Veselý Arnost, Zvárová Jana, Peleska Jan, Buchtela David, Anger Zdenek
European Center for Medical Informatics, Statistics and Epidemiology, The Czech Republic.
Int J Med Inform. 2006 Mar-Apr;75(3-4):240-5. doi: 10.1016/j.ijmedinf.2005.07.016. Epub 2005 Sep 13.
Electronic Health Record (EHR) systems are now being developed in many places. More advanced systems provide also reminder facilities, usually based on if-then rules. In this paper we propose a method how to build the reminder facility directly upon the guideline interchange format (GLIF) model of medical guidelines. The method compares data items on the input of EHR system with medical guidelines GLIF model and is able to reveal if the input data item, that represents patient diagnosis or proposed patient treatment, contradicts with medical guidelines or not. The reminder facility can be part of EHR system itself or it can be realized by a stand-alone reminder system (SRS). The possible architecture of stand-alone reminder system is described in this paper and the advantages of stand-alone solution are discussed. The part of the EHR system could be also a browser that would present graphical GLIF model in easy to understand manner on the user screen. This browser can be data driven and focus attention of user to the relevant part of medical guidelines GLIF model.
目前许多地方都在开发电子健康记录（EHR）系统。更先进的系统还提供提醒功能，通常基于“如果……那么……”规则。在本文中，我们提出了一种直接基于医学指南的指南交换格式（GLIF）模型构建提醒功能的方法。该方法将EHR系统输入中的数据项与医学指南GLIF模型进行比较，能够揭示代表患者诊断或拟议患者治疗的输入数据项是否与医学指南相矛盾。提醒功能可以是EHR系统本身的一部分，也可以由独立提醒系统（SRS）实现。本文描述了独立提醒系统的可能架构，并讨论了独立解决方案的优点。EHR系统的一部分也可以是一个浏览器，它将以易于理解的方式在用户屏幕上呈现图形化的GLIF模型。这个浏览器可以由数据驱动，并将用户的注意力集中到医学指南GLIF模型的相关部分。
