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A REST Service for the Visualization of Clinical Time Series Data in the Context of Clinical Decision Support

机译:在临床决策支持下,休闲服务用于在临床决策支持下的临床时间序列数据的可视化

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Background: University Hospital Erlangen provides clinical decision support (CDS) functions in the intensive care setting, that are based on the Arden Syntax standard. These CDS functions generate extensive output, including patient data charts. In the course of the migration of our CDS platform we revised the charting tool because although the tool was generally perceived as useful, the clinical users reported several shortcomings. Objective: During the migration of our CDS platform, we aimed at resolving the reported shortcomings and at developing a reusable and parameterizable charting tool, driven by best practices and requirements of local clinicians. Methods: We conducted a requirements analysis with local clinicians and searched the literature for well-established guidelines for clinical charts. Using a charting library, we then implemented the tool based on the found criteria and provided it with a REST interface. Results: The criteria catalog included 18 requirements, all of which were successfully implemented. The new charting tool fully replaced the previous implementation in clinical routine. It also provides a web interface that enables clinicians to configure charts without programming skills. Conclusion: The new charting tool combines local preferences with best practices for visualization of clinical time series data. With its REST interface and reusable design it can be easily integrated in existing CDS platforms.
机译:背景:Erlangen大学医院提供了基于Arden Syntax标准的重症监护环境中的临床决策支持(CDS)功能。这些CD函数产生广泛的输出,包括患者数据图表。在CDS平台的迁移过程中,我们修改了图表工具,因为虽然该工具通常被视为有用,但临床用户报告了几个缺点。目的:在我们的CDS平台迁移期间,我们旨在解决因当地临床医生的最佳实践和要求而制定可重用和可参数化的绘制工具的缺点。方法:我们对当地临床医生进行了需求分析,并在临床图表中搜索了既定准则的文献。使用图表库,我们基于找到的标准实现了该工具,并提供了它的REST接口。结果:标准目录包括18个要求,所有这些都已成功实施。新的图表工具完全替换了先前的临床常规实现。它还提供了一个Web界面,使临床人员能够在没有编程技能的情况下配置图表。结论:新图表工具将本地偏好与临床时间序列数据的可视化的最佳实践相结合。凭借其REST接口和可重复使用的设计,可以轻松集成在现有的CDS平台中。

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