Powsner S M, Riely C A, Barwick K W, Morrow J S, Miller P L
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06510.
Comput Biomed Res. 1989 Dec;22(6):552-64. doi: 10.1016/0010-4809(89)90075-x.
The Hepatopix computer program helps the physician go from a computerized clinical record directly to a computerized search of the medical literature. The program uses a hierarchical list of current (key) topics in hepatology to offer "intelligent" searches. Each topic has associated "selection logic" and a tested Medline search. Starting with a liver biopsy case record, Hepatopix evaluates the selection logic to determine which topics may be pertinent to the case (based on clinical findings, lab tests, and critical words or phrases in the summary). The physician then picks those topics which are interesting enough to warrant a literature search. The citations are retrieved using search strategies stored for each topic and presented. Hepatopix is operational with over 200 topics in the realm of liver neoplasms, operating on liver biopsy case summaries from the Klatskin Database of Liver Biopsies. Besides demonstrating clinical case-directed bibliographic retrieval, it demonstrates the utility of a "key topics" list as a bridge between medical databases.
Hepatopix计算机程序帮助医生从计算机化临床记录直接进入医学文献的计算机化检索。该程序使用肝病学当前（关键）主题的层次列表进行“智能”检索。每个主题都有相关的“选择逻辑”和经过测试的医学文献数据库（Medline）检索。从肝活检病例记录开始，Hepatopix评估选择逻辑，以确定哪些主题可能与该病例相关（基于临床发现、实验室检查以及总结中的关键词或短语）。然后医生挑选出那些足够有趣值得进行文献检索的主题。使用为每个主题存储的检索策略检索并呈现参考文献。Hepatopix可处理肝脏肿瘤领域的200多个主题，基于来自Klatskin肝脏活检数据库的肝活检病例总结进行操作。除了展示临床病例导向的书目检索外，它还展示了“关键主题”列表作为医学数据库之间桥梁的效用。
