Okada Osamu, Ohboshi Naoki, Kuroda Tomohiro, Nagase Keisuke, Yoshihara Hiroyuki
Department of Medical Informatics, Kyoto University Hospital, 54, Kawahara-cho Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.
J Med Syst. 2005 Aug;29(4):379-89. doi: 10.1007/s10916-005-5896-8.
Clinical Paths (Paths) have been introduced by different hospitals for patient care management. An Electronic Clinical Path (ECP) with onsite access provision seems to improve the efficiency of medical staffs because they can share vast medical information about patients at a time and also can reuse accumulated data easily, which is impossible with paper-based Path. Data model is the basis for implementing ECP. However, there is no established model for ECP. The purpose of this study is to introduce a model for ECP and implement an ECP with onsite access system. We introduced a Semistructured Data Model (SSDM) for ECP, and implemented a Web application system based on this model using Personal Digital Assistant (PDA) as inputting device. Our system functioned as expected with wireless LAN, and users handled the data on bedside using PDA. By introducing SSDM, we showed the correspondence between schema of Paths and implementation of ECP.
不同医院已引入临床路径（路径）用于患者护理管理。具备现场访问功能的电子临床路径（ECP）似乎能提高医护人员的效率，因为他们可以一次性共享大量患者医疗信息，还能轻松重复使用积累的数据，而纸质路径则无法做到这一点。数据模型是实施ECP的基础。然而，目前尚无既定的ECP模型。本研究的目的是引入一种ECP模型，并实施一个具备现场访问系统的ECP。我们为ECP引入了半结构化数据模型（SSDM），并使用个人数字助理（PDA）作为输入设备，基于该模型实现了一个Web应用系统。我们的系统在无线局域网环境下按预期运行，用户可在床边使用PDA处理数据。通过引入SSDM，我们展示了路径模式与ECP实施之间的对应关系。
