Technical solutions for integrating clinical practice guidelines with electronic patient records

Silvia Panzarasa, Silvana Quaglini, Anna Cavallini, Giuseppe Micieli, Simona Marcheselli, Mario Stefanelli

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The success of a decision support system based on clinical practice guidelines does not only depend on the quality of the decision model used to represent and execute guideline recommendations, but also on the design of interactions of the system with the end-user interface and the electronic patient record. This paper describes technical solutions adopted to add decision support functionalities to two existing information systems for stroke patients. Despite the specific medical application, the approach is quite general, relying on two main functionalities: a real-time decision support system based on workflow technology (careflow) and an off-line tool for non-compliance detection, called "Reasoning on Medical Action" (RoMA). The integration has been developed maintaining independence between data management and knowledge management, and minimizing changes to existing user's interfaces. The paper illustrates in particular the middleware layer created to allow communication between the evidence-based system and the electronic patient record.

Original languageEnglish
Title of host publicationLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Pages141-154
Number of pages14
Volume5943 LNAI
DOIs
Publication statusPublished - 2010
EventWorkshop on Knowledge Representation for Health-Care: Data, Processes and Guidelines, KR4HC 2009. Held in Conjunction with the 12th Conference on Artificial Intelligence in Medicine, AIME 2009 - Verona, Italy
Duration: Jul 19 2009Jul 19 2009

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume5943 LNAI
ISSN (Print)03029743
ISSN (Electronic)16113349

Other

OtherWorkshop on Knowledge Representation for Health-Care: Data, Processes and Guidelines, KR4HC 2009. Held in Conjunction with the 12th Conference on Artificial Intelligence in Medicine, AIME 2009
CountryItaly
CityVerona
Period7/19/097/19/09

Keywords

  • Clinical practice guidelines
  • Electronic patient record
  • Middleware
  • Workflow management systems

ASJC Scopus subject areas

  • Computer Science(all)
  • Theoretical Computer Science

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