Skip to main content

DEGEL: A Hybrid, Multiple-Ontology Framework for Specification and Retrieval of Clinical Guidelines

  • Conference paper
Artificial Intelligence in Medicine (AIME 2003)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 2780))

Included in the following conference series:

Abstract

Clinical Guidelines are a major tool in improving the quality of medical care. However, most guidelines are in free text, not machine comprehensible, and are not easily accessible to clinicians at the point of care. We introduce a Web-based, modular, distributed architecture, the Digital Electronic Guideline Library (DeGeL), which facilitates gradual conversion of clinical guidelines from text to a formal representation in a chosen guideline ontology. The architecture supports guideline classification, semantic markup, context-sensitive search, browsing, run-time application, and retrospective quality assessment. The DeGeL hybrid meta-ontology includes elements common to all guideline ontologies, such as semantic classification, and domain knowledge. The hybrid meta-ontology also includes three guideline-content representation formats: free text, semi-structured text; and a formal representation. These formats support increasingly sophisticated computational tasks. All tools are designed to operate on all representations. We demonstrated the feasibility of the architecture and the tools for the Asbru and GEM guideline ontologies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Grimshaw, J.M., Russel, I.T.: Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations. Lancet 342, 1317–1322 (1993)

    Article  Google Scholar 

  2. Tu, S.W., Kahn, M.G., Musen, M.A., Ferguson, J.C., Shortliffe, E.H., Fagan, L.M.: Episodic Skeletal-plan refinement on temporal data. Communications of ACM 32, 1439–1455 (1989)

    Article  Google Scholar 

  3. Musen, M.A., Carlson, R.W., Fagan, L.M., Deresinski, S.C.: T-HELPER: Automated Support for Community-Based Clinical Research. In: Proceedings of the Sixteenth Annual Symposium on Computer Applications in Medical Care, Washington, D.C., pp. 719- 723 (1992)

    Google Scholar 

  4. Herbert, S.I., Gordon, C.J., Jackson-Smale, A., Renaud Salis, J.-L.: Protocols for clinical care. Computer Methods and Programs in Biomedicine 48, 21–26 (1995)

    Article  Google Scholar 

  5. Musen, M.A., Tu, S.W., Das, A.K., Shahar, Y.: EON: A component-based approach to automation of protocol-directed therapy. Journal of the American Medical Information Association 3(6), 367–388 (1996)

    Google Scholar 

  6. Shahar, Y., Miksch, S., Johnson, P.: The Asgaard project: A task-specific framework for the application and critiquing of time-oriented clinical guidelines. Artificial Intelligence in Medicine 14, 29–51 (1998)

    Article  Google Scholar 

  7. Fox, J., Johns, N., Rahmanzadeh, A.: Disseminating medical Knowledge: the PROforma approach. Artificial Intelligence in Medicine 14, 157–181 (1998)

    Article  Google Scholar 

  8. Peleg, M., Boxwala, A.A., Omolola, O., Zeng, Q., Tu, S.W., Lacson, R., Bernstam, E., Ash, N., Mork, P., Ohno-Machado, L., Shortliffe, E.H., Greenes, R.A.: GLIF3: The Evolution of a Guideline Representation Forma. In: Overhage M.J., (ed.) Proceedings of the 2000 AMIA Annual Symposium, Los Angeles, CA, Hanley & Belfus, Philadelphia (2000)

    Google Scholar 

  9. Johnson, P.D., Tu, S.W., Booth, N., Sugden, B., Purves, I.N.: Using scenarios in chronic disease management guidelines for primary care. In: Overhage M.J., (Ed.) Proceedings of the 2000 AMIA Annual Symposium, Los Angeles, CA, Hanley & Belfus, Philadelphia (2000)

    Google Scholar 

  10. Tang, P.C., Young, C.Y.: ActiveGuidelines: Integrating Web-Based Guidelines with Computer-Based Patient Records. In: Overhage M.J., (Ed.) Proceedings of the 2000 AMIA Annual Symposium, Los Angeles, CA, Hanley & Belfus, Philadelphia (2000)

    Google Scholar 

  11. Shiffman, R.N., Karras, B.T., Agrawal, A., Chen, R., Marenco, L., Nath, S.: GEM: a proposal for a more comprehensive guideline document model using XML. Journal of the American Medical Informatics Association 7(5), 488–498 (2000)

    Google Scholar 

  12. Purcell, G.P., Rennels, G.D., Shortliffe, E.H.: Development and Evaluation of a Context-Based Document Representation for Searching the Medical Literature. International Journal of Digital Libraries 1, 288–296 (1997)

    Article  Google Scholar 

  13. Pratt, W.: Dynamic Organization of Search Results Using the UMLS. In: 1997 AMIA Annual Fall Symposium, Nashville, TN, pp. 480-484 (1997)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Shahar, Y. et al. (2003). DEGEL: A Hybrid, Multiple-Ontology Framework for Specification and Retrieval of Clinical Guidelines. In: Dojat, M., Keravnou, E.T., Barahona, P. (eds) Artificial Intelligence in Medicine. AIME 2003. Lecture Notes in Computer Science(), vol 2780. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-39907-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-39907-0_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20129-8

  • Online ISBN: 978-3-540-39907-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics