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Mixed-initiative decision support for care planning based on clinical practice guidelines

Beliakov, Gleb, Warren, James and Noone, Joseph 2001, Mixed-initiative decision support for care planning based on clinical practice guidelines, Journal of decision systems, vol. 10, no. 3, pp. 429-448.

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Title Mixed-initiative decision support for care planning based on clinical practice guidelines
Author(s) Beliakov, Gleb
Warren, James
Noone, Joseph
Journal name Journal of decision systems
Volume number 10
Issue number 3
Start page 429
End page 448
Total pages 20
Publisher Hermes Science Publications
Place of publication Paris, France
Publication date 2001
ISSN 1246-0125
Keyword(s) clinical decision support
clinical guidelines
clinical workflow
fuzzy logic
guideline representation
Summary Care Plan On-Line (CPOL) is an intranet based system that supports a “Coordinated Care” model for chronic/complex disease management. CPOL combines provision of solicited and unsolicited advice features based on integration of the electronic medical record (EMR) with its decision support logic. The objective is to support General Practitioners (GPs) in formulating a 12-month care plan of services such that: (a) the plan is proactive and patient-centered; (b) the GP is kept in awareness of project- and diseasespecific clinical practice guidelines; and (c) the support integrates with GP workflow in a natural fashion. A key feature of our approach is to blur the distinction of EMR and decision support by presenting guidelines in layers with the top-most being a problem-oriented presentation of patient status, progressing on through to patient-independent supporting evidence. In conjunction with a degree of automated inclusion of care planning services, the system demonstrates mixed user and software initiative. We describe the CPOL deployment setting, the challenges of guideline-based clinical decision support, our approach to guideline delivery, and the CPOL architecture.
Notes
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Language eng
Field of Research 080605 Decision Support and Group Support Systems
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30001372

Document type: Journal Article
Collections: School of Information Technology
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