals; this paper describes the role of the Information Architect whose primary functions are to steer the process to fulfill stated objectives and build consensus where divergent forces are at work. The workings of the Architect is presented in context of a unique Middle-Eastern institution currently undergoing automation of clinical information.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"756-60"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579195/pdf/procascamc00009-0785.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19544421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MCAT--a multimedia cardiac angiogram tool. MCAT——一种多媒体心脏血管造影工具。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
D Y Cheng, A Banerjea, E J Pol, R J Lundstrom
{"title":"MCAT--a multimedia cardiac angiogram tool.","authors":"D Y Cheng,&nbsp;A Banerjea,&nbsp;E J Pol,&nbsp;R J Lundstrom","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this article, we present the prototype of the Multimedia Cardiac Angiogram Tool (MCAT). The MCAT provides capabilities for reviewing angiograms recorded at a cardiac catheterization laboratory. A doctor can use MCAT to annotate angiograms with audio, text, and graphics. He/she can selectively package the annotated multimedia angiograms into a document, save it as the record for the visit or use it for case presentations, or send it to another doctor over a network. MCAT streamlines data collection at a cath lab and is intended to improve the efficiency of communication and collaboration between doctors. This paper describes the design, implementation, and future directions of the prototype.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"673-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579178/pdf/procascamc00009-0702.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Querying temporal clinical databases with different time granularities: the GCH-OSQL language. 查询不同时间粒度的临床时态数据库:GCH-OSQL语言。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
C Combi, F Pinciroli, M Cavallaro, G Cucchi
{"title":"Querying temporal clinical databases with different time granularities: the GCH-OSQL language.","authors":"C Combi,&nbsp;F Pinciroli,&nbsp;M Cavallaro,&nbsp;G Cucchi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a need for managing temporal clinical information given at different levels of granularity. Different time granularities are also needed in querying clinical databases. In this paper, we describe GCH-OSQL (Granular Clinical History--Object Structured Query Language), an object-oriented temporally-oriented extension of SQL. GCH-OSQL is based on an object-oriented temporal data model. It allows storage of clinical information at different and mixed granularities. GCH-OSQL deals with the valid time of clinical information. GCH-OSQL offers also a graphical user-interface. It guides different end users, from expert to naive, to formulate expressive and correct queries.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"326-30"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579108/pdf/procascamc00009-0355.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ASN.1: defining a grammar for the UMLS knowledge sources. ASN.1:为UMLS知识来源定义语法。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
A T McCray, G Divita
{"title":"ASN.1: defining a grammar for the UMLS knowledge sources.","authors":"A T McCray,&nbsp;G Divita","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The unified Medical Language System (UMLS) project provides resources on an experimental basis to the research community. In 1995 the four UMLS Knowledge Sources have been provided in an additional data format, Abstract Syntax Notation One (ASN.1). The benefits of ASN.1 are that it provides a standard, formal grammar for complex data and allows exchange of that data in a way which is independent of the particular software and hardware environment in which the data are created and stored. The paper begins with an introduction to the ASN.1 standard itself. It continues with a discussion of the ASN.1 implementation of the UMLS Knowledge Sources and some of the consequences for the newly released UMLS Knowledge Source Server. It concludes with a discussion of some of the benefits of using ASN.1 encoded data.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"868-72"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579217/pdf/procascamc00009-0896.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancements of anatomical information in UMLS knowledge sources. 在UMLS知识来源中增强解剖信息。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
C Rosse, M Ben Said, K R Eno, J F Brinkley
{"title":"Enhancements of anatomical information in UMLS knowledge sources.","authors":"C Rosse,&nbsp;M Ben Said,&nbsp;K R Eno,&nbsp;J F Brinkley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although anatomical terminology forms a part of biomedical structured vocabularies, available sources lack the requisite granularity, semantic types and relationships for comprehensively and consistently representing anatomical concepts in machine readable form. Thoracic angiology was selected as a proof of concept experiment for in depth representation of symbolic information in gross anatomy through the enhancement of semantic types, concepts and relationships in UMLS. Provided the representation of concepts is comprehensive, hierarchies generated with four types of simple relationships are capable of displaying anatomical information from the systemic view point with sufficient detail to meet the needs of applications in basic science education and in the practice of surgical subspecialties.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"873-7"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579218/pdf/procascamc00009-0901.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Teaching literature searching in the context of the World Wide Web. 在万维网的背景下进行文献检索教学。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
K A Brandt, H P Lehmann
{"title":"Teaching literature searching in the context of the World Wide Web.","authors":"K A Brandt,&nbsp;H P Lehmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As part of the required curriculum for medical students, we devised a literature-searching practicum that has been used for two years. In both years, we stressed going beyond the skills needed for using a particular searching program, towards a more conceptual approach to information searching. In the first year, the practicum was taught in a traditional lecture/hands-on format. In the second year, the lecture was replaced by a World Wide Web-based tutorial (http:@www.welch.jhu.edu/Education/tutorials/pra cticum.html). To our knowledge, this is the first Web-based resource intended to teach students about appropriate use of search technology. Comparison of student evaluations showed no difference in attitude toward the two versions of the practicum, and observation of student performance suggested similar levels of proficiency. We conclude that placing these educational materials on the Web (1) makes us practice what we preach; (2) is as effective as traditional teaching methods; and (3) gives students a resource for reinforcement learning.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"888-92"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579221/pdf/procascamc00009-0916.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrieving research studies: a comparison of bibliographic and full-text versions of the New England Journal of Medicine. 检索研究:新英格兰医学杂志的参考书目和全文版本的比较。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
