Integrated development of a knowledge-based CPR system for quality assurance in diabetes outpatient clinics

Many approaches for the development of computer-based patient record (CPR) systems consider only implicitly the inferences a user wants to accomplish in using the system. However, the integration of knowledge-based support into the routine work flow requires an explicit model of the inferences during routine work. Such a model helps to structure the interface of the system and to identify those inference steps which could benefit from knowledge-based support. This paper describes the approach used in developing a CPR system taking into account its future role as a platform for the integration of knowledge bases into routine work.