{"title":"Representation of the Gastrointestinal Endoscopy Minimal Standard Terminology in the SNOMED DICOM microglossary.","authors":"L Y Korman, W D Bidgood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Gastroenterology, endoscopic images and interpretation reports are essential elements of the patient record. The Digital Imaging and Communications in Medicine (DICOM) Visible Light and Structured Reporting Standards provide a standard representation of images and reports. However, the message standards are not sufficient in themselves. Controlled terminology is needed to enable interchange of patient records and to facilitate the pooling of multi-center data for large-scale outcomes studies and clinical research. The ASGE has joined with European and Japanese colleagues to develop and publish a lexicon of endoscopic terminology. The lexicon is being tested now in a multi-center trial. In addition, the ASGE is collaborating with the DICOM Standards Committee to transform the endoscopic lexicon into a database structure that is suitable for use with the DICOM Visible Light and Structured Reporting Standards. The combination of an internationally accepted, tested and non-proprietary lexical standard and a DICOM message standard supporting endoscopic images and reports represents a powerful tool for clinicians to improve communication, research and the quality of care.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"434-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233360/pdf/procamiaafs00001-0470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288601","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}
R Ferreira, B Moon, J Humphries, A Sussman, J Saltz, R Miller, A Demarzo
{"title":"The Virtual Microscope.","authors":"R Ferreira, B Moon, J Humphries, A Sussman, J Saltz, R Miller, A Demarzo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present the design of the Virtual Microscope, a software system employing a client/server architecture to provide a realistic emulation of a high power light microscope. We discuss several technical challenges related to providing the performance necessary to achieve rapid response time, mainly in dealing with the enormous amounts of data (tens to hundreds of gigabytes per slide) that must be retrieved from secondary storage and processed. To effectively implement the data server, the system design relies on the computational power and high I/O throughput available from an appropriately configured parallel computer.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"449-53"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233368/pdf/procamiaafs00001-0485.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288604","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}
{"title":"A clinically derived terminology: qualification to reduction.","authors":"C G Chute, P L Elkin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mayo Foundation is developing synonym rich entry points for the recording of patient problems by clinicians, which will map to the KP-Mayo Convergent Medical Terminology. We describe the empirical sources for these terminology components, and how the number and complexity of the terms could be substantially reduced by the introduction of a Qualifier axis. The expressive power of these entry points is dramatically enhanced by this axis. This work is being integrated into terminology navigation modules being jointly developed with Lexical Technology, which leverages UMLS content. It will from the basis for structured problem entry into Mayo's Computer-based Electronic Record.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"570-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233541/pdf/procamiaafs00001-0605.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288612","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}
{"title":"Prototype expert system to assist with the stabilization of neonates prior to transport.","authors":"L K Heermann, C B Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The transport of sick or premature newborns from community hospitals to acute care facilities is often necessary for the infants to receive the level of care required. Prior stabilization of these infants is imperative to a successful transport. The knowledge required to treat and stabilize sick and premature newborns is specialized and may not be available in community hospitals. \"The S.T.A.B.L.E. Assistant\" is a prototype rule based decision support system based on the educational program \"Transporting Newborns the S.T.A.B.L.E. Way\". \"The S.T.A.B.L.E. Assistant\" accepts clinical information related to an infant's breathing status, blood glucose status and selected lab values and provides instructions as to what interventions are needed to stabilize and prepare the infant for transport. The computerized program was evaluated using data collected from 19 charts of newborns requiring transport from a community hospital to a tertiary care center. Patient data were entered into the computerized program and the subsequent instructions were reviewed by a group of neonatology and neonatal transport experts. Reviewers evaluated \"The S.T.A.B.L.E. Assistant\" for the safety of the program, the extent to which the computerized program follows the educational program guidelines and the degree to which the instructions generated are within the scope of community caregivers' practice. Results were positive, indicating \"The S.T.A.B.L.E. Assistant\" prototype is safe, and within the guidelines of neonatal clinical practice.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"213-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233535/pdf/procamiaafs00001-0251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288986","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}
