Use of declarative statements in creating and maintaining computer-interpretable knowledge bases for guideline-based care.

Samson W. Tu, Karen M. Hrabak, James R. Campbell, Julie Glasgow, Mark A. Nyman, Robert McClure, James McClay, Robert Abarbanel, James G. Mansfield, Susana M. Martins, Mary K. Goldstein, Mark A. Musen

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Developing computer-interpretable clinical practice guidelines (CPGs) to provide decision support for guideline-based care is an extremely labor-intensive task. In the EON/ATHENA and SAGE projects, we formulated substantial portions of CPGs as computable statements that express declarative relationships between patient conditions and possible interventions. We developed query and expression languages that allow a decision-support system (DSS) to evaluate these statements in specific patient situations. A DSS can use these guideline statements in multiple ways, including: (1) as inputs for determining preferred alternatives in decision-making, and (2) as a way to provide targeted commentaries in the clinical information system. The use of these declarative statements significantly reduces the modeling expertise and effort required to create and maintain computer-interpretable knowledge bases for decision-support purpose. We discuss possible implications for sharing of such knowledge bases.

Original languageEnglish (US)
Pages (from-to)784-788
Number of pages5
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
StatePublished - 2006

ASJC Scopus subject areas

  • Medicine(all)

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    Tu, S. W., Hrabak, K. M., Campbell, J. R., Glasgow, J., Nyman, M. A., McClure, R., McClay, J., Abarbanel, R., Mansfield, J. G., Martins, S. M., Goldstein, M. K., & Musen, M. A. (2006). Use of declarative statements in creating and maintaining computer-interpretable knowledge bases for guideline-based care. AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 784-788.