Young Ohad, Shahar Yuval, Liel Yair, Lunenfeld Eitan, Bar Guy, Shalom Erez, Martins Susana B, Vaszar Laszlo T, Marom Tal, Goldstein Mary K
Medical Informatics Research Center, Department of Information Systems Engineering, Ben Gurion University, Beer Sheva, Israel.
J Biomed Inform. 2007 Oct;40(5):507-26. doi: 10.1016/j.jbi.2006.12.004. Epub 2006 Dec 24.
Clinical guidelines are a major tool in improving the quality of medical care. However, to support the automation of guideline-based care, several requirements must be filled, such as specification of the guidelines in a machine-interpretable format and a connection to an Electronic Patient Record (EPR). For several different reasons, it is beneficial to convert free-text guidelines gradually, through several intermediate representations, to a machine-interpretable format. It is also realistic to consider the case when an EPR is unavailable. We propose an innovative approach to the runtime application of intermediate-represented Hybrid-Asbru guidelines, with or without an available EPR. The new approach capitalizes on our extensive work on developing the Digital electronic Guideline Library (DeGeL) framework. The new approach was implemented as the Spock system. For evaluation, three guidelines were specified in an intermediate format and were applied to a set of simulated patient records designed to cover prototypical cases. In all cases, the Spock system produced the expected output, and did not produce an unexpected one. Thus, we have demonstrated the capability of the Spock system to apply guidelines encoded in the Hybrid-Asbru intermediate representation, when an EPR is not available.
临床指南是提高医疗质量的主要工具。然而，为了支持基于指南的医疗自动化，必须满足几个要求，例如以机器可解释的格式规范指南，并与电子病历（EPR）建立连接。出于多种不同原因，通过几种中间表示形式将自由文本指南逐步转换为机器可解释的格式是有益的。考虑到EPR不可用的情况也是现实可行的。我们提出了一种创新方法，用于运行时应用中间表示的混合Asbru指南，无论是否有可用的EPR。新方法利用了我们在开发数字电子指南库（DeGeL）框架方面的大量工作。新方法作为Spock系统得以实现。为了进行评估，以中间格式指定了三条指南，并将其应用于一组旨在涵盖典型病例的模拟患者记录。在所有情况下，Spock系统都产生了预期的输出，并且没有产生意外输出。因此，我们证明了在没有EPR时，Spock系统能够应用以混合Asbru中间表示形式编码的指南。
