A methodological specification of a guideline for diagnosis and management of preeclampsia

Avner Hatsek, Yuval Shahar, Meirav Taieb-Maimon, Erez Shalom, Adit Dubi-Sobol, Guy Bar, Arie Koyfman, Eitan Lunenfeld

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

There is a broad agreement regarding the necessity of building usable and functional tools for specification of machine-interpretable clinical guidelines, to provide guideline-based medical care. There is much less of a consensus of how to go about it and whether the whole process is feasible in a real clinical domain. In this study, we have applied a new architecture, the Gesher graphical tool, to the specification of an important Obstetric guideline (diagnosis and management of PreEclampsia / Eclampsia toxemia). We have assessed the feasibility (functionality and usability) of (1) representing a clinical consensus customized for a particular medical center and (2) structuring the full content of the guideline. In addition, we have assessed in a preliminary fashion, the potential of using a less experienced clinician as a markup editor, by asking both a senior Obstetrics and Gynecology clinician, and a general intern, to represent the same guideline using the Gesher system. The results demonstrated the functionality and usability of the Gesher system, at least for these two editors; the intern's performance was at least as good as that of the senior physician with respect to the specific task of structuring the guideline according to the Hybrid Asbru ontology, using our tools.

Original languageEnglish
Title of host publicationKnowledge Management for Health Care Procedures - ECAI 2008 Workshop, K4HelP 2008, Revised Selected Papers
Pages123-133
Number of pages11
DOIs
StatePublished - 2009
Externally publishedYes
EventECAI Workshop on Knowledge Management for Health Care Procedures, K4HelP 2008 - Patras, Greece
Duration: 21 Jul 200821 Jul 2008

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume5626 LNAI
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

ConferenceECAI Workshop on Knowledge Management for Health Care Procedures, K4HelP 2008
Country/TerritoryGreece
CityPatras
Period21/07/0821/07/08

Keywords

  • Care Plans
  • Clinical Guidelines
  • Clinical Protocols
  • Evaluation
  • Knowledge Representation
  • Knowledge-Based Systems
  • Medical Decision Support Systems
  • Medical Informatics
  • Obstetrics and Gynecology

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