Peleg Mor, Kantor Rami
Stanford Medical Informatics, Stanford University School of Medicine, CA, USA.
AMIA Annu Symp Proc. 2003;2003:509-13.
Computer-interpretable clinical guidelines (CIGs) aim to eliminate clinician errors, reduce practice variation, and promote best medical practices by delivering patient-specific advice during patient encounters. Clinical guidelines are being regularly updated and revised to handle expanding clinical knowledge. When revising CIGs, much effort can be saved by specifying changes among versions instead of encoding revised guidelines from scratch. A representation of differences between versions could focus the process of re-implementing CIGs in a clinical environment and help users understand and embrace changes. Guideline versioning has not been adequately dealt with by existing CIG formalisms. We present three approaches for CIG versioning. Focusing on one approach, we developed a versioning tool based on version 3 of the GuideLine Interchange Format (GLIF3), and used it to represent two guideline versions for management of community-acquired pneumonia (CAP) and the changes between them.
计算机可解释临床指南（CIG）旨在通过在患者就诊期间提供针对患者的建议来消除临床医生的错误、减少实践差异并推广最佳医疗实践。临床指南会定期更新和修订，以应对不断扩展的临床知识。在修订CIG时，通过指定版本之间的更改而不是从头开始编码修订后的指南，可以节省大量精力。版本之间差异的表示可以聚焦在临床环境中重新实施CIG的过程，并帮助用户理解和接受更改。现有CIG形式化方法尚未充分处理指南版本控制问题。我们提出了三种CIG版本控制方法。聚焦于其中一种方法，我们基于指南交换格式（GLIF3）第3版开发了一个版本控制工具，并使用它来表示社区获得性肺炎（CAP）管理的两个指南版本以及它们之间的更改。
