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.