Foundations for an Electronic Medical Record

Rector, A; Nowlan, W. A.; Kay, Stephen

doi:10.1055/s-0038-1634836

Cited by 160 publications

(101 citation statements)

References 11 publications

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“…• To be faithful -to provide a medical record model to faithfully represent the healthcare process, work that drew heavily on earlier work in collaboration with Stephen Kay and Carole Goble, as well as on the current team [103,104].…”

Section: From Advising To Informing To Reducing Muddlementioning

confidence: 99%

AIM: a personal view of where I have been and where we might be going

Rector

2001

Artificial Intelligence in Medicine

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My own career in Medical Informatics and AI in Medicine has oscillated between concerns with medical records and concerns with knowledge representation with decision support as a pivotal integrating issue. It has focused on using AI to organise information and reduce 'muddle' and improve the user interfaces to produce 'useful and usable systems' to help doctors with a 'humanly impossible task'. Increasingly knowledge representation and ontologies have become the fulcrum for orchestrating re-use of information and integration of systems. Encouragingly, the dilemma between computational tractability and expressiveness is lessening, and ontologies and description logics are joining the mainstream both in AI in Medicine and in Intelligent Information Management generally. It has been shown possible to scale up ontologies to meet medical needs, and increasingly ontologies are playing a key role in meeting the requirements to scale up the complexity of clinical systems to meet the ever increasing demands brought about by new emphasis on reduction of errors, clinical accountability, and the explosion of knowledge on the Web.

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Section: From Advising To Informing To Reducing Muddlementioning

confidence: 99%

AIM: a personal view of where I have been and where we might be going

Rector

2001

Artificial Intelligence in Medicine

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“…To help us to understand the rationale behind the RIM's design, it is useful to point to the view of the medical record on which it is based, a view formulated by Rector and Nolan in 1991, according (Rector, Nolan and Kay 1991). From this point of view, not faithfulness to the clinical history and care of the patient is the fundamental criterion for what gets included in record, but rather, as Rector and Nolan express it:…”

Section: Bfo: Occurrent and The Rim Actclassmentioning

confidence: 99%

Human Action in the Healthcare Domain: A Critical Analysis of HL7’s Reference Information Model

Vizenor¹,

Ceusters²

2013

Johanssonian Investigations

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If we are to develop efficient, reliable and secure means for sharing information across healthcare systems and organizations, then a careful analysis of human actions will be needed. To address this need, the HL7 organization has proposed its Reference Information Model (RIM), which is designed to provide a comprehensive representation of the entire domain of healthcare centered around the phenomenon of human action. Taking the Basic Formal Ontology as our starting point, we examine the RIM from an ontological point of view, describing how it fails to provide a representation of the healthcare domain which would enjoy the sort of clarity, coherence, rigor and completeness that is claimed on its behalf.

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“…Analysis of the references of each ACI publication published during 2014 except [11,16, 17] (N=70) revealed nine ACI articles [52][53][54][55][56][57][58][59][60] citing eighteen articles from MIM [61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78]. Four of the cited MIM articles were published between 1991 and 1999, six were published between 2000 and 2009 and eight were published between 2010 and 2013.…”

Section: Links From Theory To Practisementioning

confidence: 99%

Improving Bridging from Informatics Theory to Practice

Haux

Koch

2015

Appl Clin Inform

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SummaryBackground: In 1962, Methods of Information in Medicine (MIM) began to publish papers on the methodology and scientific fundamentals of managing data, information, and knowledge in biomedicine and health care. Meeting an increasing demand for research about practical implementation of health information systems, the journal Applied Clinical Informatics (ACI) was launched in 2009. Both journals are official journals of the International Medical Informatics Association (IMIA). Objectives: Based on prior analyses, we aimed to describe major topics published in MIM during 2014 and to explore whether theory of MIM influenced practice of ACI. Our objectives were further to describe lessons learned and to discuss possible editorial policies to improve bridging from theory to practice. Methods: We conducted a retrospective, observational study reviewing MIM articles published during 2014 (N=61) and analyzing reference lists of ACI articles from 2014 (N=70). Lessons learned and opinions about MIM editorial policies were developed in consensus by the two authors. These have been influenced by discussions with the journal's associate editors and editorial board members. Results:The publication topics of MIM in 2014 were broad, covering biomedical and health informatics, medical biometry and epidemiology. Important topics discussed were biosignal interpretation, boosting methodologies, citation analysis, health-enabling and ambient assistive technologies, health record banking, safety, and standards. Nine ACI practice articles from 2014 cited eighteen MIM theory papers from any year. These nine ACI articles covered mainly the areas of clinical documentation and medication-related decision support. The methodological basis they cited from was almost exclusively related to evaluation. We could show some direct links where theory impacted practice. These links are however few in relation to the total amount of papers published. Conclusions: Editorial policies such as publishing systematic methodological reviews and clarification of possible practical impact of theory-focused articles may improve bridging.

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Foundations for an Electronic Medical Record

Cited by 160 publications

References 11 publications

AIM: a personal view of where I have been and where we might be going

AIM: a personal view of where I have been and where we might be going

Human Action in the Healthcare Domain: A Critical Analysis of HL7’s Reference Information Model

Improving Bridging from Informatics Theory to Practice

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