title: Multidisciplinary Modelling of Symptoms and Signs with Archetypes and SNOMED-CT for Clinical Decision Support.
abstract: Clinical Decision Support Systems (CDSS) help to improve health care and reduce costs. However, the lack of knowledge management and modelling hampers their maintenance and reuse. Current EHR standards and terminologies can allow the semantic representation of the data and knowledge of CDSS systems boosting their interoperability, reuse and maintenance. This paper presents the modelling process of respiratory conditions' symptoms and signs by a multidisciplinary team of clinicians and information architects with the help of openEHR, SNOMED and clinical information modelling tools for a CDSS. The information model of the CDSS was defined by means of an archetype and the knowledge model was implemented by means of an SNOMED-CT based ontology.
authors.affiliation: Norwegian Centre for Integrated Care and Telemedicine.
authors.forename: Luis
authors.initials: L
authors.lastname: Marco-Ruiz
authors.affiliation: Instituto ITACA, Universitat Politècnica de València.
authors.forename: J Alberto
authors.initials: JA
authors.lastname: Maldonado
authors.affiliation: Department of Computer Science, Faculty of Science and Technology, University of Tromsø
authors.forename: Randi
authors.initials: R
authors.lastname: Karlsen
authors.affiliation: Norwegian Centre for Integrated Care and Telemedicine.
authors.forename: Johan G
authors.initials: JG
authors.lastname: Bellika
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D057286:Electronic Health Records / Q000458:organization & administration*; D006801:Humans; D033183:Interdisciplinary Communication; D017146:Models, Organizational; D009323:Natural Language Processing; D009664:Norway; D012120:Respiration Disorders / Q000145:classification / Q000175:diagnosis*; D063189:Symptom Assessment / Q000379:methods*; D039061:Systematized Nomenclature of Medicine