Abstract
DXplain, a computer-based medical education, reference and decision support system has been used by thousands of physicians and medical students on stand-alone systems and over communications networks. For the past two years, we have made DXplain available over the Internet in order to provide DXplain's knowledge and analytical capabilities as a resource to other applications within Massachusetts General Hospital (MGH) and at outside institutions. We describe and provide the user experience with two different protocols through which users can access DXplain through the World Wide Web (WWW). The first allows the user to have direct interaction with all the functionality of DXplain where the MGH server controls the interaction and the mode of presentation. In the second mode, the MGH server provides the DXplain functionality as a series of services, which can be called independently by the user application program.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barnett G. O., Cimino J. J., Hupp J. A., Hoffer E. P. DXplain. An evolving diagnostic decision-support system. JAMA. 1987 Jul 3;258(1):67–74. doi: 10.1001/jama.258.1.67. [DOI] [PubMed] [Google Scholar]
- Barnett G. O. The application of computer-based medical-record systems in ambulatory practice. N Engl J Med. 1984 Jun 21;310(25):1643–1650. doi: 10.1056/NEJM198406213102506. [DOI] [PubMed] [Google Scholar]
- Berner E. S., Webster G. D., Shugerman A. A., Jackson J. R., Algina J., Baker A. L., Ball E. V., Cobbs C. G., Dennis V. W., Frenkel E. P. Performance of four computer-based diagnostic systems. N Engl J Med. 1994 Jun 23;330(25):1792–1796. doi: 10.1056/NEJM199406233302506. [DOI] [PubMed] [Google Scholar]
- Detmer W. M., Barnett G. O., Hersh W. R. MedWeaver: integrating decision support, literature searching, and Web exploration using the UMLS Metathesaurus. Proc AMIA Annu Fall Symp. 1997:490–494. [PMC free article] [PubMed] [Google Scholar]
- Kittredge R., Rabbani U., Melanson F., Barnett O. Experiences in deployment of a Web-based CIS for referring physicians. Proc AMIA Annu Fall Symp. 1997:320–324. [PMC free article] [PubMed] [Google Scholar]