Department of Information Technology, Ghent University-IBBT, Belgium.
Comput Biol Med. 2012 Aug;42(8):793-805. doi: 10.1016/j.compbiomed.2012.06.003. Epub 2012 Jul 5.
As the complexity and amount of medical information keeps increasing, it is difficult to maintain the same quality of care. Therefore, clinical guidelines are used to structure best practices and care, but they also support physicians and nurses in the diagnostic and treatment process. Currently, no standardized format exists to represent these guidelines. Translating guidelines into a computer interpretable format can overcome problems in the physicians' workflow and improve clinician's uptake. An engine is proposed to automatically translate and execute clinical guidelines. These guidelines are represented as flowcharts, expressed in either (i) a computer interpretable guideline format or (ii) a UML diagram. A detailed overview of the architecture is presented and algorithms, aiming at grouping several components and distributing the guidelines, are proposed to optimize the execution of the guidelines. The Modified Schofield guideline for the calculation of the calorie need for burn patients was used for evaluation. Results show that the execution of guidelines using the engine is very efficient. Using optimization algorithms the execution times can be lowered.
随着医学信息量的不断增加和复杂化，要保持相同的医疗质量变得越来越困难。因此，临床指南被用来构建最佳实践和护理标准，但它们也为医生和护士的诊断和治疗过程提供支持。目前，还没有标准化的格式来表示这些指南。将指南转换为计算机可解释的格式可以克服医生工作流程中的问题，并提高临床医生的接受度。本文提出了一种自动翻译和执行临床指南的引擎。这些指南以流程图的形式表示，可以采用（i）计算机可解释的指南格式或（ii）UML 图表示。本文详细介绍了该架构，并提出了一些算法，旨在对多个组件进行分组并分发指南，以优化指南的执行。使用修改后的 Schofield 烧伤患者卡路里需求计算指南进行了评估。结果表明，使用引擎执行指南的效率非常高。通过使用优化算法，可以降低执行时间。
