Learn More
Access control is a central problem in privacy management. A common practice in controlling access to sensitive data, such as electronic health records (EHRs), is Role-Based Access Control (RBAC). RBAC is limited as it does not account for the circumstances under which access to sensitive data is requested. Following a qualitative study that elicited access(More)
Clinicians routinely practice in a state of incomplete information--about the patient, and about medical knowledge pertaining to patients' care. Consequently, there is now growing interest in the use of CDSS to bring decision support to the point of care. CDSS can impact physician behavior in routine practice. Nonetheless, CDSSs are meant to support humans(More)
Clinical guidelines provide recommendations to assist clinicians in making decisions regarding appropriate medical care for specific patient situations. However, characterizing these situations is difficult as it requires taking into account all the variations that patients may present. We propose an approach which helps with identifying and categorizing(More)
Clinical guidelines recommend quality standards for patient care. Encoding guidelines in a computer-interpretable format and integrating them with an Electronic Medical Record (EMR) can enable delivery of patient-specific recommendations when and where needed. GLIF3 is a language for representing computer-interpretable guidelines (CIGs) and sharing them(More)
OBJECTIVE To evaluate the phase plane (PP) ECG as a method for detecting acute coronary occlusion (ACO). BACKGROUND Balloon inflation in a coronary artery during PTCA produces acute myocardial ischemia. The sensitivity of the standard ECG for detecting ACO is approximately 50%, depending on the number of leads recorded. METHODS The standard ECG signals(More)
BACKGROUND Various medical centers in Israel have recently incorporated electronic medical record systems. Knowing the EMR systems' features and pattern of use is an essential step for developing locally and nationally integrated systems. OBJECTIVES To evaluate the status of EMR systems in all major general hospitals in Israel in terms of the applications(More)
When chest symptoms recur in a patient who underwent percutaneous transluminal coronary angioplasty (PTCA), it is necessary to rule out restenosis (R). Three main noninvasive tests suggest the presence of R: exercise stress test (XT), myocardial perfusion imaging (MPI) and stress echocardiography (s-echo). The objectives of this review were: (1) to estimate(More)
We are investigating the use of axiomatic design (AD) as a principled approach to the revision of guidelines. AD models guidelines in a modular and hierarchical manner and captures interactions be-tween modules. To test this approach we applied AD to encode segments of three guidelines and their revised versions. Guideline encodings for the original(More)
A 47 year old man presented to the emergency department with effort dyspnea, pleuritic chest pain and dry cough of 4 months duration. Three months previously he completed one trial of an antibiotic course, macrolide, which did not alleviate his complaints. Two days before the admission he had presented to the emergency department with exacerbation of the(More)
Several data types (symptoms, signs, and tests) are gathered and used in the process of investigating a clinical problem. In this study, we aimed to quantitatively evaluate how often the knowledge contained in clinical practice guidelines refer to these data types, and to what extent evidence based medicine principles are applied to them. To this end, we(More)