AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2008
Engineering of a clinical decision support framework for the point of care use.
Computerized decision support for use at the point of care has to be comprehensive. It means that clinical information stored in electronic health records needs to be integrated with various forms of clinical knowledge (elicited from experts, discovered from data or summarized in systematic reviews of clinical trials). ⋯ Then we applied the process to build MET-A3Support. The paper describes the engineering process and its results, including models representing selected elements of our framework.
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AMIA Annu Symp Proc · Jan 2008
Clinical trials in silico: rigorous assessment of treatment effect using electronic health records.
With their ability to balance measured and unmeasured confounders, randomized controlled trials (RCTs) provide the highest level of evidence regarding the effect of treatment. Analyses of administrative data have had inconsistent success when compared with the results of RCTs. ⋯ The comprehensive, longitudinal data within Electronic Health Records (EHRs) can overcome the data quality issues. This report describes a new analytical method for EHR data that successfully replicates RCT results.
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AMIA Annu Symp Proc · Jan 2008
Knowledge translation of SAGE-based guidelines for executing with knowledge engine.
SAGE is very powerful knowledge representation for guideline modeling and well-defined knowledge framework to integrate with terminology standard and EMR databases. Therefore, SAGE can be powerful tool for knowledge authoring for clinicians but guideline execution engine is not available yet. ⋯ In this paper, we suggest knowledge translator to convert SAGE-based guidelines into knowledge which commercial engine can execute. With this translation, we can take both advantages in modeling power of SAGE and interpretation capability of engines.
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AMIA Annu Symp Proc · Jan 2008
Ability to perform registry functions among practices with and without electronic health records.
Patient care registries allow physicians to identify patients based on a subset of conditions, including medicine prescribed, laboratory results and diagnosis. The presence of EHRs and a physician's ability to query across patient medical records is unknown in Massachusetts. A survey was conducted to examine the presence of EHRs in medical practices, and the degree to which EHRs enable physicians to carry out registry functions. EHR adoption was correlated with the use of registry functions.
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AMIA Annu Symp Proc · Jan 2008
A web-based biosignal data management system for U-health data integration.
In the ubiquitous healthcare environment, the biosignal data should be easily accessed and properly maintained. This paper describes a web-based data management system. It consists of a device interface, a data upload control, a central repository, and a web server. For the user-specific web services, a MFER Upload ActiveX Control was developed.