Guideline execution engine
- Guideline execution engine
A Guideline Execution Engine is a computer program which can interpret a clinical guideline represented in a computerized format and perform actions towards the user of an electronic medical record.
A Guideline Execution Engine needs to communicate with a host Clinical information system. vMR is one possible interface which can be used.
The engine's main function is to manage instances of executed guidelines of individual patients.
Delivering the inferred engine recommendations or impacts to the host Clinical information system has to carefully respect current workflow of the clinicians (physicians, nurses, clerks, etc.)
Architecture of Guideline Execution Engine
The following modules are generally needed for any engine
* interface to Clinical Information System
* new guidelines loading module
* guideline interpreter module
* clinical events parser
* alert/recommendations dispatch
Guideline Interchange Format
The "Guideline Interchange Format (GLIF)" is computer representation format for clinical guidelines. [ [http://www.glif.org GLIF website] ] Represented guidelines can be executed using a guideline execution engine.
The format has several versions as it has been improved. In 2003 GLIF3 has been introduced.
See also
*Electronic medical record
*Clinical practice guideline
*Medical algorithm
*Arden syntax
*Healthcare workflow
*Glif
References
External links
* [http://smi.stanford.edu/people/tu/Wang-GLEE7.pdf GLIF execution engine implementation article (2004)]
* [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15360813&query_hl=2 SAGE execution engine article PMID: 15360813 (2004)]
* [http://smi-web.stanford.edu/pubs/SMI_Reports/SMI-2003-0966.pdf Article: The structure of guideline recommendations: a synthesis (2003)]
* [http://www.amia.org/pubs/symposia/D005759.PDF Article:A Flexible Approach to Guideline Modeling (1999)]
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