Guideline Execution Engine
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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. Virtual Medical Record (vMR) is one possible interface which can be used. The engine's main function is to manage instances of executed guidelines of individual patients. Architecture 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 a computer representation format for clinical guidelines. Represented guidelines can be executed using a guideline execution engine. The format has several versions as it has been improved. In 2003 GLIF3 was introduced. ...
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Computer Program
A computer program is a sequence or set of instructions in a programming language for a computer to Execution (computing), execute. It is one component of software, which also includes software documentation, documentation and other intangible components. A ''computer program'' in its human-readable form is called source code. Source code needs another computer program to Execution (computing), execute because computers can only execute their native machine instructions. Therefore, source code may be Translator (computing), translated to machine instructions using a compiler written for the language. (Assembly language programs are translated using an Assembler (computing), assembler.) The resulting file is called an executable. Alternatively, source code may execute within an interpreter (computing), interpreter written for the language. If the executable is requested for execution, then the operating system Loader (computing), loads it into Random-access memory, memory and ...
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Clinical Guideline
A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine. They usually include summarized consensus statements on best practice in healthcare. A healthcare provider is obliged to know the medical guidelines of their profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment. Background Modern clinical guidelines identify, summarize and evaluate the highest quality evidence and most current data about prevention, diagnosis, pr ...
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Electronic Medical Record
An electronic health record (EHR) is the systematized collection of electronically stored patient and population health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information. For several decades, EHRs have been touted as key to increasing quality of care. EHR combines all patients' demographics into a large pool, which assists providers in the creation of "new treatments or innovation in healthcare delivery" to improve quality outcomes in healthcare. Combining multiple types of clinical data from the system's health records has helped clinicians identify and stratify ch ...
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Clinical Information System
A hospital information system (HIS) is an element of health informatics that focuses mainly on the administrational needs of hospitals. In many implementations, a HIS is a comprehensive, integrated information system designed to manage all the aspects of a hospital's operation, such as medical, administrative, financial, and legal issues and the corresponding processing of services. Hospital information system is also known as hospital management software or hospital management system (HMS). More generally an HIS is a form of medical information system (MIS). Hospital information systems provide a common source of information about a patient's health history, and doctors schedule timing. The system has to keep data in a secure place and controls who can reach the data in certain circumstances. These systems enhance the ability of health care professionals to coordinate care by providing a patient's health information and visit history at the place and time that it is needed. Patie ...
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Virtual Medical Record
The Virtual Medical Record (vMR) is a simplified, standardised electronic health record An electronic health record (EHR) is the systematized collection of electronically stored patient and population health information in a digital format. These records can be shared across different health care settings. Records are shared thro ... data model designed to support interfacing to clinical decision support (CDS) systems. vMR is compatible with Service-oriented Architecture (SOA) of CDS. The project is sponsored by HL7. References {{Health-stub Standards for electronic health records ...
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Guideline Interchange Format
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. Virtual Medical Record (vMR) is one possible interface which can be used. The engine's main function is to manage instances of executed guidelines of individual patients. Architecture 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 a computer representation format for clinical guidelines. Represented guidelines can be executed using a guideline execution engine. The format has several versions as it has been improved. In 2003 GLIF3 was introduced. ...
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Electronic Health Record
An electronic health record (EHR) is the systematized collection of electronically stored patient and population health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and Allergy, allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information. For several decades, EHRs have been touted as key to increasing quality of care. EHR combines all patients' demographics into a large pool, which assists providers in the creation of "new treatments or innovation in healthcare delivery" to improve quality outcomes in healthcare. Combining multiple types of clinical data from the system's health records has helped clinicians identify and st ...
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Workflow Engine
A workflow engine is a software application that manages business processes. It is a key component in workflow technology and typically makes use of a database server. A workflow engine manages and monitors the state of activities in a workflow, such as the processing and approval of a loan application form, and determines which new activity to transition to according to defined processes (workflows). The actions may be anything from saving an application form in a document management system to sending a reminder e-mail to users or escalating overdue items to management. A workflow engine facilitates the flow of information, tasks, and events. Workflow engines may also be referred to as Workflow Orchestration Engines. Workflow engines mainly have three functions: *Verification of the current process status: Check whether it is valid executing a task, given current status. *Determine the authority of users: Check if the current user is permitted to execute the task. *Executing condit ...
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Arden Syntax
Arden syntax is a markup language designed for representing and sharing medical knowledge in a standardized, executable format. It is primarily used by clinical decision support systems to generate alerts, interpretations, and manage information presented to clinicians. This allows for the consistent and efficient application of clinical and scientific knowledge within and across healthcare institutions. The core units of knowledge representation in Arden syntax are Medical Logic Modules (MLMs), which contain the logic necessary to make a single medical decision. These MLMs are triggered by event monitors within clinical systems when specific conditions arise. For example, an MLM might be written to detect a potential drug interaction. It would contain the logic to check if a patient is currently prescribed two medications known to interact negatively. If the conditions are met (i.e., the patient is on both medications), the MLM could trigger an alert to the clinician, providing ...
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Medical Algorithm
A medical algorithm is any computation, formula, statistical survey, nomogram, or look-up table, useful in healthcare. Medical algorithms include decision tree approaches to healthcare treatment (e.g., if symptoms A, B, and C are evident, then use treatment X) and also less clear-cut tools aimed at reducing or defining uncertainty. A medical prescription is also a type of medical algorithm. Scope Medical algorithms are part of a broader field which is usually fit under the aims of medical informatics and medical decision-making. Medical decisions occur in several areas of medical activity including medical test selection, diagnosis, therapy and prognosis, and automatic control of medical equipment. In relation to logic-based and artificial neural network-based clinical decision support systems, which are also computer applications used in the medical decision-making field, algorithms are less complex in architecture, data structure and user interface. Medical algorithms are no ...
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Health Informatics
Health informatics combines communications, information technology (IT), and health care to enhance patient care and is at the forefront of the medical technological revolution. It can be viewed as a branch of engineering and applied science. The health domain provides an extremely wide variety of problems that can be tackled using computational techniques. Health informatics is a spectrum of multidisciplinary fields that includes study of the design, development, and application of computational innovations to improve health care. The disciplines involved combine healthcare fields with computing fields, in particular computer engineering, software engineering, information engineering, bioinformatics, bio-inspired computing, theoretical computer science, information systems, data science, information technology, autonomic computing, and behavior informatics. In the healthcare industry, health informatics has provided such technological solutions as telemedicine, surgi ...
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