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Two-level Authoring of Computer-Interpretable Guidelines XXIII International Conference of the European Federation for Medical Informatics MIE2011, August 30 2011, Oslo, Norway Short Communication: Two-level Authoring of Computer- Interpretable

  1. Two-level Authoring of Computer-Interpretable Guidelines XXIII International Conference of the European Federation for Medical Informatics MIE2011, August 30 2011, Oslo, Norway Short Communication: Two-level Authoring of Computer- Interpretable Guidelines David Buenestado, Juan M. Pikatza, Unai Languages and Computer Systems Department, Computer Science Faculty, UPV/EHU; Donostia- Segundo, Ander Iruetaguena, Raúl Barrena San Sebastián, Spain Luis Aldámiz-Echevarría Paediatrics Service, Cruces Hospital, Osakidetza; Barakaldo, Spain . - 1 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  2. Two-level Authoring of Computer-Interpretable Guidelines Motivation • Clinical Practice Guidelines ( CPG ) assist practitioners and patients on decisions about appropriate healthcare • Clinical Decision Support Systems ( CDSS ) based on Computer Interpretable Guidelines ( CIG ) • CIG authoring is an interdisciplinary collaborative process: • Medical experts • Knowledge engineers • Proposal: two-level CIG authoring method . - 2 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  3. Two-level Authoring of Computer-Interpretable Guidelines Background • Task-Network Model (TNM): • CIGs composed of tasks hierarchically organised . - 3 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  4. Two-level Authoring of Computer-Interpretable Guidelines Background • Model-Driven Engineering (MDE): • Platform- independence and adaptability • CIG metamodel: basic components of CIGs • CIG editors obtained from metamodel . - 4 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  5. Two-level Authoring of Computer-Interpretable Guidelines Method overview The output of the first level is the input of the second . - 5 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  6. Two-level Authoring of Computer-Interpretable Guidelines First level: Medical expert • User-friendly graphical CIG editor • Model CIGs as graphs of tasks (no implementation details) • Search engines for complementary information : • Medical terminology (UMLS) • Bibliography (PubMed) • Evidence (Cochrane) • Drugs (PubChem, Vademecum – only in Spanish) . - 6 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  7. Two-level Authoring of Computer-Interpretable Guidelines First level: Graphical editor . - 7 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  8. Two-level Authoring of Computer-Interpretable Guidelines First level: Concept Search Engine . - 8 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  9. Two-level Authoring of Computer-Interpretable Guidelines First level: Diagnosis table editor Factors Categories . - 9 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  10. Two-level Authoring of Computer-Interpretable Guidelines Second level: Knowledge Engineer • Tree-based editor from an extended metamodel • Filling of implementation details: • Calculations and conditional expressions • Temporal constraints on tasks • Generated classification systems: • Fuzzy Cognitive Maps • Fuzzy Inference Systems • … . - 10 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  11. Two-level Authoring of Computer-Interpretable Guidelines Second level: Tree-based editor . - 11 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  12. Two-level Authoring of Computer-Interpretable Guidelines Results and future work • 3 CIGs developed on child asthma and hyperammonemia using this method • Accesible through e-GuidesMed guidelines execution portal ( www.e-guidesmed.ehu.es ) • Improvement in the collaborative process of CIG authoring and quality of CIGs • Near future : implementation of protocols in primary health care and for educational purposes . - 12 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

  13. Two-level Authoring of Computer-Interpretable Guidelines Two-level Authoring of Computer-Interpretable Guidelines XXIII International Conference of the European Federation for Medical Informatics MIE2011, August 30 2011, Oslo, Norway THANK YOU FOR YOUR ATTENTION For further information, please contact me at david.buenestado@ehu.es David Buenestado, Juan M. Pikatza, Unai Languages and Computer Systems Department, Computer Science Faculty, UPV/EHU; Donostia- Segundo, Ander Iruetaguena, Raúl Barrena San Sebastián, Spain Luis Aldámiz-Echevarría Paediatrics Service, Cruces Hospital, Osakidetza; Barakaldo, Spain . - 13 - David Buenestado, LSI Dpt. UPV/EHU. MIE2011, Oslo, Norway, 2011

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