Title
A multi-layered framework for disseminating knowledge for computer-based decision support.
Abstract
Background There are several challenges in encoding guideline knowledge in a form that is portable to different clinical sites, including the heterogeneity of clinical decision support (CDS) tools, of patient data representations, and of workflows. Methods We have developed a multi-layered knowledge representation framework for structuring guideline recommendations for implementation in a variety of CDS contexts. In this framework, guideline recommendations are increasingly structured through four layers, successively transforming a narrative text recommendation into input for a CDS system. We have used this framework to implement rules for a CDS service based on three guidelines. We also conducted a preliminary evaluation, where we asked CDS experts at four institutions to rate the implementability of six recommendations from the three guidelines. Conclusion The experience in using the framework and the preliminary evaluation indicate that this approach has promise in creating structured knowledge, to implement in CDS systems, that is usable across organizations.
Year
DOI
Venue
2011
10.1136/amiajnl-2011-000334
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Keywords
DocType
Volume
software design,artificial intelligence
Journal
18
Issue
ISSN
Citations 
SUPnan
1067-5027
11
PageRank 
References 
Authors
0.79
14
11
Name
Order
Citations
PageRank
Aziz A. Boxwala158572.72
Beatriz H Rocha2224.04
Saverio M. Maviglia36718.37
vipul kashyap41034157.76
Seth Meltzer5523.37
Jihoon Kim6111.13
Ruslana Tsurikova7869.91
Adam Wright8110.79
Marilyn D Paterno910718.59
Amanda Fairbanks10172.26
Blackford Middleton11916112.88