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The MEDIGATE Graphical User Interface for Entry of Physical Findings: Design Principles and Implementation

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Abstract

The solution to many of the problems of the computer-based recording of the medical record has been elusive, largely due to difficulties in the capture of those data elements that comprise the records of the Present Illness and of the Physical Findings. Reliable input of data has proven to be more complex than originally envisioned by early work in the field. This has led to more research and development into better data collection protocols and easy to use human-computer interfaces as support tools. The M edical E xamination D irect I conic and G raphic A ugmented T ext E ntry S ystem (MEDIGATE System) is a computer enhanced interactive graphic and textual record of the findings from physical examinations designed to provide ease of user input and to support organization and processing of the data characterizing these findings. (27,30) The primary design objective of the MEDIGATE System is to develop and evaluate different interface designs for recording observations from the physical examination in an attempt to overcome some of the deficiencies in this major component of the individual record of health and illness.

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REFERENCES

  1. ActiveX, ActiveX Home Page, URL: http://www.activex.com, 1997.

  2. Berkow, R., and Fletcher, A. J., The Merck Manual of Diagnosis and Therapy (Fifteenth Edition), Merck Sharp & Dohme Research Laboratories, Rahway, N.J., 1987.

    Google Scholar 

  3. Cote, R. A., Rothwell, D. J., Palotay, J. L., Beckett, R. S., and Brochu, L. (eds.), The Systematized Nomenclature of Human and Veterinary Medicine, College of American Pathologists and American Veterinary Medical Association, 1993.

  4. DeGowin, R. L., DeGowin & DeGowin's Bedside Diagnostic Examination (Fifth Edition), Macmillan Publishing Company, New York, 1987.

    Google Scholar 

  5. Engelbrecht, R., Experiences in designing human-computer interfaces for doctors' office computers. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E., Peterson and W. Schneider, eds.), Stockholm, Sweden, pp. 219–233, 1985.

  6. Ikeda, H., Ohtomo, M., and Kambe, M., Intelligent Access of Health Care Databases. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E. Peterson and W. Schneider, eds.), Stockholm, Sweden, pp. 257–260, 1985.

  7. JAVA; JAVA Home Page; URL: http://java.sun.com, 1997.

  8. Levy, A. H., and Lawrance, D. P., Data acquisition and the computer-based patient record. In Aspects of the Computer-based Patient Record (M. J. Ball and M. F. Collen, eds.), Springer-Verlag, New York, pp. 125–139, 1992.

    Google Scholar 

  9. Levy, A. H., and Lawrance, D. P., Information Retrieval. In Aspects of the Computer-based Patient Record (M. J. Ball and M. F. Collen, eds.), Springer-Verlag, New York, pp. 146–152, 1992.

    Google Scholar 

  10. Lindberg, D. A. B., and Humphreys, B. L., UMLS knowledge sources: Tools for building better user interfaces. In Aspects of the Computer-Based Patient Record (M. J. Ball and M. F. Collen, Eds.), Springer-Verlag, New York, pp. 121–125, 1992.

    Google Scholar 

  11. Mandil, S. H., The relevance of images and graphics to primary health care. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E. Peterson & W. Schneider, eds.), Stockholm, Sweden, pp. 45–66, 1985.

  12. Reichertz, P. L., The need for alternative design of computer systems for improved human-computer communication. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E. Peterson and W. Schneider, eds.), Stockholm, Sweden, pp. 85–97, 1985.

  13. Seidel, H. M., Ball, J. W., Daines, J. E., and Benedict, G. W., Mosby's Guide to Physical Examination, The C. V. Mosby Company, St. Louis, 1987.

    Google Scholar 

  14. Shneiderman, B., The future of interactive systems and the emergence of direct manipulation. Behav. Info. Technol., 1(3):237–256, 1982.

    Google Scholar 

  15. Shneiderman, B., Direct manipulation: A step beyond programming languages. IEEE Computer 16(8):57–69, Aug. 1983.

    Google Scholar 

  16. Shneiderman, B., Designing the User Interface: Strategies for Effective Human-Computer Interaction, Addison-Wesley, Reading, MA, 1987.

    Google Scholar 

  17. Solheim, B. G., and Hansen, R., Actual problem for human-computer communication in hospital laboratory systems. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E. Peterson and W. Schneider, eds.), Stockholm, Sweden, pp. 81–84, 1985.

  18. UIOWA; University of Iowa Telemedicine Web Page; URL: http://www.lib.uiowa.edu/hw/telemed, 1997.

  19. Verplank, W. L., Graphics in human-computer communication: Principles of graphical user-interface design. Proceedings of the IFIP-IMIA Second Stockholm Conference on Communication in Health Care (H. E. Peterson and W. Schneider, eds.), Stockholm, Sweden, pp. 113–130, 1985.

  20. Wells, R. S., and Lemak, C. H., Beyond adoption to sustained use: Telemedicine for rural communities. Telemed. J. 2(4):285–293, 1996.

    Google Scholar 

  21. Williams, B. T., Computer Aids to Clinical Decisions; CRC Press, Inc., Boca Raton, FL, Vol. 1, 1982.

    Google Scholar 

  22. Williams, B. T., Johnson, R., and Chen, T. T., PLATO-based medical information systems-overview. Proceedings of the 1st Conference on Medical Info. Systems, Urbana, IL, pp. 145–149, October 17–18, 1974.

  23. Williams, B. T., Chen, T. T., Schultz, D. F., and Johnson, R., A terminal-oriented clinical record system. Comp. Graph. 9(1):115–135, 1975.

    Google Scholar 

  24. Williams, B. T., Chen, T. T., Schultz, D. F., Moll, J. D., Flood, J. R., and Elston, J. PLATO-based medical information system—variable keyboards. Proceedings of the 2nd Conference on Medical Info. Systems, Urbana, IL, pp. 56–61, September 24–25, 1975.

  25. Williams, B. T., Chen, T. T., Johnson, R., and Schultz, D. F., A terminal-orientated clinical record system. In (W. J. Perkins, ed.), Biomedical Computing University Park Press, Chap. 36, pp. 311–321, 1976.

  26. Williams, B. T., Foote, C. F., Galassie, C., and Schaeffer, R. C., Augmented physician interactive medical record. Medinfo 89: Proceedings of the 6th Conference on Medical Informatics, Beijing-Singapore (B. Barber, D. Cao, D. Qin, G. Wagner, eds.), North-Holland, Amsterdam, pp. 779–783, 1989.

    Google Scholar 

  27. Williams, B. T., Yoder, J. W., and Schultz, D. F., The MEDIGATE system for direct entry of physical findings by the examiner: User interface issues. Proceedings of the International Health Evaluation Association Annual Symposium on the Art and Science of Preventive Medicine (V. J. Felitti, ed.), La Jolla, CA, pp. 106–114, 1990.

  28. Winston, P. H., Artificial Intelligence (Second edition) Addison-Wesley, MA, 1984.

    Google Scholar 

  29. Yoder, R. D., Evan, M. R., and Sweeney, J. W., Processing pictures with computers, JAMA 200(13):119–123, June 26, 1967.

    Google Scholar 

  30. Yoder, J. W., The role of human-computer interaction in medical information systems: Principles and implementation of MEDIGATE, Unpublished Master Thesis, University of Illinois at Urbana-Champaign, 1992.

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Yoder, J.W., Schultz, D.F. & Williams, B.T. The MEDIGATE Graphical User Interface for Entry of Physical Findings: Design Principles and Implementation. Journal of Medical Systems 22, 325–337 (1998). https://doi.org/10.1023/A:1020578027525

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