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From Guidelines to Practice: Improving Clinical Care through Rule-Based Clinical Decision Support at the Point of Care

机译：从实践指南：通过在护理点通过基于规则的临床决策支持来改善临床护理

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Healthcare Information Technology (HIT) is a dynamically evolving industry due to continuous advancements in healthcare technologies. This necessitates the availability of highly dynamic applications that accommodate frequent changes in business logic. The automation of Clinical Decision Support (CDS) in particular is most liable to changes in health business logic or rules. In terms of system's architecture, there is a need to separate business logic and rules from the implementation/functionality of the Electronic Health Record (EHR) application, providing processes and rules as reusable components. We propose an architecture utilizing rule-based technologies to facilitate Decision Support to promptly adapt business logic changes, that are reflected immediately in application behavior. This allows real-time and robust CDS for the physician at point of care. Our rule-based implementation (Business Process Modelling Notation (BPMN)+Rules) was successfully used to emulate Clinical workflows, using as an example, the NICE Lung Cancer Clinical Guideline (CG121) as a test scenario.
机译：由于医疗保健技术的持续进步，医疗保健信息技术（命中）是一种动态不断发展的行业。这需要高度动态应用程序，可容纳业务逻辑的频繁更改。特别是临床决策支持（CDS）的自动化最容易改变卫生业务逻辑或规则。在系统的体系结构方面，需要从电子健康记录（EHR）应用程序的实现/功能中分离业务逻辑和规则，将进程和规则提供作为可重用组件的。我们提出了一种利用基于规则的技术的架构，以促进决策支持，以便在应用程序行为中立即反映的迅速适应业务逻辑更改。这允许在护理点进行医生的实时和强大的CD。我们基于规则的实施（业务流程建模符号（BPMN）+规则）成功地使用临床工作流程，用作良好的肺癌临床指南（CG121）作为测试场景。

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