The SAGE Guideline Model: achievements and overview.
The SAGE (Standards-Based Active Guideline Environment) project was formed to create a methodology and infrastructure required to demonstrate integration of decision-support technology for guideline-based care in commercial clinical information systems. This paper describes the development and innovative features of the SAGE Guideline Model and reports our experience encoding four guidelines. Innovations include methods for integrating guideline-based decision support with clinical workflow and employment of enterprise order sets. Using SAGE, a clinician informatician can encode computable guideline content as recommendation sets using only standard terminologies and standards-based patient information models. The SAGE Model supports encoding large portions of guideline knowledge as re-usable declarative evidence statements and supports querying external knowledge sources.
Tu
Samson W
SW
Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305-5479, USA. swt@stanford.edu
Campbell
James R
JR
Glasgow
Julie
J
Nyman
Mark A
MA
McClure
Robert
R
McClay
James
J
Parker
Craig
C
Hrabak
Karen M
KM
Berg
David
D
Weida
Tony
T
Mansfield
James G
JG
Musen
Mark A
MA
Abarbanel
Robert M
RM
D020000:Decision Support Systems, Clinical; D006751:Hospital Information Systems; D006801:Humans; D051188:Knowledge Bases; D050316:Medical Order Entry Systems; D008962:Models, Theoretical; D017410:Practice Guidelines as Topic / Q000592:standards*; D012984:Software; D018511:Systems Integration; D014584:User-Computer Interface; D018875:Vocabulary, Controlled