OPEN SYSTEM INTERFACES FOR AUTOMATED PATIENT RECORDS

尽管自动化病历（APR）一直是许多人关注的焦点， 最近的研究和许多商业系统已经被开发出来， 他们遇到了来自临床医生用户群体的阻力，因为关键 最终用户问题尚未得到解决。 这项研究计划是 为新兴的APR技术开发一种面向最终用户的新型界面 y. 第一阶段的研究应用认知和民族志的方法来分析 临床医生需要与患者记录进行交互。 最终用户需求 导致APR接口层（APRIL）的设计，其具有多个 患者记录的“视图”，每个视图在不同的计算 主机（基于笔的临床诊疗视图，提供灵活的、移动的 患者就诊期间基于表单的交互;以及桌面数据视图 用于临床医生办公室中的记录审查/分析）。 四月设计 作为一个开放的系统架构， 各种自动化病历数据库。 第二阶段研究的总体目标是构建、测试和 展示APRIL关键组件的全尺寸原型， 第一阶段的分析、建筑和初步设计。 拟议的商业应用：这项研究将产生一种新的人类- 自动化病人记录（APR）的计算机接口， 活跃的商业区。 在第二阶段开放系统中实施 软件采用X-Windows技术，APR界面具有较强的 商业应用。 它可以与任何或几个集成 当前或新兴的商业APR系统，作为价值单独出售- 增加了APR接入的接口层，或用作开发的基础 一个新的APR系统。

Although automated patient records (APRs) have been the focus of much recent research and a number of commercial systems have been developed, they have met resistance from the clinician user community because key end-user issues have not been addressed. This research program is developing a novel, end-user-oriented interface to the emerging APR technol y. The Phase I research applied cognitive and ethnographic methods to analyze clinician needs for interacting with patient records. The end-user needs identified led to a design of an APR Interface Layer (APRIL) with multiple 'views' of the patient record, each executed on a different computational host (a pen-based clinical encounter view, which provides flexible, mobile forms-based interaction during patient encounters; and a desktop data view for record review/analysis in the clinician's office). APRIL is designed as an open systems architecture for linking the interface to any of a variety of automated patient record databases. The overall aim of the Phase II research is to construct, test, and demonstrate a full-scale prototype of the key components of APRIL, based on the Phase I analysis, architecture and preliminary design. PROPOSED COMMERCIAL APPLICATION: The research will produce a novel human- computer interface for Automated Patient Records (APR), an extremely active commercial area. Implemented in Phase II in open systems technology using X-Windows software, the APR interface has strong commercial application. It can be integrated with any or several of current or emerging commercial APR systems, sold separately as a value- added interface layer for APR access, or used as the basis for development of a novel APR system.