On Mon, 2008-06-02 at 00:41 +0300, Seref Arikan wrote:

> In case any member of this group have a candidate app for a trial like
> this, I'd be delighted to get some pointers for future work. 

I was going to save this for the decision support mailing list. But
since you asked ... :-)

The "EVIDENCE-BASED GUIDELINES AND DECISION SUPPORT SYSTEM" (EGADSS)
[Yeah we thought it was a cool acronym too!]  Is a project that I worked
on up until we came to some obvious disagreements over implementation.
But the concepts are valid and proven. 
See: http://egadss.sourceforge.net/


The basic concept is that an EMR sends a basic known set of information
about a patient to the DSS.  The DSS processes whatever clinical
guidelines it knows about using the CLIPS Inference Engine
http://clipsrules.sourceforge.net/ and if it finds something applicable
to this patient it processes the guideline.  If it needs more
information (lab results etc.) it sends a request back to the EMR.  The
guideline analysis is completed and instructions returned to the EMR. 

A re-implementation of this engine using GLIF instead of Arden Syntax
guideline encoding and using an openEHR EHR Extract instead of the CDA
for messaging is certainly in my future plans.

Cheers,
Tim
   


-- 
Timothy Cook, MSc
Health Informatics Research & Development Services
LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook 
Skype ID == timothy.cook 
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