A System for the Semi-Automatic Evaluation of Clinical Practice Guideline Indicators

Alexandra Pomares Quimbaya, María Patricia Amórtegui, Rafael A. González, Oscar Muñoz, Wilson Ricardo Bohórquez, Olga Milena García and Melany Montagut Ascanio
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Alexandra Pomares Quimbaya: Pontificia Universidad Javeriana, Bogotá, Colombia
María Patricia Amórtegui: Pontificia Universidad Javeriana, Bogotá, Colombia
Rafael A. González: Pontificia Universidad Javeriana, Bogotá, Colombia
Oscar Muñoz: Pontificia Universidad Javeriana, Bogotá, Colombia & Hospital Universitario San Ignacio, Bogotá, Colombia
Wilson Ricardo Bohórquez: Pontificia Universidad Javeriana, Bogotá, Colombia and Hospital Universitario San Ignacio, Bogotá, Colombia
Olga Milena García: Pontificia Universidad Javeriana, Bogotá, Colombia
Melany Montagut Ascanio: Hospital Universitario San Ignacio, Bogotá, Colombia

International Journal of Reliable and Quality E-Healthcare (IJRQEH), 2015, vol. 4, issue 1, 1-10

Abstract: This paper presents EXEMED v2, a system that allows the evaluation of clinical practice guideline indicators. EXEMED v2 includes a knowledge base that supports the definition of executable rules applied over Electronic Health Records (EHR) in order to measure its compliance with a specific clinical guideline. Taking into account that an EHR may include structured attributes and narrative text attributes, EXEMED v2 analyzes both types. The process of evaluation in EXEMED v2 is to define the rules; once the rules are defined EXEMED v2 extracts from the EHR the facts that allow evaluating whether each one of them was accomplished or not. This evaluation includes different levels of certainty, allowing in some cases the interaction of a human evaluator to confirm (or not) automatic evaluation decisions. The functionality of EXEMED v2 was validated applying it in a case study of Acute Myocardial Infarction.

Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:igg:jrqeh0:v:4:y:2015:i:1:p:1-10

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International Journal of Reliable and Quality E-Healthcare (IJRQEH) is currently edited by Anastasius Moumtzoglou

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