Abstract
Clinical guidelines contain recommendations based on the best empirical evidence available at the moment. There is a wide consensus about the benefits of guidelines and about the fact that they should be deployed through clinical information systems, making them available during consultation time. However, one of the main obstacles to this integration is still the interaction with the electronic health record. In this paper we present an archetype-based approach to solve the interoperability problems of guideline systems, as well as to enable guideline sharing. We also describe the knowledge requirements for the development of archetype-enabled guideline systems, and then focus on the development of appropriate guideline archetypes and on the connection of these archetypes to the target electronic health record.
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References
Sonnenberg, F., Hagerty, C.: Computer-Interpretable Clinical Practice Guidelines. Where Are We and where Are We Going? IMIA Yearbook of Medical Informatics, 145–158 (2006)
Peleg, M., Miksch, S., Seyfang, A., Bury, J., Ciccarese, P., Fox, J., Greenes, R., Hall, R., Johnson, P., Jones, N., Kumar, A., Quaglini, S., Shortliffe, E., Stefanelli, M.: Comparing computer-interpretable guideline models: A case-study approach. J. Am. Med. Inform. Assn. 10, 52–68 (2003)
de Clercq, P.A., Blom, J.A., Korsten, H.H.M., Hasman, A.: Approaches for creating computer-interpretable guidelines that facilitate decision support. Artif. Intell. Med. 31, 1–27 (2004)
Panzarasa, S., Quaglini, S., Cavallini, A., Micieli, G., Marcheselli, S., Stefanelli, M.: Technical Solutions for Integrating Clinical Practice Guidelines with Electronic Patient Records. In: Riaño, D., ten Teije, A., Miksch, S., Peleg, M. (eds.) KR4HC 2009. LNCS, vol. 5943, pp. 141–154. Springer, Heidelberg (2010)
Chen, R., Georgii-Hemming, P., Åhlfeldt, H.: Representing a Chemotherapy Guideline Using openEHR and Rules. In: Proc. of the 22nd Int. Conf. of the European Federation for Medical Informatics (MIE 2009), pp. 653–657. IOS Press, Amsterdam (2009)
Beale, T., Heard, S.: Architecture Overview (April 2007), http://www.openehr.org/releases/1.0.2/architecture/overview.pdf
Marcos, M., Martínez-Salvador, B.: Towards the Interoperability of Computerised Guidelines and Electronic Health Records: An Experiment with openEHR Archetypes and a Chronic Heart Failure Guideline. In: Riaño, D., ten Teije, A., Miksch, S., Peleg, M. (eds.) KR4HC 2010. LNCS, vol. 6512, pp. 101–113. Springer, Heidelberg (2011)
Angulo, C., Crespo, P., Maldonado, J.A., Moner, D., Pérez, D., Abad, I., Mandingorra, J., Robles, M.: Non-invasive lightweight integration engine for building EHR from autonomous distributed systems. Int. J. of Med. Inform. 76(S3), 417–424 (2007)
Hripcsak, G., Ludemann, P., Pryor, T.A., Wigertz, O.B., Clayton, P.D.: Rationale for the Arden Syntax. Comput. Biomed. Res. 27, 291–324 (1994)
Peleg, M., Keren, S., Denekamp, Y.: Mapping computerized clinical guidelines to electronic medical records: Knowledge-data ontological mapper (KDOM). J. Biomed. Inform. 41(1), 180–201 (2008)
German, E., Leibowitz, A., Shahar, Y.: An architecture for linking medical decision-support applications to clinical databases and its evaluation. J. Biomed. Inform. 42(2), 203–218 (2009)
The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the ESC: Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005). Eur. Heart J. 26, 1115–1140 (2005)
Maldonado, J., Moner, D., Boscá, D., Fernández, J., Angulo, C., Robles, M.: LinkEHR-Ed: A multi-reference model archetype editor based on formal semantics. Int. J. of Med. Inform. 78(8), 559–570 (2009)
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Marcos, M., Maldonado, J.A., Martínez-Salvador, B., Moner, D., Boscá, D., Robles, M. (2011). An Archetype-Based Solution for the Interoperability of Computerised Guidelines and Electronic Health Records. In: Peleg, M., Lavrač, N., Combi, C. (eds) Artificial Intelligence in Medicine. AIME 2011. Lecture Notes in Computer Science(), vol 6747. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22218-4_35
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DOI: https://doi.org/10.1007/978-3-642-22218-4_35
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