|University of Southampton > ECS > CORE > Evaluation|
Below is the summary from the evaluation report.
Clinicians have responsibilities for audit and research, often
participating in projects with colleagues in basic science. Whilst
e-Scientists and e-Clinicians would ideally share different
perspectives of the same virtual working environments, differences
in language, conflicting agendas and security issues make it a major
challenge to relate information from bench to bedside and back to
bench. Our approach is to initiate a transition to service oriented
architecture and use Grid technologies to minimise relearning and
To enhance access and control of these virtual workspaces an
eXtensible Mark-up Language (XML) based interface has been
developed. This links the clinical data collection from ongoing
trials in Orthopaedics to the educational environment of the Web
Based Training (WBT) scheme. The underlying Collaborative
Orthopaedic Research Environment (CORE) infrastructure encompasses
the normal working environment of engineers and clinicians adopting
dedicated interactive media.
An XML based interface enables users to communicate using material mediated for their specific needs allowing adaptive media based upon user experience and knowledge base. This combines declarative (factual) content with feedback from a clinical (procedural) case-based training and evaluation environment. By using the XML interface, we were able to cater for the different user hardware and software resources, media content and even the language of presentation, incorporated via the virtual research environment. Proof of concept involved demonstration of the system with a scenario that used clinical data collection for everyday management. This information can then be used for the collection of data for audit and research.
By constructing a framework based upon already established
standards, we anticipate the applicability to other surgical
disciplines. We also perceive this as a way of building patient
specific datasets – libraries (atlases) of pathologies and of
results of various interventions. This will enable the development
of networking computer architectures to assist the assimilation of
multiple sources and media from different basic science resources.
The interface offers the opportunity to review data from orthopaedic
surgical systems embedded in an educational environment that is
quantitative rather than descriptive. This will ultimately help the
development of data repositories for mining, providing feedback upon
clinical case management. Future work should focus upon the process
of patient data collection and refinement of the data analysis using
grid technologies. The intention is to develop this as part of the
interface for basic science integration, especially using the use of
the virtual research environment for the preparation of
collaborative work both at National and International levels.