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Methods Inf Med 1993; 32(02): 154-160
DOI: 10.1055/s-0038-1634908
Original Article
Schattauer GmbH

Integrated Clinical Decision Support Using an Object-Oriented Database Management System

R. D. Frost
1   Management Information Systems Department, Central Connecticut State University, New Britain, CT
,
M. L. Gillenson
2   Department of Computer Information Systems, University of Miami, Coral Gables, FL, USA
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

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Abstract:

Clinical decision support systems assist in diagnosis, alert to abnormal conditions, and manage patient data. Such systems tend to emphasize one of these features at the expense of the others and tend to be developed on an ad hoc basis. In this work, a technique is developed for creating an integrated clinical decision support system wholly within a general-purpose object-oriented database management system. The diagnostic and alerting requirements are accomplished with encapsulated methods and a novel use of the object-oriented database management class-hierarchy structure. The patient data management requirement is satisfied by the normal data management capabilities of the object-oriented DBMS.

Key-Words

Clinical Decision Support Systems - Expert Systems - Integrated Clinical Decision Support Systems - Object-Oriented Database Management Systems
 

  • REFERENCES

  • 1 Shortliffe E, Perreault L. Medical Informatics: Computer Applications in Health Care. Reading MA: Addison-Wesley; 1990
    Suche in Google Scholar
  • 2 Grams R, Peck G. National survey of hospital data processing -1985. J Med Syst 1986; 10: 423-568.
    CrossrefPubMedSuche in Google Scholar
  • 3 Evans R, Larsen R, Burke J. et al. Computer surveillance of hospital-acquired infections and antibiotic use. JAMA 1986; 256: 1007-11.
    CrossrefPubMedSuche in Google Scholar
  • 4 Luger G, Stubblefield W. Artificial Intelligence and the Design of Expert Systems.. Redwood City CA: Benjamin/Cummings; 1989
    Suche in Google Scholar
  • 5 Shortliffe E. Computer-Based Medical Consultations: MYCIN.. New York: Elsevier/ North Holland; 1976
    Suche in Google Scholar
  • 6 Miller R, Pople H, Myers J. Internist-1: An experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med 1982; 307: 468-76.
    CrossrefPubMedSuche in Google Scholar
  • 7 Pryor T, Gardner RM, Clayton PD, Warner HR. The HELP system. J Med Syst 1983; 07: 87-102.
    CrossrefPubMedSuche in Google Scholar
  • 8 Cattell R. Object Data Management.. Reading MA: Addison-Wesley; 1991
    Suche in Google Scholar
  • 9 Kim W. Introduction to Object-Oriented Databases.. Cambridge MA: MIT Press; 1990
    Suche in Google Scholar
  • 10 Stonebraker M, Anton J, Hanson E. Extending a database system with procedures. ACM Trans Database Syst 1987; 12: 350-76.
    CrossrefPubMedSuche in Google Scholar
  • 11 Stonebraker M, Hanson EN, Potamianos S. The POSTGRES rule manager. IEEE Trans Softw Eng 1988; 14: 897-907.
    CrossrefPubMedSuche in Google Scholar
  • 12 Stonebraker M, Kemnitz G. The Postgres next-generation database management system. ACM Comm 1991; 34: 78-92.
    CrossrefPubMedSuche in Google Scholar
  • 13 Rafanelli M, Maceratini R, Crollari S, Maggi M, Mascilini S. Pancreatic cancer: An object-oriented knowledge based system for the pre-operative differential diagnosis. In: MEDINFO 89. Proceedings. Amsterdam: North-Holland Publ Comp; 1989: 635-9.
    Suche in Google Scholar
  • 14 Rucker DW, Maron DJ, Shortliffe E. Temporal representation of clinical algorithms using expert systems and database tools. Comput Biomed Res 1990; 23: 222-39.
    CrossrefPubMedSuche in Google Scholar
  • 15 Barsalou T. An object-based architecture for biomedical expert database systems. Comput Meth Progr Biomed 1989; 30: 157-68.
    CrossrefPubMedSuche in Google Scholar
  • 16 Chueh H, Barnett GO, Hayes W, Beck W. Hemavid: A flexible computer-based interactive video resource for hematology. In: Proceedings of the Twelfth Annual Symposium on Computer Applications in Medical Care. Washington: IEEE Computer Socie’ty Press; 1988: 421-5
    Suche in Google Scholar
  • 17 Dimitroff D, Chang I. An object-oriented approach to automating patient medical records. In: Proceedings 14th COMPSAC.. Los Alamitos CA: IEEE Computer Society Press; 1990: 82-7
    Suche in Google Scholar
  • 18 Albert ML, Goodglass H, Helm-Estabrooks N, Rubens A, Alexander M. Clinical Aspects of Dysphasia.. New York: Springer-Verlag; 1981
    Suche in Google Scholar
  • 19 Benson D. Aphasia, Alexia and Agraphia.. New York: Churchill Livingstone; 1979
    Suche in Google Scholar
  • 20 Carlson N. Physiology of Behavior.. Boston: Allyn and Bacon; 1986
    Suche in Google Scholar
  • 21 Code C. The Characteristics of Aphasia.. London: Taylor and Francis; 1989
    Suche in Google Scholar
  • 22 Helm-Estabrooks N, Albert M. Manual of Aphasia Therapy.. Austin TX: Pro-ed; 1991
    Suche in Google Scholar
  • 23 Helm-Estabrooks N. Aphasia Diagnostic Profile.. Chicago: Riverside; 1991
    Suche in Google Scholar
  • 24 Holland A. Language Disorders in Adults.. San Diego CA: College-Hill Press; 1984
    Suche in Google Scholar