Hales J W, Gardner R M, Huff S M
Division of Medical Informatics, Duke University Medical Center, Durham, NC.
Proc Annu Symp Comput Appl Med Care. 1992:427-31.
A stand-alone PC expert system for evaluating the appropriateness of inpatient admissions has been integrated with an existing hospital information system. The expert system supports preadmission screening for appropriateness of inpatient admissions. The HIS provides extensive clinical data in a coded electronic form, permitting high-level decision support. The integrated system was developed for a 20 week randomized clinical trial to evaluate the effects of preadmission screening on inappropriate inpatient admissions. Three factors of the integration are considered: programmatic integration of the expert system, seamless presentation of mixed platform applications, and integration of coded data from the stand-alone application into the HIS data structure.
一个用于评估住院患者入院适宜性的独立个人计算机专家系统已与现有的医院信息系统集成。该专家系统支持对住院患者入院适宜性进行入院前筛查。医院信息系统以编码电子形式提供大量临床数据，从而实现高级决策支持。该集成系统是为一项为期20周的随机临床试验而开发的，以评估入院前筛查对不适当住院患者入院情况的影响。考虑了集成的三个因素：专家系统的程序集成、混合平台应用程序的无缝呈现以及将独立应用程序中的编码数据集成到医院信息系统的数据结构中。
