Modeling guidelines for integration into clinical workflow.

Samson W. Tu, Mark A. Musen, Ravi Shankar, James Campbell, Karen Hrabak, James McClay, Stanley M. Huff, Robert McClure, Craig Parker, Roberto Rocha, Robert Abarbanel, Nick Beard, Julie Glasgow, Guy Mansfield, Prabhu Ram, Qin Ye, Eric Mays, Tony Weida, Christopher G. Chute, Kevin McDonaldDavid Molu, Mark A. Nyman, Sidna Scheitel, Harold Solbrig, David A. Zill, Mary K. Goldstein

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The success of clinical decision-support systems requires that they are seamlessly integrated into clinical workflow. In the SAGE project, which aims to create the technological infra-structure for implementing computable clinical practice guide-lines in enterprise settings, we created a deployment-driven methodology for developing guideline knowledge bases. It involves (1) identification of usage scenarios of guideline-based care in clinical workflow, (2) distillation and disambiguation of guideline knowledge relevant to these usage scenarios, (3) formalization of data elements and vocabulary used in the guideline, and (4) encoding of usage scenarios and guideline knowledge using an executable guideline model. This methodology makes explicit the points in the care process where guideline-based decision aids are appropriate and the roles of clinicians for whom the guideline-based assistance is intended. We have evaluated the methodology by simulating the deployment of an immunization guideline in a real clinical information system and by reconstructing the workflow context of a deployed decision-support system for guideline-based care. We discuss the implication of deployment-driven guideline encoding for sharability of executable guidelines.

Original languageEnglish (US)
Title of host publicationMedinfo. MEDINFO
Pages174-178
Number of pages5
Volume11
EditionPt 1
StatePublished - 2004
Externally publishedYes

Fingerprint

Workflow
Guidelines
Point-of-Care Systems
Clinical Decision Support Systems
Distillation
Knowledge Bases
Decision Support Techniques
Vocabulary
Information Systems
Immunization

Cite this

Tu, S. W., Musen, M. A., Shankar, R., Campbell, J., Hrabak, K., McClay, J., ... Goldstein, M. K. (2004). Modeling guidelines for integration into clinical workflow. In Medinfo. MEDINFO (Pt 1 ed., Vol. 11, pp. 174-178)

Modeling guidelines for integration into clinical workflow. / Tu, Samson W.; Musen, Mark A.; Shankar, Ravi; Campbell, James; Hrabak, Karen; McClay, James; Huff, Stanley M.; McClure, Robert; Parker, Craig; Rocha, Roberto; Abarbanel, Robert; Beard, Nick; Glasgow, Julie; Mansfield, Guy; Ram, Prabhu; Ye, Qin; Mays, Eric; Weida, Tony; Chute, Christopher G.; McDonald, Kevin; Molu, David; Nyman, Mark A.; Scheitel, Sidna; Solbrig, Harold; Zill, David A.; Goldstein, Mary K.

Medinfo. MEDINFO. Vol. 11 Pt 1. ed. 2004. p. 174-178.

Research output: Chapter in Book/Report/Conference proceedingChapter

Tu, SW, Musen, MA, Shankar, R, Campbell, J, Hrabak, K, McClay, J, Huff, SM, McClure, R, Parker, C, Rocha, R, Abarbanel, R, Beard, N, Glasgow, J, Mansfield, G, Ram, P, Ye, Q, Mays, E, Weida, T, Chute, CG, McDonald, K, Molu, D, Nyman, MA, Scheitel, S, Solbrig, H, Zill, DA & Goldstein, MK 2004, Modeling guidelines for integration into clinical workflow. in Medinfo. MEDINFO. Pt 1 edn, vol. 11, pp. 174-178.
Tu SW, Musen MA, Shankar R, Campbell J, Hrabak K, McClay J et al. Modeling guidelines for integration into clinical workflow. In Medinfo. MEDINFO. Pt 1 ed. Vol. 11. 2004. p. 174-178
Tu, Samson W. ; Musen, Mark A. ; Shankar, Ravi ; Campbell, James ; Hrabak, Karen ; McClay, James ; Huff, Stanley M. ; McClure, Robert ; Parker, Craig ; Rocha, Roberto ; Abarbanel, Robert ; Beard, Nick ; Glasgow, Julie ; Mansfield, Guy ; Ram, Prabhu ; Ye, Qin ; Mays, Eric ; Weida, Tony ; Chute, Christopher G. ; McDonald, Kevin ; Molu, David ; Nyman, Mark A. ; Scheitel, Sidna ; Solbrig, Harold ; Zill, David A. ; Goldstein, Mary K. / Modeling guidelines for integration into clinical workflow. Medinfo. MEDINFO. Vol. 11 Pt 1. ed. 2004. pp. 174-178
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AU - Huff, Stanley M.

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AU - McDonald, Kevin

AU - Molu, David

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AU - Solbrig, Harold

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