Tu Samson W, Campbell James, Musen Mark A
Stanford Medical Information, Stanford University School of Medicine, CA, USA.
AMIA Annu Symp Proc. 2003;2003:679-83.
We propose that recommendations in a clinical guideline can be structured either as collections of decisions that are to be applied in specific situations or as processes that specify activities that take place over time. We formalize them as "recommendation sets" consisting of either Activity Graphs that represent guideline-directed processes or Decision Maps that represent atemporal recommendations or recommendations involving decisions made at one time point. We model guideline processes as specializations of workflow processes and provide possible computational models for decision maps. We evaluate the proposed formalism by showing how various guideline-modeling methodologies, including GLIF, EON, PRODIGY3, and Medical Logic Modules can be mapped into the proposed structures. The generality of the formalism makes it a candidate for standardizing the structure of recommendations for computer-interpretable guidelines.
我们提出，临床指南中的建议可以构建为适用于特定情况的决策集合，或者构建为规定随时间推移发生的活动的流程。我们将它们形式化为“建议集”，其由表示指南导向流程的活动图或表示非时间性建议或涉及在一个时间点做出的决策的建议的决策图组成。我们将指南流程建模为工作流流程的特殊化，并为决策图提供可能的计算模型。我们通过展示包括GLIF、EON、PRODIGY3和医学逻辑模块在内的各种指南建模方法如何映射到所提出的结构中来评估所提出的形式化方法。这种形式化方法的通用性使其成为标准化计算机可解释指南建议结构的候选方法。
