Ontology-based, medical domain-specific, use-case driven EMRs for use in clinical quality assurance and passive decision support.
The next evolving stage of the electronic medical records (EMR)--the clinical information system--must be able to support the mental processes involved in clinical reasoning. We have developed a framework for building such systems. By a two step procedure objects are chosen on basis of a process model and described using Unified Modelling Language (UML). UML installs the objects in a middleware-layer between a database and the browser used for presentation. The database and a suggestion of the presentation layout are generated by the middleware. Data entered in the system are provided with a context according to a build in process model. This can be utilized in quality assurance and passive decision support.
Boye
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Institute of Experimental Clinical Research, University of Aarhus, Denmark. Niels@Boye.dk
Veirum
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D003658:Decision Making, Computer-Assisted; D003661:Decision Support Techniques; D006801:Humans; D016347:Medical Records Systems, Computerized; D011785:Quality Assurance, Health Care; D012984:Software