Towards a realistic clinical-guidelines application framework: Desiderata, applications, and lessons learned

Erez Shalom, Iliya Fridman, Yuval Shahar, Avner Hatsek, Eitan Lunenfeld

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

7 Scopus citations

Abstract

Clinicians can benefit from automated support to guideline (GL) application at the point of care. However, several conceptual dimensions should be considered for a realistic application: 1) The representation of the knowledge might be through structured text (semi-formal), or specified in a machinecomprehensible language (formal); 2) The availability of electronic patient data might be partial or full; 3) GL-based recommendations might be triggered by a human-initiated (synchronous) session, or data-driven (asynchronous). In addition, several requirements must be fulfilled, such as an evaluation of the GL application engine by a GL simulation engine. Finally, to apply multiple GLs, by multiple users, in multiple settings, the GL-application engine should be designed as an enterprise architecture that can plug into any Electronic Medical Record (EMR). We present an architecture fulfilling these desiderata, describe application examples with different conceptual dimensions and requirements, using our new GL-application engine, PICARD, discuss lessons learned, and briefly describe a clinical evaluation of the current framework in the domain of pre-eclampsia/toxemia of pregnancy.

Original languageEnglish
Title of host publicationProcess Support and Knowledge Representation in Health Care - BPM 2012 Joint Workshop, ProHealth 2012/KR4HC 2012, Revised Selected Papers
PublisherSpringer Verlag
Pages56-70
Number of pages15
ISBN (Print)9783642364372
DOIs
StatePublished - 1 Jan 2013
EventBPM 2012 Joint Workshop on 5th Workshop of Process-Oriented Information Systems in Health Care, ProHealth 2012 and 4th Workshop on Knowledge Representation for Health Care, KR4HC 2012 - Tallinn, Estonia
Duration: 3 Sep 20123 Sep 2012

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume7738 LNAI
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

ConferenceBPM 2012 Joint Workshop on 5th Workshop of Process-Oriented Information Systems in Health Care, ProHealth 2012 and 4th Workshop on Knowledge Representation for Health Care, KR4HC 2012
Country/TerritoryEstonia
CityTallinn
Period3/09/123/09/12

Keywords

  • Automatic application
  • Clinical guidelines
  • Evaluation
  • Knowledge representation
  • Medical decision support systems
  • Simulation
  • Telemedicine

Fingerprint

Dive into the research topics of 'Towards a realistic clinical-guidelines application framework: Desiderata, applications, and lessons learned'. Together they form a unique fingerprint.

Cite this