Modelagem dos Conceitos Clínicos e Psicológicos de Demências para o Diagnóstico Auxiliado por Computador
Resumo
A informação em saúde apresenta importantes complexidades espacial, temporal e de domínio, o que traz desafios à criação de sistemas de diagnóstico auxiliado por computador. Este artigo apresenta a estratégia de modelagem do conhecimento clínico e psicológico para um sistema de diagnóstico sindrômico de demências auxiliado por computador, baseado em modelagem multinível de sistemas de saúde. Para a modelagem do conhecimento, foram identificados os conceitos envolvidos na síndrome demencial, e foram elaborados arquétipos, de acordo com as especificações openEHR. Espera-se, com o desenvolvimento deste projeto, um melhor apoio às ações de detecção precoce de demências nos serviços de atenção básica.
Referências
Bamford, C., Eccles, M., Steen, N. and Robinson, L. (2007). Can primary care record review facilitate earlier diagnosis of dementia? In Family Practice, pages 108–116. Oxford University Press.
Blobel, B. (2002). Comparing concepts for electronic health record architectures. In Studies in Health Technology and Informatics, pages 209–214. IOS Press.
Garde, S., Hovenga, E., Buck, J. and Knaup, P. (2007). Expressing clinical data sets with openEHR archetypes: a solid basis for ubiquitous computing. In International Journal of Medical Informatics, pages S334–S341. Elsevier.
Garde. S., Knaup, P., Hovenga, E. and Heard, S. (2007). Towards semantic interoperability for electronic health records. In Methods of Information in Medicine, pages 332–343. Schattauer Publishers.
Grober, E., Sanders, A. E., Hall, C. and Lipton, R. B. (2010). Free and cued selective reminding identifies very mild dementia in primary care. In Alzheimer Disease & Associated Disorders, pages 284–290. Lippincott Williams & Wilkins.
Iliffe, S., Manthorpe, J. and Eden, A. (2003). Sooner or later? Issues in the early diagnosis of dementia in general practice: a qualitative study. In Family Practice, pages 376–381. Oxford University Press.
Iliffe, S., Robinson, L., Brayne C, Goodman C, Rait G and Manthorpe J. (2009). Primary care and dementia: 1. diagnosis, screening and disclosure. In International Journal of Geriatric Psychiatry, pages 895–901. John Wiley & Sons.
Iliffe, S., Walters, K. and Rait, G. (2000). Shortcomings in the diagnosis and management of dementia in primary care: towards an educational strategy. In Aging & Mental Health, pages 286–291. Taylor & Francis.
Madsen, M., Leslie, H., Hovenga, E. J. and Heard, S. (2010). Sustainable clinical knowledge management: an archetype development life cycle. In Studies in Health Technology and Informatics, pages 115–132. IOS Press.
Mathers, C. D., Bernard, C., Iburg, K. M., Inoue, M., Fat, D. M., Shibuya, K., Stein, C., Tomijima, N. and Xu, H. (2003). Global burden of disease in 2002: data sources, methods and results. Global Programme on Evidence for Health Policy Discussion Paper No. 54. World Health Organization, 1st edition.
Olafsdottir, M., Foldevi, M. and Marcusson, J. (2001). Dementia in primary care: why the low detection rate? In Scandinavian Journal of Primary Health Care, pages 194–198. Taylor & Francis.
Pollitt, P.A. (1996). Dementia in old age: an anthropological perspective. In Psychological Medicine, pages 1061–1074. Cambridge University Press.
Reynolds, C. J. and Wyatt, J. C. (2011). Open source, open standards, and health care information systems. In The Journal of Medical Internet Research, e24.
Wang, S. J., Middleton, B., Prosser, L. A., Bardon, C. G., Spurr, C. D., Carchidi, P. J., Kittler, A. F., Goldszer, R. C., Fairchild, D. G., Sussman, A. J., Kuperman, G. J. and Bates, D. W. (2003). A cost-benefit analysis of electronic medical records in primary care. In American Journal of Medicine, pages 397–403. Elsevier.
