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基于计算机的临床指南在全国范围内传播中的信息学问题：儿童免疫接种案例研究

Informatics issues in the national dissemination of a computer-based clinical guideline: a case study in childhood immunization.

作者信息

Miller P L, Frawley S J, Sayward F G

机构信息

Center for Medical Informatics, Yale University School of Medicine, New Haven, CT, USA.

出版信息

Proc AMIA Symp. 2000:580-4.

PMID:11079950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2243834/
Abstract

IMM/Serve is a computer-based guideline that provides patient-specific recommendations regarding childhood immunization. IMM/Serve is currently installed at an estimated 75 sites within the US Indian Health Service (IHS), with plans to extend its use to roughly 150 additional sites nationwide by the end of the year 2000. The dissemination of IMM/Serve within the IHS provides a case study with concrete examples that illustrate the diverse informatics issues that arise in the widespread dissemination of a computer-based clinical guideline.

摘要

IMM/Serve是一个基于计算机的指南，它针对儿童免疫接种提供特定于患者的建议。目前，美国印第安卫生服务局（IHS）内估计有75个站点安装了IMM/Serve，计划到2000年底将其使用范围扩大到全国另外约150个站点。IMM/Serve在IHS内的传播提供了一个案例研究，其中包含具体示例，说明了在广泛传播基于计算机的临床指南时出现的各种信息学问题。

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本文引用的文献

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Exploring three approaches for handling incomplete patient histories in a computer-based guideline for childhood immunization.探索在基于计算机的儿童免疫接种指南中处理不完整患者病史的三种方法。
Proc AMIA Symp. 1999:878-82.
2
Using semantic constraints to help verify the completeness of a computer-based clinical guideline for childhood immunization.利用语义约束来帮助验证基于计算机的儿童免疫临床指南的完整性。
Comput Methods Programs Biomed. 1999 Mar;58(3):267-80. doi: 10.1016/s0169-2607(98)00090-x.
3
Issues in accommodating national changes and local variation in a computer-based guideline for childhood immunization and in related knowledge maintenance tools.在基于计算机的儿童免疫指南及相关知识维护工具中，适应国家变化和地方差异所存在的问题。
Proc AMIA Symp. 1998:563-7.
4
Tools for immunization guideline knowledge maintenance. II. Automated Web-based generation of user-customized test cases.免疫接种指南知识维护工具。II. 基于网络的用户定制测试用例自动生成。
Comput Biomed Res. 1998 Jun;31(3):190-208. doi: 10.1006/cbmr.1998.1471.
5
Tools for immunization guideline knowledge maintenance. I. Automated generation of the logic "kernel" for immunization forecasting.免疫接种指南知识维护工具。一、免疫接种预测逻辑“内核”的自动生成。
Comput Biomed Res. 1998 Jun;31(3):172-89. doi: 10.1006/cbmr.1998.1472.
6
Combining tabular, rule-based, and procedural knowledge in computer-based guidelines for childhood immunization.在基于计算机的儿童免疫接种指南中结合表格、基于规则和程序知识。
Comput Biomed Res. 1997 Jun;30(3):211-31. doi: 10.1006/cbmr.1997.1445.

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