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An Abstraction Layer to Facilitate Technical Interoperability Between Medical Records and Knowledge Modules

机译:抽象层,以促进医疗记录与知识模​​块之间的技术互操作性

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Integrating clinical decision support (CDS) functions into an existing hospital information system (HIS) is often a tedious task. This problem area is so pervasive that the Arden Syntax, a widely used standard for CDS functions, assigned a specific designation, the so-called "curly braces problem". It derives from a pair of curly braces used to encapsulate any parameters required for the interactions with a HIS. The traditional approach is to leave the problem area of technical interoperability entirely to the specific institution, possibly entailing a considerable amount of initial programming work. This study describes a reusable and expandable solution to this problem in the form of an abstraction layer. Our study comprised an analytical phase in which we investigated the data source access capabilities of five Arden Syntax environments. Building on the results, we implemented a working prototype that is capable of querying heterogeneous data sources, which facilitates a straightforward connection of new data sources with existing and future communication protocols and standards. From our point of view, the technical aspects of the "curly braces problem" with respect to data source access have changed over the years, insofar as technical progress lead to defacto standards for data storage, data querying and inter-system communication. An agreement on such a convention, together with the supply of commonly used data source adapters could promote the further dissemination of the Arden Syntax as a standard for representing and sharing medical knowledge.
机译:将临床决策支持(CDS)函数集成到现有医院信息系统(他)通常是一个繁琐的任务。这个问题区域是如此普遍认为,Arden语法是一个广泛使用的CD函数标准,分配了特定的名称,所谓的“卷曲括号问题”。它来自一对卷曲的括号,用于封装与他的交互所需的任何参数。传统的方法是将问题领域留给特定机构的技术互操作性,可能需要大量的初始编程工作。本研究以抽象层的形式描述了对该问题的可重复使用和可扩展的解决方案。我们的研究包括分析阶段,我们调查了五个Arden语法环境的数据源访问功能。建立结果,我们实现了一种能够查询异构数据源的工作原型,这有助于具有现有和未来的通信协议和标准的新数据源的直接连接。从我们的角度来看,多年来,关于数据源访问的“卷曲括号问题”的技术方面已经发生了变化,因为技术进步导致数据存储,数据查询和系统间通信的违法标准。就此类公约的协议以及供应常用数据源适配器的供应可以促进Arden语法的进一步传播作为代表和分享医学知识的标准。

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