Young Ohad, Shahar Yuval
Medical Informatics Research Center, Department of Information Systems Engineering, Ben-Gurion University, Beer Sheva 84105, Israel. {ohadyn , yshahar}@bgumail.bgu.ac.il
AMIA Annu Symp Proc. 2005;2005:854-8.
Clinical Guidelines are a major tool for improving the quality of medical care. Currently, a major research direction is automating the application of guidelines at the point of care. To support that automation, several requirements must be fulfilled, such as specification in a machine-interpretable format, and connection to an electronic patent record. We propose an innovative approach to guideline application, which capitalizes on our Digital electronic Guidelines Library (DeGeL). The DeGeL framework includes a new hybrid model for incremental specification of free-text guidelines, using several intermediate representations. The new approach was implemented, in the case of the Asbru guideline ontology, as the Spock system. Spock's hybrid application engine supports application of guideline represented at an intermediate format. Spock was evaluated in a preliminary fashion by applying several guidelines to sample patient data.
临床指南是提高医疗质量的主要工具。目前，一个主要的研究方向是在医疗点实现指南应用的自动化。为了支持这种自动化，必须满足几个要求，例如以机器可解释的格式进行规范，并连接到电子病历记录。我们提出了一种创新的指南应用方法，该方法利用了我们的数字电子指南库（DeGeL）。DeGeL框架包括一种新的混合模型，用于使用几种中间表示形式对自由文本指南进行增量规范。在Asbru指南本体的案例中，这种新方法被实现为Spock系统。Spock的混合应用引擎支持以中间格式表示的指南的应用。通过将几个指南应用于样本患者数据，对Spock进行了初步评估。
