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PubMed · 8947712

Knowledge representation for platform-independent structured reporting.

C E Kahn·P N Huynh
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Abstract

Structured reporting systems allow health care providers to record observations using predetermined data elements and formats. We present a generalized language, based on the Standard Generalized Markup Language (SGML), for platform-independent structured reporting. DRML (Data-entry and Report Markup Language) specifies hierarchically organized concepts to be included in data-entry forms and reports. DRML documents serve as the knowledge base for SPIDER, a reporting system that uses the World Wide Web as its data-entry medium. SPIDER generates platform-independent documents that incorporate familiar data-entry objects such as text windows, checkboxes, and radio buttons. From the data entered on these forms, SPIDER uses its knowledge base to generate outline-format textual reports, and creates datasets for analysis of aggregate results. DRML allows knowledge engineers to design a wide variety of clinical reports and survey instruments.

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Computer Communication NetworksHypermediaMedical Records Systems, ComputerizedProgramming LanguagesUser-Computer InterfaceJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, P.H.S.

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C E Kahn, P N Huynh. 1996. Knowledge representation for platform-independent structured reporting.. https://pubmed.ncbi.nlm.nih.gov/8947712/

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Case-oriented computer-based-training in radiology: concept, implementation and evaluation.

BACKGROUND: Providing high-quality clinical cases is important for teaching radiology. We developed, implemented and evaluated a program for a university hospital to support this task. METHODS: The system was built with Intranet technology and connected to the Picture Archiving and Communications System (PACS). It contains cases for every user group from students to attendants and is structured according to the ACR-code (American College of Radiology) 2. Each department member was given an individual account, could gather his teaching cases and put the completed cases into the common database. RESULTS: During 18 months 583 cases containing 4136 images involving all radiological techniques were compiled and 350 cases put into the common case repository. Workflow integration as well as individual interest influenced the personal efforts to participate but an increasing number of cases and minor modifications of the program improved user acceptance continuously. 101 students went through an evaluation which showed a high level of acceptance and a special interest in elaborate documentation. CONCLUSION: Electronic access to reference cases for all department members anytime anywhere is feasible. Critical success factors are workflow integration, reliability, efficient retrieval strategies and incentives for case authoring.

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