Towards a traceable clinical guidelines application. A model-driven approach.
OBJECTIVE
The goal of this research is to provide an overall framework to enable model-based development of clinical guideline-based decision support systems (GBDSSs). The automatically generated GBDSSs are aimed at providing guided support to the physician during the application of guidelines and automatically storing guideline application data for traceability purposes.


METHODS
The development process of a GBDSS for a guideline is based on model-driven development (MDD) techniques which allow us to carry out such a process automatically, making development more agile and saving on human resource costs. We use UML Statecharts to represent the dynamics of guidelines and, based on this model, we use a MDD-based tool chain to generate the guideline-dependent components of each GBDSS in an automatic way. In particular, as for the traceability capabilities of each GBDSS, MDD techniques are combined with database schema mappings for metadata management in order to automatically generate the GBDSS-persistent component as one of the main contributions of this paper.


RESULTS
The complete framework has been implemented as an Eclipse plug-in named GBDSSGenerator which, starting from the statechart representing a guideline, allows the development process to be carried out automatically by only selecting different menu options the plug-in provides. We have successfully validated our overall approach by generating the GBDSS for different types of clinical guidelines, even for laboratory guidelines.


CONCLUSIONS
The proposed framework allows the development of clinical guideline-based decision support systems in an automatic way making this process more agile and saving on human resource costs.
Domínguez
E
E
Department of Mathematics and Computation, University of La Rioja, C/Luis de Ulloa s/n (Edificio Vives), 26004 Logroño, La Rioja, Spain.
Pérez
B
B
Zapata
M
M
D020000:Decision Support Systems, Clinical; D006801:Humans; D008491:Medical Informatics Applications; D008962:Models, Theoretical; D017410:Practice Guidelines as Topic; D016730:Program Development