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Related Experiment Videos

Creating temporal abstractions in three clinical information systems

M G Kahn1, K A Marrs

  • 1Section of Medical Informatics, Washington University, St. Louis, Missouri, USA.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1995
PubMed
Summary

Clinical information systems struggle with temporal data. A unified temporal data representation was developed for a drug dose monitoring expert system, but system-specific time handling created challenges.

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Area of Science:

  • Health Informatics
  • Clinical Decision Support Systems
  • Database Management

Background:

  • Clinical information systems (CIS) increasingly require temporal data association.
  • Diverse data modeling techniques exist for capturing temporal features in CIS.
  • Point-based events and interval-based durations are common temporal representations.

Purpose of the Study:

  • To implement a rule-based expert system for drug dose monitoring across three CIS.
  • To establish a common database schema for a unified temporal data representation.
  • To assess the feasibility of using identical expert system code on disparate CIS.

Main Methods:

  • Developed a rule-based expert system requiring static and temporal drug dosing information.
  • Defined a common database schema to abstract underlying CIS data models.

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  • Mapped clinical data from three source systems into a unified temporal data format.
  • Main Results:

    • Successfully mapped clinical data from three distinct CIS into a unified temporal representation.
    • Identified significant challenges arising from inherent differences in how each CIS handles time.
    • Demonstrated the difficulty in achieving a truly common expert system code due to temporal data variations.

    Conclusions:

    • A unified temporal data representation is achievable but complex due to CIS heterogeneity.
    • Differences in temporal data handling within clinical systems pose significant integration hurdles.
    • Further standardization in temporal data modeling within CIS is needed for seamless system interoperability.