What-You-See-Is-What-You-Get Computer-Interpretable Guidelines: The Case of NoviGuide Neonatal.
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Clinical Guidelines
Authored By
Danziger E, Muhindo M, Bress J
Authored On
Interests
Pediatric Medicine
Emergency Medicine
Speciality
Pediatric Medicine
Emergency Medicine
Book Detail
volume
310
ISSN
1879-8365
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Description
Complex clinical decision support (CDS) that goes beyond representing simple clinical flowcharts to supporting the totality of a care encounter may help improve care quality and consistency. However, integrating a large volume of clinical guidelines applicable to a care encounter poses unique design and safety considerations. We present the visual and technical methods employed in developing NoviGuide, a platform for complex CDS. Assuring safe functioning required transparency of all outputs, which we achieved using a JSON formalism for capturing logic. Unlike raw computer code, logic-as-data can be presented clearly in context to non-informatician reviewers. Two different styles for visualizing CDS logic, random-access and narrative, support different review contexts. We assess the fitness of these solutions for encoding hundreds of neonatal-care guidelines into integrated multi-topic CDS.