PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of procascamcLink to Publisher's site
 
Proc Annu Symp Comput Appl Med Care. 1995 : 233–237.
PMCID: PMC2579090

An architecture for a distributed guideline server.

Abstract

A number of barriers exist which prevent the widespread integration of practice guidelines with electronic medical record systems. These include dependencies on clinical databases, as well as problems with converting existing guideline specifications into computable rules. We are developing the MBTA (Modeling Better Treatment Advice) practice guideline system which uses a distributed client-server architecture and an object-oriented data representation to support practice guidelines usable by different electronic medical record systems. We describe the structure and organization of MBTA, focusing on how an open systems design, combined with principles of guideline implementation, can be used to provide a general purpose guideline server for use by a variety of clinical workstations.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1006K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lomas J, Anderson GM, Domnick-Pierre K, Vayda E, Enkin MW, Hannah WJ. Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians. N Engl J Med. 1989 Nov 9;321(19):1306–1311. [PubMed]
  • Hill MN, Levine DM, Whelton PK. Awareness, use, and impact of the 1984 Joint National Committee consensus report on high blood pressure. Am J Public Health. 1988 Sep;78(9):1190–1194. [PubMed]
  • Barnett GO, Winickoff R, Dorsey JL, Morgan MM, Lurie RS. Quality assurance through automated monitoring and concurrent feedback using a computer-based medical information system. Med Care. 1978 Nov;16(11):962–970. [PubMed]
  • Stiell IG, McKnight RD, Greenberg GH, McDowell I, Nair RC, Wells GA, Johns C, Worthington JR. Implementation of the Ottawa ankle rules. JAMA. 1994 Mar 16;271(11):827–832. [PubMed]
  • McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976 Dec 9;295(24):1351–1355. [PubMed]
  • McDonald CJ, Overhage JM. Guidelines you can follow and can trust. An ideal and an example. JAMA. 1994 Mar 16;271(11):872–873. [PubMed]
  • Pryor TA. The HELP medical record system. MD Comput. 1988 Sep-Oct;5(5):22–33. [PubMed]
  • McDonald CJ, Tierney WM, Overhage JM, Martin DK, Wilson GA. The Regenstrief Medical Record System: 20 years of experience in hospitals, clinics, and neighborhood health centers. MD Comput. 1992 Jul-Aug;9(4):206–217. [PubMed]

Articles from Proceedings of the Annual Symposium on Computer Application in Medical Care are provided here courtesy of American Medical Informatics Association