Document Detail


Using GEM-encoded guidelines to generate medical logic modules.
MedLine Citation:
PMID:  11825147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Among the most effective strategies for changing the process and outcomes of clinical care are those that make use of computer-mediated decision support. A variety of representation models that facilitate computer-based implementation of medical knowledge have been published, including the Guideline Elements Model (GEM) and the Arden Syntax for Medical Logic Modules (MLMs). We describe an XML-based application that facilitates automated generation of partially populated MLMs from GEM-encoded guidelines. These MLMs can be further edited and shared among Arden-compliant information systems to provide decision support. Our work required three steps: (a) Knowledge extraction from published guideline documents using GEM, (b) Mapping GEM elements to the MLM slots, and (c) XSL transformation of the GEM-encoded guideline. Processing of a sample guideline generated 15 MLMs, each corresponding to a conditional or imperative element in the GEM structure. Mechanisms for linking various MLMs are necessary to represent the complexity of logic typical of a guideline.
Authors:
A Agrawal; R N Shiffman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Proceedings / AMIA ... Annual Symposium. AMIA Symposium     Volume:  -     ISSN:  1531-605X     ISO Abbreviation:  Proc AMIA Symp     Publication Date:  2001  
Date Detail:
Created Date:  2002-02-04     Completed Date:  2002-05-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883449     Medline TA:  Proc AMIA Symp     Country:  United States    
Other Details:
Languages:  eng     Pagination:  7-11     Citation Subset:  IM    
Affiliation:
Yale Center for Medical Informatics, New Haven, CT, USA.
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MeSH Terms
Descriptor/Qualifier:
Decision Making, Computer-Assisted*
Practice Guidelines as Topic*
Programming Languages
Software*
Grant Support
ID/Acronym/Agency:
1-R29-LM 05552-01A1/LM/NLM NIH HHS; T-15-LM07056/LM/NLM NIH HHS
Comments/Corrections

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