Linking Patient Information Systems to Bibliographic Resources

Abstract

Medical informatics researchers have explored a number of ways to integrate medical information resources into patient care systems. Particular attention has been given to the integration of on-line bibliographic resources. This paper presents an information model which breaks down the integration task into three components, each of which answers a question: what is the user’s question?, where can the answer be found?, and how is the retrieval strategy composed? Twelve experimental systems are reviewed and their methods for addressing one or more of these questions are described.

Keywords

Clinical Information Systems - Bibliographic Systems - Literature Searching - Information Retrieval

• REFERENCES

• 1 Guyatt GH. Evidence-based medicine. ACP Journal Club, Ann Intern Med 1991; 114 (Suppl. 02) A-16.
• 2 Lindberg DAB, Siegel ER, Rapp BA, Wallingford KT, Wilson SR. Use of MEDLINE by physicians for clinical problem solving. JAMA 1993; 269: 3124-9.
• 3 Borgman CL. Why are online catalogs hard to use? Lessons learned from information-retrieval studies. J Amer Soc Inform Science 1986; 37: 387-400.
• 4 McKibbon KA, Haynes RB, Dilks CJ. et al How good are clinical MEDLINE searches? A comparative study of clinical end-user and librarian searches. Comput Biomed Res 1990; 23: 583-93.
• 5 Osheroff JA, Bankowitz RA. Physicians’ use of computer software in answering clinical questions. Bull Med Libr Assoc 1993; 81: 11-9.
• 6 Cimino JJ, Sengupta S. IAIMS and UMLS at the Columbia-Presbyterian Medical Center. Med Decis Making 1991; 11 (Suppl): S89-93.
• 7 Gorman PN, Ash J, Wykoff L. Can primary care physicians’ questions be answered using the medical journal literature?. Bull Med Libr Assoc 1994; 82: 140-6.
• 8 Loonsk JW, Lively R, TinHan E, Litt H. Implementing the Medical Desktop: tools for the integration of independent information resources. In: Clayton PD. ed Proceedings of the Fifteenth Annual Symposium on Computer Applications in Medical Care. Washington, DC: 1991: 574-7.
• 9 Lindberg DAB, Humphreys BL, McCray AT. The Unified Medical Language System. Meth Inform Med 1993; 32: 281-91.
• 10 Powsner SM, Miller PL. From patient records to bibliographic retrieval: a Meta-1 front-end. In: Clayton PD. ed Proceedings of the Fifteenth Annual Symposium on Computer Applications in Medical Care. Washington DC: 1991: 526-30.
• 11 Powsner SM, Riely CA, Barwick KW, Morrow JS, Miller PL. Automated bibliographic retrieval based on current topics in hepatology: Hepatopix. Comput Biomed Res 1989; 22: 552-64.
• 12 Powsner SM, Miller PL. Automated online transition from the medical record to the psychiatric literature. Meth Inform Med 1992; 31: 169-74.
• 13 Hammond JE, Hammond WE, Stead WW. Information management through integration of distributed resources: the TMR-NLM connection and prototype. In: Miller RA. ed Proceedings of the Fourteenth Annual Symposium on Computer Applications in Medical Care. Washington DC: 1990: 719-23.
• 14 Miller RA, Gieszczykiewicz FM, Vries JK, Cooper GF. CHARTLINE: providing bibliographic references relevant to patient charts using the UMLS Metathesaurus Knowledge Sources. In: Frisse ME. ed Proceedings of the Sixteenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1992: 86-90.
• 15 Cimino JJ, Aguirre A, Johnson SB, Peng P. Generic Queries for Meeting Clinical Information Needs. Bull Med Libr Assoc 1993; 81: 195-206.
• 16 Cimino JJ, Johnson SB, Aguirre A, Roderer N, Clayton PD. The Medline Button. In: Frisse ME. ed Proceedings of the Sixteenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1992: 81-5.
• 17 Schatz BR, Hardin JB. NCSA Mosaic and the World Wide Web: global hypermedia protocols for the Internet. Science 1994; 265: 895-901.
• 18 McKinney WP, Wagner JM, Bunton G, Kirk LM. A guide to Mosaic and the World Wide Web for physicians. MD Comput 1995; 12: 109-14,141.
• 19 Cimino JJ, Socratous SA, Clayton PD. Internet as clinical information system: application development using the World Wide Web. JAMIA 1995; 2: 273-84.
• 20 Cimino C, Barnett GO. Standardizing access to computer-based medical resources. In: Miller RA. ed Proceedings of the Fourteenth Annual Symposium on Computer Applications in Medical Care. Washington DC: 1990: 33-7.
• 21 Hales JW, Low RC, Fitzpatrick KT. Using the Internet Gopher protocol to link a computerized patient record and distributed electronic resources. In: Safran C. ed Proceedings of the Seventeenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1993: 621-5.
• 22 Miller PL, Frawley SJ, Wright L, Roderer NK, Powsner SM. Lessons learned from a pilot implementation of the UMLS Information Sources Map. JAMIA 1995; 102-15.
• 23 Peng P, Aguirre A, Johnson SB, Cimino JJ. Generating MEDLINE strategies using a librarian knowledge-based system. In: Safran C. ed Proceedings of the Seventeenth Annual Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1993: 596-600.
• 24 Covell DG, Uman GC, Manning PR. Information needs in the office practice: are they being met?. Ann Intern Med 1985; 103: 596-9.
• 25 Tang PC, Patel VL. Major issues in user interface design for health professional’ workstations: summary and recommendations. Intern J Biomed Comp 1994; 34: 139-48.
• 26 Dyson E. WAIS: many ways to do it (wide-area information servers). Release 1.0 1991; 91: 7-8.
• 27 Information Retrieval Service Definition and Protocol Specification for Library Applications. No. Z 39.50-1988. Document Center 1989