Diagnostic decision support systems: how to determine the gold standard?
Author(s): Berner, Eta S
DOI: 10.1197/jamia.M1416
Author(s): Berner, Eta S
DOI: 10.1197/jamia.M1416
Qualitative studies can help us understand the "successes" and "failures" of telemedicine to normalize within clinical service provision. This report presents the development of a robust conceptual model of normalization processes in the implementation and development of telemedicine services.
Author(s): May, Carl, Harrison, Robert, Finch, Tracy, MacFarlane, Anne, Mair, Frances, Wallace, Paul, ,
DOI: 10.1197/jamia.M1145
In this report, the authors compare and contrast medical informatics (MI) and bioinformatics (BI) and provide a viewpoint on their complementarities and potential for collaboration in various subfields. The authors compare MI and BI along several dimensions, including: (1) historical development of the disciplines, (2) their scientific foundations, (3) data quality and analysis, (4) integration of knowledge and databases, (5) informatics tools to support practice, (6) informatics methods to support [...]
Author(s): Maojo, Victor, Kulikowski, Casimir A
DOI: 10.1197/jamia.M1305
Despite the advantages of structured data entry, much of the patient record is still stored as unstructured or semistructured narrative text. The issue of representing clinical document content remains problematic. The authors' prior work using an automated UMLS document indexing system has been encouraging but has been affected by the generally low indexing precision of such systems. In an effort to improve precision, the authors have developed a context-sensitive document [...]
Author(s): Huang, Yang, Lowe, Henry J, Hersh, William R
DOI: 10.1197/jamia.M1369
Author(s): Kantor, Gareth S, Wilson, Wayne D, Midgley, Adrian
DOI: 10.1197/jamia.M1403
PROforma is an executable process modeling language that has been used successfully to build and deploy a range of decision support systems, guidelines, and other clinical applications. It is one of a number of recent proposals for representing clinical protocols and guidelines in a machine-executable format (see <www>). In this report, the authors outline the task model for the language and provide an operational semantics for process enactment together with [...]</www>
Author(s): Sutton, David R, Fox, John
DOI: 10.1197/jamia.M1264
The EAV/CR framework, designed for database support of rapidly evolving scientific domains, utilizes metadata to facilitate schema maintenance and automatic generation of Web-enabled browsing interfaces to the data. EAV/CR is used in SenseLab, a neuroscience database that is part of the national Human Brain Project. This report describes various enhancements to the framework. These include (1) the ability to create "portals" that present different subsets of the schema to users [...]
Author(s): Marenco, Luis, Tosches, Nicholas, Crasto, Chiquito, Shepherd, Gordon, Miller, Perry L, Nadkarni, Prakash M
DOI: 10.1197/jamia.M1303
The aim of this study was to create a classifier for automatic detection of chest radiograph reports consistent with the mediastinal findings of inhalational anthrax.
Author(s): Chapman, Wendy Webber, Cooper, Gregory F, Hanbury, Paul, Chapman, Brian E, Harrison, Lee H, Wagner, Michael M
DOI: 10.1197/jamia.M1330
The authors implemented an electronic medical record system in a rural Kenyan health center. Visit data are recorded on a paper encounter form, eliminating duplicate documentation in multiple clinic logbooks. Data are entered into an MS-Access database supported by redundant power systems. The system was initiated in February 2001, and 10,000 visit records were entered for 6,190 patients in six months. The authors present a summary of the clinics visited [...]
Author(s): Rotich, Joseph K, Hannan, Terry J, Smith, Faye E, Bii, John, Odero, Wilson W, Vu, Nguyen, Mamlin, Burke W, Mamlin, Joseph J, Einterz, Robert M, Tierney, William M
DOI: 10.1197/jamia.M1301
The purposes of the study were (1) to evaluate the usefulness of the International Standards Organization (ISO) Reference Terminology Model for Nursing Diagnoses as a terminology model for defining nursing diagnostic concepts in the Medical Entities Dictionary (MED) and (2) to create the additional hierarchical structures required for integration of nursing diagnostic concepts into the MED.
Author(s): Hwang, Jee-In, Cimino, James J, Bakken, Suzanne
DOI: 10.1197/jamia.M1203