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Supporting the Refinement of Clinical Process Models to Computer-Interpretable Guideline Models

Begoña Martínez-Salvador, Mar Marcos
2016 Business & Information Systems Engineering  
A prerequisite for using clinical guidelines in information systems is to encode them in a Computer-Interpretable Guideline (CIG) language.  ...  However, this is a difficult and demanding task, usually done by IT staff.  ...  Acknowledgements This research has been supported by Universitat Jaume I through project P1·1B2013-15, and by the Spanish Ministry of Economy and Competitiveness and the EU FEDER programme through project  ... 
doi:10.1007/s12599-016-0443-3 fatcat:jsms5w5fqbgyhksj6ukpxfzesy

Argumentation logic for the flexible enactment of goal-based medical guidelines

Maria Adela Grando, David Glasspool, Aziz Boxwala
2012 Journal of Biomedical Informatics  
Results: The framework has been fully implemented in the COGENT formal modeling system. The prototype has been evaluated implementing a hypertension guideline.  ...  Research purpose: We have designed a prototype clinical workflow system that allows the specification and enactment of medical guidelines in terms of clinical goals to be achieved, maintained or avoided  ...  In particular in [14] a service-oriented approach to distribute the enactment of PROforma plans was proposed and evaluated in a cancer treatment scenario.  ... 
doi:10.1016/j.jbi.2012.03.005 pmid:22480581 fatcat:25le2mq7nvgytfojrpwmw7dqja

Computer-interpretable clinical guidelines: A methodological review

Mor Peleg
2013 Journal of Biomedical Informatics  
In order for them to be effective, clinical guidelines need to be integrated with the care flow and provide patient-specific advice when and where needed.  ...  Hence, their formalization as computer-interpretable guidelines (CIGs) makes it possible to develop CIG-based decision-support systems (DSSs), which have a better chance of impacting clinician behavior  ...  Arturo González-Ferrer for his highly instrumental comments and discussion.  ... 
doi:10.1016/j.jbi.2013.06.009 pmid:23806274 fatcat:vkvc6tjtnzernjkzpusmmzpimm

Supporting Doctors through Mobile Multimodal Interaction and Process-Aware Execution of Clinical Guidelines

Fabrizio Cossu, Andrea Marrella, Massimo Mecella, Alessandro Russo, Stephen Kimani, Giuliano Bertazzoni, Annunziata Colabianchi, Alessandro Corona, Aldo De Luise, Francesco Grasso, Marianna Suppa
2014 2014 IEEE 7th International Conference on Service-Oriented Computing and Applications  
As a viable solution for clinicians' interaction with the system, we investigated the use of vocal and touch interfaces. Usability evaluation results indicate the feasibility of the approach.  ...  The system exploits concepts from Business Process Management (BPM) and Service Oriented Computing (SOC) on how to organize clinical guidelines in the healthcare context and how to support the automation  ...  On one hand, the PROforma language [18] is used to model a guideline as a set of tasks and data items, and the control flow between them.  ... 
doi:10.1109/soca.2014.44 dblp:conf/soca/CossuMM0KBCCLGS14 fatcat:mhy4khbklve6xfizcxtvsspci4

A Conceptual Model for Detecting Interactions among Medical Recommendations in Clinical Guidelines [chapter]

Veruska Zamborlini, Rinke Hoekstra, Marcos da Silveira, Cédric Pruski, Annette ten Teije, Frank van Harmelen
2014 Lecture Notes in Computer Science  
We evaluate the model by applying it to a realistic case study involving 3 diseases (Osteoarthritis, Hypertension and Diabetes) and compare the results with two other existing methods.  ...  We evaluate our model by applying it on a realistic case study that involves three guidelines concerning Osteoarthritis (OA), Hypertension (HT) and Diabetes (DB).  ... 
doi:10.1007/978-3-319-13704-9_44 fatcat:khq5h25wdzhyvc7jpq2vk75f4u

On Analyzing Process Compliance in Skin Cancer Treatment: An Experience Report from the Evidence-Based Medical Compliance Cluster (EBMC2) [chapter]

Michael Binder, Wolfgang Dorda, Georg Duftschmid, Reinhold Dunkl, Karl Anton Fröschl, Walter Gall, Wilfried Grossmann, Kaan Harmankaya, Milan Hronsky, Stefanie Rinderle-Ma, Christoph Rinner, Stefanie Weber
2012 Lecture Notes in Computer Science  
In this experience paper, we describe the challenges and lessons learned when realizing the L * life cycle model in the EBMC 2 context.  ...  Process mining has proven itself as a promising analysis technique for processes in the health care domain.  ...  This model was used for evaluation with domain experts to verify its compliance with medical reality.  ... 
doi:10.1007/978-3-642-31095-9_26 fatcat:mavf7gdqardzxn3pyhqparig2m

Medical guidelines for the patient: introducing the life assistance protocols

David Domínguez, Carlos Fernández, Teresa Meneu, Juan Bautista Mocholí, Riccardo Serafin
2008 Studies in Health Technology and Informatics  
This paper introduces our preliminary results in the modeling of Life Assistance Protocols, a new vision of medical guidelines and protocols through the lenses of p-Health.  ...  We propose a complete framework, balancing on classical clinical guideline models and covering both the theoretical and the practical aspects of the problem, describing it from conceptualization to the  ...  in the project development.  ... 
pmid:18806328 fatcat:twdsxpnvdzdchclwxnuz5n4fpe

Development and implementation of clinical guidelines: An artificial intelligence perspective