Wollersheim, D., Sari, A. and Rahayu, W. (2009). Archetype-based electronic health records: a literature review and evaluation of their applicability to health data interoperability and access. In Health Information Management Journal, pages 7–17. Health Information Management Association of Australia.
Blobel, B. (2002). Comparing concepts for electronic health record architectures. In Studies in Health Technology and Informatics, pages 209–214. IOS Press.
Garde, S., Hovenga, E., Buck, J. and Knaup, P. (2007). Expressing clinical data sets with openEHR archetypes: a solid basis for ubiquitous computing. In International Journal of Medical Informatics, pages S334–S341. Elsevier.
Garde. S., Knaup, P., Hovenga, E. and Heard, S. (2007). Towards semantic interoperability for electronic health records. In Methods of Information in Medicine, pages 332–343. Schattauer Publishers.
Grober, E., Sanders, A. E., Hall, C. and Lipton, R. B. (2010). Free and cued selective reminding identifies very mild dementia in primary care. In Alzheimer Disease & Associated Disorders, pages 284–290. Lippincott Williams & Wilkins.
Iliffe, S., Manthorpe, J. and Eden, A. (2003). Sooner or later? Issues in the early diagnosis of dementia in general practice: a qualitative study. In Family Practice, pages 376–381. Oxford University Press.
Iliffe, S., Robinson, L., Brayne C, Goodman C, Rait G and Manthorpe J. (2009). Primary care and dementia: 1. diagnosis, screening and disclosure. In International Journal of Geriatric Psychiatry, pages 895–901. John Wiley & Sons.
Iliffe, S., Walters, K. and Rait, G. (2000). Shortcomings in the diagnosis and management of dementia in primary care: towards an educational strategy. In Aging & Mental Health, pages 286–291. Taylor & Francis.
Madsen, M., Leslie, H., Hovenga, E. J. and Heard, S. (2010). Sustainable clinical knowledge management: an archetype development life cycle. In Studies in Health Technology and Informatics, pages 115–132. IOS Press.
Mathers, C. D., Bernard, C., Iburg, K. M., Inoue, M., Fat, D. M., Shibuya, K., Stein, C., Tomijima, N. and Xu, H. (2003). Global burden of disease in 2002: data sources, methods and results. Global Programme on Evidence for Health Policy Discussion Paper No. 54. World Health Organization, 1st edition.
Olafsdottir, M., Foldevi, M. and Marcusson, J. (2001). Dementia in primary care: why the low detection rate? In Scandinavian Journal of Primary Health Care, pages 194–198. Taylor & Francis.
Pollitt, P.A. (1996). Dementia in old age: an anthropological perspective. In Psychological Medicine, pages 1061–1074. Cambridge University Press.
Reynolds, C. J. and Wyatt, J. C. (2011). Open source, open standards, and health care information systems. In The Journal of Medical Internet Research, e24.
Wang, S. J., Middleton, B., Prosser, L. A., Bardon, C. G., Spurr, C. D., Carchidi, P. J., Kittler, A. F., Goldszer, R. C., Fairchild, D. G., Sussman, A. J., Kuperman, G. J. and Bates, D. W. (2003). A cost-benefit analysis of electronic medical records in primary care. In American Journal of Medicine, pages 397–403. Elsevier.
Wollersheim, D., Sari, A. and Rahayu, W. (2009). Archetype-based electronic health records: a literature review and evaluation of their applicability to health data interoperability and access. In Health Information Management Journal, pages 7–17. Health Information Management Association of Australia.
Publicado
19/07/2011
Como Citar
FERREIRA, Michele M. V.; COOK, Timothy Wayne; CAVALINI, Luciana T..
Modelagem dos Conceitos Clínicos e Psicológicos de Demências para o Diagnóstico Auxiliado por Computador. In: SIMPÓSIO BRASILEIRO DE COMPUTAÇÃO APLICADA À SAÚDE (SBCAS), 11. , 2011, Natal/RN.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2011
.
p. 1826-1829.
ISSN 2763-8952.
