RESUMO
On-demand" information has been chosen by clinicians as one of their preferred modes of interaction with computers when in need of information about evidence-based practices. However, most of the clinicians' information needs remain unmet, especially due to a lack of easy access to resources that are able to satisfy these needs in a timely manner. We present three scenarios indicating opportunities for a clinical information system to present interdisciplinary standards at the point-of-care. In each scenario, we highlight the importance of context of use and the opportunities offered by the clinical workflow for providing access to relevant "on-demand" information. We also present an XML model for structuring non-physician interdisciplinary standards, in an effort to fulfill the requirements exposed by the three scenarios.
RESUMO
As part of an enterprise effort to develop new clinical information systems at Intermountain Health Care, we are developing a Knowledge Authoring Tool that facilitates the development of medical knowledge. At present, users of the application can compose order sets and other clinical knowledge documents based upon XML schemas. The flexible nature of the application allows for the authoring of new types of documents once an XML schema and accompanying web form have been developed and stored in a shared repository. The need for a knowledge acquisition tool stems largely from the desire for medical practitioners to be able to write their own content for clinical use. We hypothesize that knowledge content for clinical use can be successfully implemented around XML-based document frameworks containing structured and coded knowledge.
