Barnes M, Barnett G O
Laboratory of Computer Science, Massachusetts General Hospital, Boston, USA.
Proc Annu Symp Comput Appl Med Care. 1995:233-7.
A number of barriers exist which prevent the widespread integration of practice guidelines with electronic medical record systems. These include dependencies on clinical databases, as well as problems with converting existing guideline specifications into computable rules. We are developing the MBTA (Modeling Better Treatment Advice) practice guideline system which uses a distributed client-server architecture and an object-oriented data representation to support practice guidelines usable by different electronic medical record systems. We describe the structure and organization of MBTA, focusing on how an open systems design, combined with principles of guideline implementation, can be used to provide a general purpose guideline server for use by a variety of clinical workstations.
存在许多阻碍实践指南与电子病历系统广泛整合的障碍。这些障碍包括对临床数据库的依赖,以及将现有指南规范转换为可计算规则的问题。我们正在开发MBTA(更好治疗建议建模)实践指南系统,该系统使用分布式客户端-服务器架构和面向对象的数据表示来支持不同电子病历系统可用的实践指南。我们描述了MBTA的结构和组织,重点关注开放系统设计与指南实施原则相结合如何用于提供一个供各种临床工作站使用的通用指南服务器。