OPEN SYSTEM INTERFACES FOR AUTOMATED PATIENT RECORDS

尽管自动病历(APR)一直是很多人关注的焦点 最近的研究和许多商业系统已经被开发出来， 他们遇到了临床医生用户社区的抵制，因为Key 最终用户问题尚未得到解决。这项研究计划是 为新兴的APR技术开发面向最终用户的新型界面 小伊。 第一阶段的研究应用了认知和民族志方法来分析 临床医生需要与患者记录进行交互。终端用户需求 确定导致了APR接口层的设计(4月) 患者记录的“视图”，每个视图都在不同的计算机上执行 主机(基于笔的临床相遇视图，提供灵活、移动 在患者会诊期间基于表单的交互；以及桌面数据视图 以供临床医生办公室进行记录审查/分析)。四月是专门设计的 作为开放式系统体系结构，用于将接口链接到任何 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 演示4月的主要组件的全尺寸原型，基于 对第一阶段进行了分析、架构和初步设计。 拟议的商业应用：这项研究将产生一种新的人类-- 自动病历(APR)的计算机接口，这是一种极端的 活跃的商业区。在开放系统的第二阶段实施 技术采用X-Windows软件，具有强大的APR界面 商业应用。它可以与任何或多个 当前或新兴的商业APR系统，单独作为价值出售- 增加APR接入接口层，或作为开发基础 一种新型的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.