Runtime application of Hybrid-Asbru clinical guidelines

被引:25
作者
Young, Ohad [1 ]
Shahar, Yuval
Liel, Yair
Lunenfeld, Eitan
Bar, Guy
Shalom, Erez
Martins, Susana B.
Vaszar, Laszlo T.
Marom, Tal
Goldstein, Mary K.
机构
[1] Ben Gurion Univ Negev, Dept Informat Syst Engn, Med Informat Res Ctr, IL-84105 Beer Sheva, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, Soroka Med Ctr, IL-84105 Beer Sheva, Israel
[3] Stanford Univ, Sch Med, Dept Med, Palo Alto, CA 94304 USA
[4] Vet Adm Palo Alto Hlth Care Syst, Med Serv, Palo Alto, CA USA
[5] Wolfson Med Ctr, Holon, Israel
[6] Vet Adm Med Ctr, Ctr Geriatr Res Educ & Clin, VA Palo Alto Hlth Care Syst, Palo Alto, CA 94304 USA
[7] Stanford Univ, Ctr Primary Care & Outcomes Res, Stanford, CA 94305 USA
关键词
clinical guidelines; decision support systems; knowledge representation;
D O I
10.1016/j.jbi.2006.12.004
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
Clinical guidelines are a major tool in improving the quality of medical care. However, to support the automation of guideline-based care, several requirements must be filled, such as specification of the guidelines in a machine-interpretable format and a connection to an Electronic Patient Record (EPR). For several different reasons, it is beneficial to convert free-text guidelines gradually, through several intermediate representations, to a machine-interpretable format. It is also realistic to consider the case when an EPR is unavailable. We propose an innovative approach to the runtime application of intermediate-represented Hybrid-Asbru guidelines, with or without an available EPR. The new approach capitalizes on our extensive work on developing the Digital electronic Guideline Library (DeGeL) framework. The new approach was implemented as the Spock system. For evaluation, three guidelines were specified in an intermediate format and were applied to a set of simulated patient records designed to cover prototypical cases. In all cases, the Spock system produced the expected output, and did not produce an unexpected one. Thus, we have demonstrated the capability of the Spock system to apply guidelines encoded in the Hybrid-Asbru intermediate representation, when an EPR is not available. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:507 / 526
页数:20
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