Execution-time integration of clinical practice guidelines to provide decision support for comorbid conditions

作者：

Highlights：

• Comorbid conditions are, despite their prevalence, insufficiently supported by CDSS.

• We present an approach to dynamically coordinate comorbidity management in CDSS at execution-time.

• Both clinical safety and optimization of resource usage is targeted.

• CIG integration is made conditional on (a) dynamic health profiles, (b) runtime delays, and (c) acute comorbid conditions.

• Execution-time integration decisions are refined as comorbid CIG execution progresses.

摘要

•Comorbid conditions are, despite their prevalence, insufficiently supported by CDSS.•We present an approach to dynamically coordinate comorbidity management in CDSS at execution-time.•Both clinical safety and optimization of resource usage is targeted.•CIG integration is made conditional on (a) dynamic health profiles, (b) runtime delays, and (c) acute comorbid conditions.•Execution-time integration decisions are refined as comorbid CIG execution progresses.

论文关键词：Clinical decision support,Computer interpretable guidelines,Comorbid CIG integration,Execution-time CIG integration

论文评审过程：Received 30 July 2017, Revised 30 November 2018, Accepted 17 February 2019, Available online 20 February 2019, Version of Record 1 March 2019.

论文官网地址：https://doi.org/10.1016/j.artmed.2019.02.003