title: The InterMed approach to sharable computer-interpretable guidelines: a review.
abstract: InterMed is a collaboration among research groups from Stanford, Harvard, and Columbia Universities. The primary goal of InterMed has been to develop a sharable language that could serve as a standard for modeling computer-interpretable guidelines (CIGs). This language, called GuideLine Interchange Format (GLIF), has been developed in a collaborative manner and in an open process that has welcomed input from the larger community. The goals and experiences of the InterMed project and lessons that the authors have learned may contribute to the work of other researchers who are developing medical knowledge-based tools. The lessons described include (1) a work process for multi-institutional research and development that considers different viewpoints, (2) an evolutionary lifecycle process for developing medical knowledge representation formats, (3) the role of cognitive methodology to evaluate and assist in the evolutionary development process, (4) development of an architecture and (5) design principles for sharable medical knowledge representation formats, and (6) a process for standardization of a CIG modeling language.
authors.affiliation: Stanford Medical Informatics, Stanford University, Stanford, CA 94305-5479, USA. peleg@smi.stanford.edu
authors.forename: Mor
authors.initials: M
authors.lastname: Peleg
authors.forename: Aziz A
authors.initials: AA
authors.lastname: Boxwala
authors.forename: Samson
authors.initials: S
authors.lastname: Tu
authors.forename: Qing
authors.initials: Q
authors.lastname: Zeng
authors.forename: Omolola
authors.initials: O
authors.lastname: Ogunyemi
authors.forename: Dongwen
authors.initials: D
authors.lastname: Wang
authors.forename: Vimla L
authors.initials: VL
authors.lastname: Patel
authors.forename: Robert A
authors.initials: RA
authors.lastname: Greenes
authors.forename: Edward H
authors.initials: EH
authors.lastname: Shortliffe
mesh_terms: D003199:Computer Systems / Q000592:standards; D020000:Decision Support Systems, Clinical; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*; D011381:Programming Languages; D012985:Software Design; D014481:United States