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AsthmaCritic: Issues in Designing a Noninquisitive Critiquing System for Daily Practice

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 for publication: 10/15/02; accepted for publication: 05/15/03.

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.