AsthmaCritic: Issues in Designing a Noninquisitive Critiquing System for Daily Practice
- Manon M Kuilboer, MD, MSc,
- Marc A M van Wijk, MD, PhD,
- Mees Mosseveld, MSc,
- Johan van der Lei, MD, PhD
- Affiliation of the authors: Department of Medical Informatics, Erasmus MC, University Medical Centre Rotterdam, The Netherlands
- Correspondence and reprints: Marc A. M. van Wijk, MD, PhD, Department of Medical Informatics, Erasmus MC, University Medical Centre Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands; e-mail: <m.vanwijk{at}erasmusmc.nl>.
- Received 15 October 2002
- Accepted 15 May 2003
Abstract
The noninquisitive critiquing system, AsthmaCritic, uses routinely recorded electronic patient data to select and analyze records of patients with asthma or chronic obstructive pulmonary disease (COPD). The system generates critiquing comments and adds these comments to the patient record. The system was developed by using and expanding an existing generic critiquing system. After a brief overview of the system, this report focuses on the authors' design choices in light of existing literature and the issues that underlie these design choices. Currently, AsthmaCritic is used by primary care physicians and is undergoing clinical evaluation.
Footnotes
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Supported by The Netherlands Asthma Foundation (#92.62). The authors thank their local medical content board: B. Ponsioen, MD, Prof. E. van der Does, MD, PhD, Prof. J. C. de Jongste, MD, PhD, and S. E. Overbeek, MD, PhD, and their national medical content board: B. Bottema, MD, PhD, P. N. R. Dekhuyzen, MD, PhD, E. J. Duiverman, MD, PhD, E. E. M. van Essen, MD, PhD, Th. B. Voorn, MD, PhD, M. H. J. Vaessen, MD, and A. van der Kuy, MD, PhD, for their part in the development of AsthmaCritic knowledge base. The authors also thank M. Kroneman, MSc, PhD, for her valuable contributions to this report.
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↵* AsthmaCritic is triggered by the ICPC codes (International Classification of Primary Care19) for asthma (R96), chronic bronchitis (R91), emphysema (R95), other chronic pulmonary diseases (R83.4), and the ATC codes (Anatomical, Therapeutic and Chemical coding system of the World Health Organization20) for prescriptions used in the treatment of asthma or COPD (R03).
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↵† Dr. B. Ponsioen, Professor Dr. E. van der Does, Dr. J. C. de Jongste, Dr. S. E. Overbeek.
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↵‡ Dr. B. Bottema, Dr. P. N. R. Dekhuyzen, Dr. E. J. Duiverman, Dr. E. E. M. van Essen, Dr. Th. B. Voorn, Dr. M. H. J. Vaessen, Dr. A. van der Kuy.
