Date post: | 01-Apr-2015 |
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Improving
Clinical
Guideline I
mplementation through
Prototypical
Design
Patterns
Monika Moser, Silvia
Miksch{moser,
silvia}@ifs.tuwien.ac.at
Institute of Software Technology & Interactive SystemsVienna University of Technology
2 MOSER & MIKSCH
AimFormal RepresentationRaw Clinical
Guidelines & Protocols
Knowledge Engineers
Domain Experts
Finding Prototypical
Design Patterns
Implementing Prototypical
Design Patterns
3 MOSER & MIKSCH
Approach
GuidelineBasis
Guideline PoolNational Guideline
Clearinghouse www.guideline.gov
Guideline PoolNational Guideline
Clearinghouse www.guideline.gov
1. Definition of Relevant Criteria for Guidelines: medical & technical criteria
2. Selection Process
4. Development of Macros with Asbru and DELT/A
Macro File Preview: plain source
<macro name="xor_structure"><element-ref name="plan-group">
<element-ref name="plan"><attribute-ref name="name"value="%INPUT%guideline_plan"/><element-ref name="plan-body">
<element-ref name="subplans"><attribute-ref name="type"value="any-order"/><element-ref name="wait-for">
<element-ref name="all"/></element-ref><element-refname="plan-activation">
<element-refname="plan-schema">
<attribute-refname="name"value="$plan1$"/>
</element-ref></element-ref><element-refname="plan-activation">
<element-refname="plan-schema">
<attribute-refname="name"value="$plan2$"/>
</element-ref></element-ref>
</element-ref></element-ref>
</element-ref></macro>
Macro: xor_structure_macro<plan-group> <plan name="%INPUT%guideline_plan"> <plan-body> <subplans type="any-order"> <wait-for> <all/> </wait-for> <plan-activation> <plan-schema
name="$plan1$"/> </plan-activation> <plan-activation> <plan-schema
name="$plan2$"/> </plan-activation> </subplans> </plan-body> </plan>
Preview: tree view
3. Analysis and Definition of Pattern
Structure Pattern Temporal Pattern Element Pattern
4 MOSER & MIKSCH
ResultsSoftware Pattern Approach: failed!
Text Linguistics Approach: successful!
Clinical Guidelines were not as qualified for the work done as it had been expected before
Reasons
Very high level of abstraction
Evidence-based character
Consequences
Few temporal dimensions
Few intentions
No algorithms
Clinical Protocols would be more appropriate !
5 MOSER & MIKSCH
Thank you for your attention!