Proceedings / AMIA ... Annual Symposium. AMIA Symposium
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User feedback from the Digital Anatomist Web-based anatomy atlases, together with over 20 years of anatomy teaching experience, were used to formulate the requirements and system design for a next-generation anatomy information system. The main characteristic of this system over current image-based approaches is that it is knowledge-based. A foundational model of anatomy is accessed by an intelligent agent that uses its knowledge about the available anatomy resources and the user types to generate customized interfaces. Current usage statistics suggest that even partial implementation of this design will be of great practical value for both clinical and educational needs.
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Decision support systems for patients can benefit from adopting knowledge engineering-based architectures. In this paper, we describe how decision support systems for patients differ from decision support systems for health professionals and knowledge engineering principles that can be used to improve the efficiency of developing patient support systems. ⋯ The architecture's components are grouped into transient and persistent application layers that support a general framework for patient decision support. The implementation of the object-based model using a relational database management system is also discussed.
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This study reports early results of a project that addresses the process of computerizing medical records in multiple ambulatory care sites of a health system. The study focuses on end-user attitudes before, during, and after implementation, through the use of questionnaires, interviews, and participant observation. ⋯ One implementation plan may not work for all sites when there are differences in size of the clinic, work flow patterns prior to implementation, and computer experience among personnel. Preliminary analysis of post-installation questionnaires and interviews six months after the installation point to a number of areas that might be usefully addressed in future installation efforts.