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首页> 外文期刊>Journal of biomedical informatics. >Runtime application of Hybrid-Asbru clinical guidelines.
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Runtime application of Hybrid-Asbru clinical guidelines.

机译：Hybrid-Asbru临床指南的运行时应用。

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摘要

Clinical guidelines are a major tool in improving the quality of medical care. However, to support the automation of guideline-based care, several requirements must be filled, such as specification of the guidelines in a machine-interpretable format and a connection to an Electronic Patient Record (EPR). For several different reasons, it is beneficial to convert free-text guidelines gradually, through several intermediate representations, to a machine-interpretable format. It is also realistic to consider the case when an EPR is unavailable. We propose an innovative approach to the runtime application of intermediate-represented Hybrid-Asbru guidelines, with or without an available EPR. The new approach capitalizes on our extensive work on developing the Digital electronic Guideline Library (DeGeL) framework. The new approach was implemented as the Spock system. For evaluation, three guidelines were specified in an intermediate format and were applied to a set of simulated patient records designed to cover prototypical cases. In all cases, the Spock system produced the expected output, and did not produce an unexpected one. Thus, we have demonstrated the capability of the Spock system to apply guidelines encoded in the Hybrid-Asbru intermediate representation, when an EPR is not available.
机译：临床指南是提高医疗质量的主要工具。但是，为了支持基于指南的护理的自动化，必须满足一些要求，例如以机器可解释的格式规范指南以及与电子病历（EPR）的连接。由于多种不同的原因，将自由文本准则通过几种中间表示形式逐渐转换为机器可解释的格式是有益的。考虑EPR不可用的情况也是现实的。我们提出了一种创新的方法，用于具有或不具有可用EPR的中间表示的Hybrid-Asbru准则的运行时应用程序。新方法利用了我们在开发数字电子指南库（DeGeL）框架方面的广泛工作。新方法被实现为Spock系统。为了进行评估，以中间格式指定了三项准则，并将其应用于一组旨在覆盖原型病例的模拟患者记录。在所有情况下，Spock系统都能产生预期的输出，而不会产生意外的输出。因此，当EPR不可用时，我们证明了Spock系统能够应用以Hybrid-Asbru中间表示形式编码的准则的能力。

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