关键词: Clinical decision support Computer-interpretable guidelines Ontologies Reminder systems Temporal representation

Mesh : Decision Making, Computer-Assisted Humans Internet Models, Theoretical Practice Guidelines as Topic Time Factors

来  源:   DOI:10.1007/s10916-016-0655-6   PDF(Sci-hub)

Abstract:
The automatic interpretation of clinical recommendations is a difficult task, even more so when it involves the processing of complex temporal constraints. In order to address this issue, a web-based system is presented herein. Its underlying model provides a comprehensive representation of temporal constraints in Clinical Practice Guidelines. The expressiveness and range of the model are shown through a case study featuring a Clinical Practice Guideline for the diagnosis and management of colon cancer. The proposed model was sufficient to represent the temporal constraints in the guideline, especially those that defined periodic events and placed temporal constraints on the assessment of patient states. The web-based tool acts as a health care assistant to health care professionals, combining the roles of focusing attention and providing patient-specific advice.
摘要:
临床建议的自动解释是一项艰巨的任务,当它涉及复杂的时间约束的处理时,更是如此。为了解决这个问题,本文提出了一种基于web的系统。其基础模型提供了临床实践指南中时间约束的全面表示。通过一个案例研究显示了该模型的表现力和范围,该案例研究以结肠癌的诊断和管理临床实践指南为特征。所提出的模型足以表示指南中的时间约束,特别是那些定义周期性事件并对患者状态评估施加时间限制的事件。该基于网络的工具充当医疗保健专业人员的医疗保健助手,结合集中注意力和提供针对患者的建议的作用。
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