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Supporting tools for guideline development and dissemination

1998; Elsevier BV; Volume: 14; Issue: 1-2 Linguagem: Inglês

10.1016/s0933-3657(98)00019-0

1873-2860

Silvana Quaglini, L Dazzi, Luca Gatti, Mario Stefanelli, Clara Fassino, Carlo Tondini,

Electronic Health Records Systems

This paper describes a methodology for representing clinical practice guidelines and facilitating their introduction into the medical routine. Since this methodology can be exploited in a www environment, it can represent the basis for sharing clinical guidelines both between different institutions and between human and software agents cooperating within a clinical context. In addition, the proposed guideline formalization is intended to deal with patient and organization preferences. This goal is achieved by augmenting the guideline with decision–analytic models and by linking the guideline with an organizational model of the clinical setting. The designed framework allows guideline development, tailoring and implementation, real-time access to the guideline prescriptions and guideline validation.