Berg David, Ram Prabhu, Glasgow Julie, Castro Jonathan
Health Informatics, IDX Systems Corporation, Seattle, WA, USA.
Conf Proc IEEE Eng Med Biol Soc. 2004;2004:3217-20. doi: 10.1109/IEMBS.2004.1403906.
Clinical practice guidelines have begun to appear in electronic form with the expectation that they will be used to provide automated clinical decision support. Systems capable of executing these clinical practice guidelines are emerging concurrently. A few research projects have developed guideline authoring tools that allow encoding electronic clinical practice guidelines. However, we are not aware of tools that allow testing of electronic clinical practice guidelines by their authors. We have developed a tool called SAGEDesktop for the testing of electronic clinical practice guidelines. SAGEDesktop does not require external infrastructure to carry out this testing. It includes: 1) an embedded guideline engine which can execute electronic clinical practice guidelines 2) functionality that emulates the capabilities of a clinical information system necessary for the execution of the guideline, and 3) terminology server functionality that encapsulates standard clinical terms. Coupled with an authoring tool, SAGEDesktop provides a complete development environment in which precise and robust electronic clinical practice guidelines can be encoded and tested. We describe the features of SAGEDesktop, narrate our vision of the tool's use, and discuss SAGEDesktop's strengths and weaknesses.
临床实践指南已开始以电子形式出现，期望它们能用于提供自动化临床决策支持。能够执行这些临床实践指南的系统也在同时出现。一些研究项目已开发出允许对电子临床实践指南进行编码的指南编写工具。然而，我们并未发现有工具能让指南作者对电子临床实践指南进行测试。我们开发了一款名为SAGEDesktop的工具，用于测试电子临床实践指南。SAGEDesktop进行此项测试无需外部基础设施。它包括：1）一个嵌入式指南引擎，可执行电子临床实践指南；2）模拟执行指南所需临床信息系统功能的功能；3）封装标准临床术语的术语服务器功能。与编写工具相结合，SAGEDesktop提供了一个完整的开发环境，可在其中对精确且可靠的电子临床实践指南进行编码和测试。我们描述了SAGEDesktop的功能特性，阐述了我们对该工具使用的设想，并讨论了SAGEDesktop的优缺点。
