title: Integration of a knowledge-based system and a clinical documentation system via a data dictionary.
abstract: This paper describes the design and realisation of a knowledge-based system and a clinical documentation system linked via a data dictionary. The software was developed as a shell with object oriented methods and C++ for IBM-compatible PC's and WINDOWS 3.1/95. The data dictionary covers terminology and document objects with relations to external classifications. It controls the terminology in the documentation program with form-based entry of clinical documents and in the knowledge-based system with scores and rules. The software was applied to the clinical field of acute abdominal pain by implementing a data dictionary with 580 terminology objects, 501 document objects, and 2136 links; a documentation module with 8 clinical documents and a knowledge-based system with 10 scores and 7 sets of rules.
authors.affiliation: Department of General and Trauma Surgery, Heinrich-Heine-University, Düsseldorf, Germany. eich@uni-duesseldorf.de
authors.forename: H P
authors.initials: HP
authors.lastname: Eich
authors.forename: C
authors.initials: C
authors.lastname: Ohmann
authors.forename: E
authors.initials: E
authors.lastname: Keim
authors.forename: K
authors.initials: K
authors.lastname: Lang
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis; D001185:Artificial Intelligence; D003936:Diagnosis, Computer-Assisted; D005858:Germany; D006801:Humans; D016347:Medical Records Systems, Computerized; D018511:Systems Integration; D018875:Vocabulary, Controlled