Medlock Stephanie, Schermer Roland, Cornet Ronald
Amsterdam UMC, University of Amsterdam, department of Medical Informatics, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, Netherlands.
Stud Health Technol Inform. 2020 Jun 16;270:981-985. doi: 10.3233/SHTI200308.
Access to electronic medical record systems is limited in many medical informatics education programs. The objective of this study was to inventory open-source patient record systems with decision support capabilities, implement a system for educational use, and test the effect of the system on students' learning. We sought systems that were under active development, with source code available, having an SQL-queryable database, and having decision support capabilities. We identified 20 candidate electronic health record systems, of which 6 mentioned decision support capabilities in their documentation. Of these, the OpenMRS system appeared to meet all of the requirements for use in our course; however, decision support capabilities needed to be added by use of a custom module implementing Arden2Bytecode, an Arden Syntax interpreter. Students who used this system showed an improvement in their knowledge of decision support systems and their capabilities. We conclude that there are a number of promising open-source electronic patient record systems currently under active development, but decision support capabilities are still immature. We anticipate further developments in this area in the coming years.
在许多医学信息学教育项目中，获取电子病历系统受到限制。本研究的目的是清点具有决策支持功能的开源患者记录系统，实施一个用于教育的系统，并测试该系统对学生学习的影响。我们寻找正在积极开发、有可用源代码、具有可通过SQL查询的数据库且具备决策支持功能的系统。我们识别出20个候选电子健康记录系统，其中6个在其文档中提及了决策支持功能。在这些系统中，OpenMRS系统似乎满足我们课程使用的所有要求；然而，需要通过使用实现Arden2字节码（一种Arden语法解释器）的自定义模块来添加决策支持功能。使用该系统的学生在决策支持系统及其功能的知识方面有了提高。我们得出结论，目前有许多正在积极开发的有前景的开源电子患者记录系统，但决策支持功能仍不成熟。我们预计未来几年该领域会有进一步发展。