{"title":"Usability testing in medical informatics: cognitive approaches to evaluation of information systems and user interfaces.","authors":"A W Kushniruk, V L Patel, J J Cimino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes an approach to the evaluation of health care information technologies based on usability engineering and a methodological framework from the study of medical cognition. The approach involves collection of a rich set of data including video recording of health care workers as they interact with systems, such as computerized patient records and decision support tools. The methodology can be applied in the laboratory setting, typically involving subjects \"thinking aloud\" as they interact with a system. A similar approach to data collection and analysis can also be extended to study of computer systems in the \"live\" environment of hospital clinics. Our approach is also influenced from work in the area of cognitive task analysis, which aims to characterize the decision making and reasoning of subjects of varied levels of expertise as they interact with information technology in carrying out representative tasks. The stages involved in conducting cognitively-based usability analyses are detailed and the application of such analysis in the iterative process of system and interface development is discussed.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"218-22"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233486/pdf/procamiaafs00001-0256.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288987","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}
{"title":"Performance support concepts for Web-based informatics instruction.","authors":"L Goodwin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Duke University first offered World Wide Web (WWW) based courses in Nursing Informatics in January of 1997. The first class enrolled 18 nurses who were completing either a Post-Master's Certificate Program or were near completion of their Master's degree. Courses were designed around principles of advanced nursing practice, performance support, mastery learning, and virtual learning communities. Extensive learning assessment included traditional papers, real-world application projects, and a variety of pre and post-test measurements.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"698-702"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233506/pdf/procamiaafs00001-0732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288997","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}
{"title":"Integrating communicative goals for real-time clinical decision support.","authors":"S Carberry, T Harvey, J R Clarke","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A critiquing system evaluating a physician's management plan may produce a set of individual comments that, taken together, appear repetitious or incoherent. This paper presents TraumaGEN, a system for integrating sets of possibly inter-related communicative goals into one or more coherent messages. TraumaGEN takes account of the purpose of the messages, the situation in which the messages will be received, and the social role of the system. Preliminary evaluation of TraumaGEN indicates that it produce coherent integrated messages.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"734-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233400/pdf/procamiaafs00001-0768.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20290684","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}
{"title":"Implementing computers in ambulatory care: implications of physician practice patterns for system design","authors":"C. Aydin, D. Forsythe","doi":"10.1007/0-387-30329-4_14","DOIUrl":"https://doi.org/10.1007/0-387-30329-4_14","url":null,"abstract":"","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":"1 1","pages":"677-81"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/0-387-30329-4_14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51358909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Web client and ODBC access to legacy database information: a low cost approach.","authors":"N W Sanders, N H Mann, D M Spengler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A new method has been developed for the Department of Orthopaedics of Vanderbilt University Medical Center to access departmental clinical data. Previously this data was stored only in the medical center's mainframe DB2 database, it is now additionally stored in a departmental SQL database. Access to this data is available via any ODBC compliant front-end or a web client. With a small budget and no full time staff, we were able to give our department on-line access to many years worth of patient data that was previously inaccessible.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"799-803"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233436/pdf/procamiaafs00001-0833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20287601","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}
{"title":"Modelling cardiac patient set residuals using rough sets.","authors":"A Ohrn, S Vinterbo, P Szymański, J Komorowski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many medical studies deal with the assessment of the prognostic or diagnostic power of some particular test with respect to some particular medical condition. However, even though a test is deemed to be powerful in this respect, the test may not be strictly needed to perform for everyone. If the test is costly or invasive, this issue is of particular interest. This paper presents a methodology based on rough set theory and Boolean reasoning that can be used to identify those patients for whom performing the test is redundant or superfluous. Furthermore, the methodology enables one to automatically construct a set of descriptive and minimal if-then rules that model the patient group in need of the test. A reanalysis of a previously published real-world dataset of patients with chest pain is used as a case study.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"203-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233430/pdf/procamiaafs00001-0241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20287856","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}