Decision Support Provided by a Temporally Oriented Health Care Assistant : An Implementation of Computer-Interpretable Guidelines

Overview

Journal J Med Syst

Specialty Medical Informatics

Date 2016 Nov 28

PMID 27889874

Citations 1

Authors

Tiago Oliveira

Antonio Silva

Jose Neves

Paulo Novais

Affiliations

Soon will be listed here.

Abstract

The automatic interpretation of clinical recommendations is a difficult task, even more so when it involves the processing of complex temporal constraints. In order to address this issue, a web-based system is presented herein. Its underlying model provides a comprehensive representation of temporal constraints in Clinical Practice Guidelines. The expressiveness and range of the model are shown through a case study featuring a Clinical Practice Guideline for the diagnosis and management of colon cancer. The proposed model was sufficient to represent the temporal constraints in the guideline, especially those that defined periodic events and placed temporal constraints on the assessment of patient states. The web-based tool acts as a health care assistant to health care professionals, combining the roles of focusing attention and providing patient-specific advice.

Citing Articles

Contributions from the 2017 Literature on Clinical Decision Support.

Koutkias V, Bouaud J Yearb Med Inform. 2018; 27(1):122-128.

PMID: 30157515 PMC: 6115238. DOI: 10.1055/s-0038-1641222.

References

Isern D, Moreno A . Computer-based execution of clinical guidelines: a review. Int J Med Inform. 2008; 77(12):787-808. DOI: 10.1016/j.ijmedinf.2008.05.010. View

Peleg M . Computer-interpretable clinical guidelines: a methodological review. J Biomed Inform. 2013; 46(4):744-63. DOI: 10.1016/j.jbi.2013.06.009. View

Vollebregt A, ten Teije A, van Harmelen F, van der Lei J, Mosseveld M . A study of PROforma, a development methodology for clinical procedures. Artif Intell Med. 1999; 17(2):195-221. DOI: 10.1016/s0933-3657(99)00016-0. View

Anselma L, Terenziani P, Montani S, Bottrighi A . Towards a comprehensive treatment of repetitions, periodicity and temporal constraints in clinical guidelines. Artif Intell Med. 2006; 38(2):171-95. DOI: 10.1016/j.artmed.2006.03.007. View

Bright T, Wong A, Dhurjati R, Bristow E, Bastian L, Coeytaux R . Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012; 157(1):29-43. DOI: 10.7326/0003-4819-157-1-201207030-00450. View

Garg A, Adhikari N, McDonald H, Rosas-Arellano M, Devereaux P, Beyene J . Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005; 293(10):1223-38. DOI: 10.1001/jama.293.10.1223. View

Samwald M, Fehre K, de Bruin J, Adlassnig K . The Arden Syntax standard for clinical decision support: experiences and directions. J Biomed Inform. 2012; 45(4):711-8. DOI: 10.1016/j.jbi.2012.02.001. View

Wang D, Peleg M, Tu S, Boxwala A, Ogunyemi O, Zeng Q . Design and implementation of the GLIF3 guideline execution engine. J Biomed Inform. 2004; 37(5):305-18. DOI: 10.1016/j.jbi.2004.06.002. View

Terenziani P, Montani S, Bottrighi A, Torchio M, Molino G, Correndo G . The GLARE approach to clinical guidelines: main features. Stud Health Technol Inform. 2004; 101:162-6. View

10.

Berg D, Ram P, Glasgow J, Castro J . SAGEDesktop: an environment for testing clinical practice guidelines. Conf Proc IEEE Eng Med Biol Soc. 2007; 2004:3217-20. DOI: 10.1109/IEMBS.2004.1403906. View

11.

Boxwala A, Peleg M, Tu S, Ogunyemi O, Zeng Q, Wang D . GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines. J Biomed Inform. 2004; 37(3):147-61. DOI: 10.1016/j.jbi.2004.04.002. View

12.

Shahar Y, Miksch S, Johnson P . The Asgaard project: a task-specific framework for the application and critiquing of time-oriented clinical guidelines. Artif Intell Med. 1998; 14(1-2):29-51. DOI: 10.1016/s0933-3657(98)00015-3. View

13.

Sittig D, Wright A, Osheroff J, Middleton B, Teich J, Ash J . Grand challenges in clinical decision support. J Biomed Inform. 2007; 41(2):387-92. PMC: 2660274. DOI: 10.1016/j.jbi.2007.09.003. View

14.

Kaushal R, Shojania K, Bates D . Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med. 2003; 163(12):1409-16. DOI: 10.1001/archinte.163.12.1409. View