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Biomedical subjects

A Capey

Publications and source records attributed to A Capey.

3 recordsLinked to original sources

The place of SGML and HTML in building electronic patient records.

The authors are concerned that, although popular, SGML (Standard Generalized Markup Language) is only one approach to capturing, storing, viewing and exchanging healthcare information and does not provide a suitable paradigm for solving most of the problems associated with paper based patient record systems. Although a discussion of the relative merits of SGML, HTML (HyperText Markup Language) may be interesting, we feel such a discussion is avoiding the real issues associated with the most appropriate way to model, represent, and store electronic patient information in order to solve healthcare problems, and therefore the medical informatics community should firstly concern itself with these issues. The paper substantiates this viewpoint and concludes with some suggestions of how progress can be made.

Computer Communication Networks↗

PACE project: object-orientated modelling of paediatric practice.

The need for useful clinical support based on integrated computerized systems is now well recognized. To build systems desired by busy clinicians requires accurate specifications. These specifications in turn require rigorous descriptions of the processes to be automated in a form which is understandable and unambiguous to both clinician and computer scientist. Despite these requirements communication between suppliers and users of computer systems often is poor. Detailed descriptions of health care with particular reference to child health were developed with an object-orientated technique. These descriptions take the form of conceptual models of the basic health care activities (evidence collection, assessing, planning and implementing management) and more specific departmental activities pertaining to paediatric intensive care, accident and emergency, and cystic fibrosis management. We have learned that once a modelling team becomes competent in applying the technique, object-orientated modelling can be a powerful tool for the description of complex processes such as those involved in present-day health care.

Decision Support Techniques↗

Basic health care functions: an object-orientated analysis.

All clinical activities carried out by health care professionals can be seen as examples of what we have called the basic health care functions. These are collecting information concerning the patient, assessing the patient in the light of the information gathered, and then planning and administering the care which is deemed necessary. For a computerized clinical support system to be helpful to clinicians it is essential that the information and computer scientists responsible for building such systems have clear and detailed descriptions of the activities carried out by their clinical colleagues. One method of bridging this communication gap is object-orientated modelling. In this paper we present an object-orientated analysis of the basic health care functions, thus establishing a generic model on which descriptions of more specific clinical situations can be based.

Decision Support Techniques↗