E D Johnson, M C Sievert, E J McKinin
{"title":"Retrieving research studies: a comparison of bibliographic and full-text versions of the New England Journal of Medicine.","authors":"E D Johnson,&nbsp;M C Sievert,&nbsp;E J McKinin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It has been established that subject searches of medical full-text databases obtain higher recall than subject searches in a bibliographic database. In this study we attempted to determine if the same rule might apply when searching for a non-subject parameter such as study design. A simultaneous search of bibliographic and full-text records from the New England Journal of Medicine provided data on the number of items retrieved by each kind of search. Filtering strategies were created for 5 different study types: randomized controlled trials, other clinical trials and prospective studies, cohort studies, longitudinal and follow-up studies, and multicenter studies. The point of the study was to compare the numbers of items retrieved from the bibliographic database, MEDLINE, and those retrieved from the full-text version of NEJM, and to examine the unique access points available in each file. For all the study types the full-text file retrieved a larger number of records than MEDLINE, most of which were retrieved because of methodology terms found in the text but not in the title or abstract. In MEDLINE, descriptors and publication types, two value-added fields supplied by indexers, retrieved 11-89% more than title and abstract alone.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"846-50"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579213/pdf/procascamc00009-0874.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Web-based access to an online atlas of anatomy: the Digital Anatomist Common Gateway Interface. 基于网络的访问在线解剖学图集:数字解剖学家公共网关接口。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
S W Bradley, C Rosse, J F Brinkley
{"title":"Web-based access to an online atlas of anatomy: the Digital Anatomist Common Gateway Interface.","authors":"S W Bradley,&nbsp;C Rosse,&nbsp;J F Brinkley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A World Wide Web Common Gateway Interface package is described for accessing existing online interactive atlases of anatomy. The Web interface accesses the same 2-D and 3-D images of human neuroanatomy, knee anatomy and thoracic viscera that are currently accessed by a custom interactive atlas in distance learning courses. Although the Web interface is too slow to replace the existing atlas, it provides a parallel access path that has much broader potential for development of a distributed distance learning network in anatomy. By maintaining both access methods to the same information sources we continue to satisfy the fast interactivity needs for our local courses, while at the same time providing a migration path to the Web as the capabilities of Web browsers evolve.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"512-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579146/pdf/procascamc00009-0541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes research using the electronic patient record: Beth Israel Hospital's experience with anticoagulation. 使用电子病历的结果研究:贝斯以色列医院抗凝治疗的经验。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
J S Einbinder, C Rury, C Safran
{"title":"Outcomes research using the electronic patient record: Beth Israel Hospital's experience with anticoagulation.","authors":"J S Einbinder,&nbsp;C Rury,&nbsp;C Safran","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Using data captured as part of the routine care of outpatients taking the oral anticoagulant warfarin, we described variation in recording reasons for anticoagulation, selecting target International Normalized Ratio (INR) ranges, and performing coagulation blood tests. Laboratory results were directly captured by or entered into an Anticoagulation Flowsheet, a computer program which is fully integrated with our Online Medical Record (OMR). We studied the 177 patients with flowsheets between October 1993 and January 1995. 90% had a reason for anticoagulation entered; 29 different target INR ranges were entered. For patients with a target INR of 2.0-3.0, the mean number of weeks between blood tests, after a test which was in range, was three weeks (standard deviation 1.7 weeks, range one to twelve weeks). We conclude that routinely collected data contained in an electronic patient record (EPR) can be a rich resource for describing and evaluating clinical practice. We also address several limitations to using EPR data: validity of EPR information, lack of coded information, and imperfect capture of clinician thought processes.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"819-23"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579208/pdf/procascamc00009-0848.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computers in the examining room: the patient's perspective. 检查室里的电脑:病人的视角。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
C E Aydin, P N Rosen, S M Jewell, V J Felitti
{"title":"Computers in the examining room: the patient's perspective.","authors":"C E Aydin,&nbsp;P N Rosen,&nbsp;S M Jewell,&nbsp;V J Felitti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>CompuHx* is an Interactive Health Appraisal System (IHAPS) used in the examining room at Kaiser-Permanente's San Diego Department of Preventive Medicine to record patient information, assist in diagnosis, and provide a legible summary of findings. The purpose of the present project was to examine the impact of computer use in the examining room on patient satisfaction with the Health Appraisal experience. Survey results showed no significant differences in patient satisfaction between patients whose examiners used CompuHx and those whose examiners did not. These findings indicate that, in the eyes of the patients surveyed, clinician use of a computer in the examining room did not depersonalize their relationship with the clinician, nor did it enhance satisfaction with the thoroughness of the exam or confidence in the examiner's findings.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"824-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579209/pdf/procascamc00009-0853.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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