Toward a General Model for the Description of Multimedia Clinical Data
14 February 2018 (online)
The patient folder integrates information originating from heterogeneous sources. For this reason computerized tools for patient data management should exploit the advantages of multimediality and offer an integrated environment for data presentation, and image and biosignal visualization. Object-oriented modeling is the best approach for designing systems for multimedia patient folder management.
We propose an object-oriented model, able to define the entities constituting the patient folder and their logical organization. This model has sufficient flexibility to adapt to the most varied clinical environments. It allows the physician to structure the information needed for his/her patient folder without employing a programming language.
- 1 Weed LL. Medical records that guide and teach. N Eng J Med 1968; 12: 593-600 652-7.
- 2 Weed LL. The Problem-Oriented Record as a basic tool in medical eduction, patient care and clinical research. Ann Clin Res 1971; 131-4.
- 3 Aranda JM. The problem-oriented medical records: Experiences in a community hospital. JAMA 1974; 229: 549-51.
- 4 Assimacopoulos A, Revillard C, Hermann H, et al. An electronic notebook for problem-oriented patient progress notes: testing a concept. In: Barber B, Qin D, Wagner G. ed. Proc MEDINFO 89. Amsterdam: North-Holland; 1989: 813-7.
- 5 Acheson HWK. The Clinical Record as an Aid to Continuing Education in General Practice. A Medical Self-Audit. Br J Med Educ 1972; 7: 6-26.
- 6 Stead WW, Borden R, McNulty P, Sitting DF. Building an Information Management Infrastructure in the 90s: The Vanderbilt Experiment. In: Safran C. ed. Proc Seventeenth Annual Symposium on Computer Applications in Medical Care. New York: MacGraw-Hill; 1993: 534-8.
- 7 Heathfield HA, Kirby J. PEN&PAD (Elderly Care): Designing a Patient Record System for Elderly Care. In: Safran C. ed. Proceedings Seventeenth Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1993: 129-33.
- 8 Ricci FL, Pisanelli DM, Ferri F, Consorti F. Modeling the Structural and Behavioural Features of Medical Concepts: A Tool for Generating Multimedia Patient Folders. In Barahona P, Veloso M, and Brayant J. ed. Proc. of Medical Informatics Europe 94. Berlin: Springer Verlag; 1994: 470-4.
- 9 Jean FC, Thelliez T, Mascart JJ, Degoulet P. “Object-oriented information system in the HELIOS medical software engineering environment”. Proceedings 16th Symposium on Computer Applications in Medical Care. New York: McGraw-Hill; 1992
- 10 Dolin RH. “A High-Level Object-Oriented Model for Representing Relationships in an Electronic Medical Record”, Proceedings 18th Symposium on Computer Applications in Medical Care. Philadelphia: Hanley & Belfus; 1994
- 11 Kuma H, Tsuchiya Y. “Database Access Method for Autonomous Distributed Total Hospital Information System and Its Object-Oriented Design”, Proceedings MEDINFO 95. Amsterdam, North-Holland: 1995
- 12 Graeber S. “Object-Oriented Modeling Of Hospital Information Systems”, Proceedings MEDINFO 95. Amsterdam, North-Holland: 1995
- 13 National Health Service Information Management Centre, The Common Basic Specification. London: Her Majesty's Stationery Office; 1990
- 14 Lou Y, Ozsoyoglu M. LLO: An Object Oriented Deductive Language with Methods and Method Inheritance. SIGMOD Record, 1991; 20: 198-207.
- 15 Consorti F, Ferri F, Gargiulo A, Di Paola M, Passariello R, Pisanelli DM, Ricci FL, Zobel B. “Specification of the Medical Requirements”, Project Report MILORD A.2. 1992
- 16 Kim W. Object-Oriented Databases: Definition and Research Directions. IEEE Transaction on Knowledge and Data Engineering 1990; 2: 327-41.
- 17 Cardelli L. Types for Data-Oriented Languages. Advances in Database Technology – EDBT '88. Lecture Notes in Computer Science. 1988 303. 1-15.
- 18 Ferri F, Pisanelli DM, Ricci FL. “An Object-Oriented Tool for the Generation and Management of Multimedia Patient Folders”, Proceeding of the Eighteenth Annual Symposium on Computer Applications in Medical Care (SCAMC). Washington: Hanley & Belfus, Inc.; 1994
- 19 Christodoulakis S, Ho F, Theodoridou M, Papa M, Pathria A. “Multimedia Document Presentation, Information Extraction and Document Formation in MINOS: A Model and a System”, ACM Transactions on Office Information Systems. 1986; pp. 345-83.
- 20 Ferri F. “The medical folder as an active tool in defining the clinical decision-making process”, Medical Informatics. Taylor & Francis: 1995. vol. 20, n. 2, pp. 97-112.