Magrabi F, Lovell N H, Celler B G
Graduate School of Biomedical Engineering, University of New South Wales, Sydney, Australia.
Int J Med Inform. 1999 May;54(2):145-53. doi: 10.1016/s1386-5056(98)00177-4.
A Web-based electrocardiogram (ECG) monitoring service in which a longitudinal clinical record is used for management of patients, is described. The Web application is used to collect clinical data from the patient's home. A database on the server acts as a central repository where this clinical information is stored. A Web browser provides access to the patient's records and ECG data. We discuss the technologies used to automate the retrieval and storage of clinical data from a patient database, and the recording and reviewing of clinical measurement data. On the client's Web browser, ActiveX controls embedded in the Web pages provide a link between the various components including the Web server, Web page, the specialised client side ECG review and acquisition software, and the local file system. The ActiveX controls also implement FTP functions to retrieve and submit clinical data to and from the server. An intelligent software agent on the server is activated whenever new ECG data is sent from the home. The agent compares historical data with newly acquired data. Using this method, an optimum patient care strategy can be evaluated, a summarised report along with reminders and suggestions for action is sent to the doctor and patient by email.
本文描述了一种基于网络的心电图（ECG）监测服务，该服务使用纵向临床记录来管理患者。网络应用程序用于从患者家中收集临床数据。服务器上的数据库充当存储此临床信息的中央存储库。网络浏览器提供对患者记录和心电图数据的访问。我们讨论了用于自动从患者数据库检索和存储临床数据以及记录和审查临床测量数据的技术。在客户端的网络浏览器上，嵌入网页的ActiveX控件提供了包括网络服务器、网页、专门的客户端心电图审查和采集软件以及本地文件系统在内的各种组件之间的链接。ActiveX控件还实现FTP功能，以在服务器与服务器之间检索和提交临床数据。每当从家中发送新的心电图数据时，服务器上的智能软件代理就会被激活。该代理将历史数据与新获取的数据进行比较。使用这种方法，可以评估最佳的患者护理策略，并通过电子邮件向医生和患者发送一份总结报告以及提醒和行动建议。
