A virtual medical record for guideline-based decision support

A major obstacle in deploying computer-based clinical guidelines at the point of care is the variability of electronic medical records and the consequent need to adapt guideline modeling languages, guideline knowledge bases, and execution engines to idiosyncratic data models in the deployment enviro...

Ausführliche Beschreibung

Bibliographische Detailangaben
Veröffentlicht in:Proceedings. AMIA Symposium. - 1998. - (2001) vom: 11., Seite 294-8
1. Verfasser: Johnson, P D (VerfasserIn)
Weitere Verfasser: Tu, S W, Musen, M A, Purves, I
Format: Aufsatz
Sprache:English
Veröffentlicht: 2001
Zugriff auf das übergeordnete Werk:Proceedings. AMIA Symposium
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.
Beschreibung
Zusammenfassung:A major obstacle in deploying computer-based clinical guidelines at the point of care is the variability of electronic medical records and the consequent need to adapt guideline modeling languages, guideline knowledge bases, and execution engines to idiosyncratic data models in the deployment environment. This paper reports an approach, developed jointly by researchers at Newcastle and Stanford, where guideline models are encoded assuming a uniform virtual electronic medical record and guideline-specific concept ontologies. For implementing a guideline-based decision-support system in multiple deployment environments, we created mapping knowledge bases to link terms in the concept ontology with the terminology used in the deployment systems. Mediation components use these mapping knowledge bases to map data in locally deployed medical record architectures to the virtual medical record. We discuss the possibility of using the HL7 Reference Information Model (RIM) as the basis for a standardized virtual medical record, showing how this approach also complies with the European pre-standard ENV13606 for electronic healthcare record communication
Beschreibung:Date Completed 24.05.2002
Date Revised 13.11.2018
published: Print
Citation Status MEDLINE
ISSN:1531-605X