Medical data and knowledge management by integrated medical workstations: summary and recommendations

Christopher G. Chute, Branko Cesnik, Jan H. van Bemmel

Research output: Contribution to journalArticlepeer-review

Abstract

The health care professional workstation will function as an interface between the user and the patient data as well as an interface pertinent medical knowledge. Appropriate knowledge focus will require the workstation to recognize the concepts and structure of patient data, and understand the scope and access methods of knowledge sources. Issues are organized around five major themes: (i) structure, (ii) reliability and validation, (iii) views, (iv) location, and (v) ethical and legal. Conventional database representations can effectively address data structure and format variations that will inevitably persist in local data stores. The reliability of data and the validation of knowledge are critical issues that may determine the ultimate utility of clinical workstations. Alternative views of patient information and knowledge sources represent the true power of an intelligent data portal, represented by a well-designed clinical workstation. Both data and knowledge are optimally represented in decentralized information networks, although the confidentiality and ownership of this information must be respected. Evolutionary progress toward consistent representations of knowledge and patient data will be facilitated by the establishment of self-documentation standards for the developers of data encoding systems and knowledge sources, perhaps extended from the preliminary model afforded by the Unified Medical Language System (UMLS).

Original languageEnglish (US)
Pages (from-to)175-183
Number of pages9
JournalInternational Journal of Bio-Medical Computing
Volume34
Issue number1-4
DOIs
StatePublished - Jan 1994
Externally publishedYes

Keywords

  • Knowledge representation
  • Nomenclatures
  • UMLS
  • Vocabularies

ASJC Scopus subject areas

  • Medicine (miscellaneous)

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