Executing clinical practice guidelines using the SAGE execution engine.
We report the first successful test of an interoperable guideline execution engine that interprets encoded clinical guideline content and executes that content via functions of a target clinical information system (CIS). For this test, an exemplar immunization guideline was encoded in the SAGE guideline model using standards-based information models and terminologies. This guideline content was subsequently executed using the prototype SAGE guideline execution engine, which interacts through standards-based VMR/Action services to instantiate real-time guideline recommendations via existing functions of the target CIS. In this paper, we describe our test implementation and highlight the significance and implications of each component of our deployment architecture
Ram
Prabhu
P
Health Informatics, IDX Systems Corporation, 925 Fourth Avenue, Suite 400, Seattle, WA 98104, USA. prabhu.ram@idx.com
Berg
David
D
Tu
Samson
S
Mansfield
Guy
G
Ye
Qin
Q
Abarbanel
Robert
R
Beard
Nick
N
D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical; D006801:Humans; D007114:Immunization / Q000592:standards*; D016347:Medical Records Systems, Computerized; D017410:Practice Guidelines as Topic; D012984:Software; D014584:User-Computer Interface