Hales J W, Gadd C S, Lobach D F
Division of Medical Informatics, Duke University Medical Center, Durham, NC, USA.
Proc AMIA Annu Fall Symp. 1997:163-7.
Computerization of clinical practice guidelines (CPGs) has been proposed as one solution to enhance the use of guidelines in influencing standard clinical care. However, the conversion of text guidelines to the format required by a computer program is a major barrier. Clinicians who best understand the content of CPGs are typically ill equipped to convert textual guidelines into a computer accessible format. The potential of knowledge acquisition tools to assist in this process has been documented in the literature. In this paper we describe an application prototype, the Guideline Entry Wizard, created to assist in the conversion of text CPGs to a structured format within a relational database. We have tested this application through the input of information from several CPG. The application is a prototype for a more advanced tool. We have used this prototype to enter several CPGs and have demonstrated its effectiveness in inputting guideline content into a knowledge base.
临床实践指南（CPG）的计算机化已被提议作为一种增强指南在影响标准临床护理方面应用的解决方案。然而，将文本指南转换为计算机程序所需的格式是一个主要障碍。最了解CPG内容的临床医生通常没有能力将文本指南转换为计算机可访问的格式。文献中已记录了知识获取工具在这一过程中的辅助潜力。在本文中，我们描述了一个应用程序原型，即指南录入向导，它的创建是为了帮助将文本CPG转换为关系数据库中的结构化格式。我们通过输入来自多个CPG的信息对该应用程序进行了测试。该应用程序是一个更高级工具的原型。我们已使用这个原型录入了几个CPG，并证明了它在将指南内容输入知识库方面的有效性。