Tiago Oliveira, Paulo Novais, José Neves
2013 Artificial Intelligence Review  
It is also proposed a line of research that includes the development of an ontology for Clinical Practice Guidelines and a decision model for a guideline-based Expert System that manages non-compliance  ...  Finally, an analysis is made of the fundamental requirements of a guideline model and the importance that standard terminologies and models for clinical data have in the semantic and syntactic interoperability  ...  Acknowledgements This work is funded by national funds through the FCT -Fundação para a Ciência e a Tecnologia (Portuguese Foundation for Science and Technology) within pro-ject PEst-OE/EEI/UI0752/2011  ... 
doi:10.1007/s10462-013-9402-2 fatcat:k7quxtrcwfcqnc7kgk5mnpiou4

Modeling clinical activities based on multi-perspective declarative process mining with openEHR's characteristic

Haifeng Xu, Jianfei Pang, Xi Yang, Jinghui Yu, Xuemeng Li, Dongsheng Zhao
2020 BMC Medical Informatics and Decision Making  
It is significant to model clinical activities for process mining, which assists in improving medical service quality.  ...  Moreover, classifying event attributes from the view of computers usually are difficult for medical experts. There are also problems of model sharing and reusing after it is generated.  ...  Acknowledgements We are grateful to General Hospital of Xinjiang Military Region for their allowance to analyze the EMR data.  ... 
doi:10.1186/s12911-020-01323-7 pmid:33323101 fatcat:3brbl6kfmjdcpos4o7fst7xqye

A Workflow-Driven Formal Methods Approach to the Generation of Structured Checklists for Intrahospital Patient Transfers

Areti Manataki, Jacques Fleuriot, Petros Papapanagiotou
2017 IEEE journal of biomedical and health informatics  
This paper details an approach that addresses these challenges through the employment of workflow technologies and formal methods for generating structured checklists.  ...  A checklist evaluation is discussed, with promising results regarding their usefulness.  ...  Kanchan Patil and Dr. Stephen Morgan of St Mary's Hospital, as well as Dr. Mark Dunn of the Royal Infirmary of Edinburgh for their invaluable contribution to this work.  ... 
doi:10.1109/jbhi.2016.2579881 pmid:27305690 fatcat:426uiqu5bjf3jdv3lxuz3bhdpe

Careflow: Theory and Practice [chapter]

John Fox, Robert Dunlop
2008 Lecture Notes in Computer Science  
To explore some of the requirements for a clinical workflow technology we will review and critique the PROforma process modelling language and the Arezzo® and Tallis toolsets which use it.  ...  We shall also consider the need for specialised formalisms for describing clinical processes, drawing on experience with workflow languages (e.g. BPEL4WS, BPMN), guideline modelling languages (e.g.  ...  Acknowledgements We wish to thank the anonymous reviewers for their many helpful suggestions.  ... 
doi:10.1007/978-3-540-78238-4_32 fatcat:h7cfytvcsvgfznyyc7caea555e

Automatic generation of spoken dialogue from medical plans and ontologies

Martin Beveridge, John Fox
2006 Journal of Biomedical Informatics  
) to provide a basis for the automatic generation of flexible and re-configurable dialogue.  ...  The competence of the resulting dialogue application, its speech recognition performance, and dialogue performance are all evaluated to determine the applicability of this approach.  ...  Thanks to the project partners for many useful discussions and advice.  ... 
doi:10.1016/j.jbi.2005.12.008 pmid:16495159 fatcat:hcjnsla2jjacnmnh6ns4lawxiq

Developing a rule-driven clinical decision support system with an extensive and adaptative architecture

Liang Xiao, Grainne Cousins, Tom Fahey, Borislav D Dimitrov, Lucy Hederman
2012 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom)  
A Multi-Agent System architecture and a rule-based knowledge repository are put together to realize this goal.  ...  We propose, in this paper, an approach to liaise the two activities and support a complete knowledge-driven CDSS architecture.  ...  Methods that support the representation of guidelines for machine execution include Arden Syntax [3] [4] , Guideline Interchange Format (GLIF) [5] , PROforma [6] and so on.  ... 
doi:10.1109/healthcom.2012.6379416 dblp:conf/healthcom/0002CFDH12 fatcat:ukdxfrtrhzci5gsy2nfbwh6vua

Extracting and transforming clinical guidelines into pathway models for different hospital information systems

Britta Böckmann, Katja Heiden
2013 Health Information Science and Systems  
A meta-model merges the structures of clinical guidelines and clinical pathways into one generic model. It is encoded through artefacts of Health Level 7 (HL7) in version 3.  ...  Methods: We propose a model-based approach to support the development of guideline-compliant pathways and the generation of ready-to-use pathway models for different hospital information systems.  ...  Based on these results, a preliminary meta-model was defined and visualized by an UML class diagram.  ... 
doi:10.1186/2047-2501-1-13 pmid:25825663 pmcid:PMC4340289 fatcat:tcyamc3gyzfkbeevipg7sj46sy

Methodologies for assessing telemedicine: A systematic review of reviews

Anne G. Ekeland, Alison Bowes, Signe Flottorp
2012 International Journal of Medical Informatics  
and assessment methodologies politically driven action research and formative research aimed at collaboration to ensure capacity for improvement of services in natural settings.  ...  Conclusions Larger and more rigorous studies are crucial for the production of evidence of effectiveness of unambiguous telemedicine services for pre defined outcome measures.  ...  We would also like to express gratitude to our MethoTelemed colleagues and the external Hemmingsen, Hilde Gard and Sissel Breivoll, and web-designer Jarl-Stian Olsen.  ... 
doi:10.1016/j.ijmedinf.2011.10.009 pmid:22104370 fatcat:s3mbczpbcne5rfj7274fjxygxq
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