A system for the semi-automatic evaluation of clinical practice guideline indicators

Alexandra Pomares Quimbaya; María Patricia Amórtegui; Rafael A. González; Oscar Muñoz; Wilson Ricardo Bohórquez; Olga Milena García; Melany Montagut Ascanio

doi:10.4018/978-1-4666-8756-1.ch033

A system for the semi-automatic evaluation of clinical practice guideline indicators

Alexandra Pomares Quimbaya, María Patricia Amórtegui, Rafael A. González, Oscar Muñoz, Wilson Ricardo Bohórquez, Olga Milena García, Melany Montagut Ascanio

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

This paper presents EXEMED v2, a system that allows the evaluation of clinical practice guideline indicators. EXEMED v2 includes a knowledge base that supports the definition of executable rules applied over Electronic Health Records (EHR) in order to measure its compliance with a specific clinical guideline. Taking into account that an EHR may include structured attributes and narrative text attributes, EXEMED v2 analyzes both types. The process of evaluation in EXEMED v2 is to define the rules; once the rules are defined EXEMED v2 extracts from the EHR the facts that allow evaluating whether each one of them was accomplished or not. This evaluation includes different levels of certainty, allowing in some cases the interaction of a human evaluator to confirm (or not) automatic evaluation decisions. The functionality of EXEMED v2 was validated applying it in a case study of Acute Myocardial Infarction.

Original language	English
Title of host publication	E-Health and Telemedicine
Subtitle of host publication	Concepts, Methodologies, Tools, and Applications
Publisher	IGI Global
Pages	663-673
Number of pages	11
Volume	2
ISBN (Electronic)	9781466687578
ISBN (Print)	1466687568, 9781466687561
DOIs	https://doi.org/10.4018/978-1-4666-8756-1.ch033
State	Published - 23 Sep 2015

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Quimbaya, A. P., Amórtegui, M. P., González, R. A., Muñoz, O., Bohórquez, W. R., García, O. M., & Ascanio, M. M. (2015). A system for the semi-automatic evaluation of clinical practice guideline indicators. In E-Health and Telemedicine: Concepts, Methodologies, Tools, and Applications (Vol. 2, pp. 663-673). IGI Global. https://doi.org/10.4018/978-1-4666-8756-1.ch033

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A system for the semi-automatic evaluation of clinical practice guideline indicators. / Quimbaya, Alexandra Pomares; Amórtegui, María Patricia; González, Rafael A. et al.
E-Health and Telemedicine: Concepts, Methodologies, Tools, and Applications. Vol. 2 IGI Global, 2015. p. 663-673.

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

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AU - Amórtegui, María Patricia

AU - González, Rafael A.

AU - Muñoz, Oscar

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AU - García, Olga Milena

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AB - This paper presents EXEMED v2, a system that allows the evaluation of clinical practice guideline indicators. EXEMED v2 includes a knowledge base that supports the definition of executable rules applied over Electronic Health Records (EHR) in order to measure its compliance with a specific clinical guideline. Taking into account that an EHR may include structured attributes and narrative text attributes, EXEMED v2 analyzes both types. The process of evaluation in EXEMED v2 is to define the rules; once the rules are defined EXEMED v2 extracts from the EHR the facts that allow evaluating whether each one of them was accomplished or not. This evaluation includes different levels of certainty, allowing in some cases the interaction of a human evaluator to confirm (or not) automatic evaluation decisions. The functionality of EXEMED v2 was validated applying it in a case study of Acute Myocardial Infarction.

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A system for the semi-automatic evaluation of clinical practice guideline indicators

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