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Authors: Gustavo Marísio Bacelar-Silva 1 ; Rong Chen 2 and Ricardo Cruz-Correia 1

Affiliations: 1 Center for Research in Health Technologies and Information Systems and University of Porto, Portugal ; 2 Linköping University and Cambio Healthcare Systems, Sweden

ISBN: 978-989-8425-88-1

Keyword(s): Guideline, Hypertension, JNC 7, Electronic health record, Clinical decision support system.

Related Ontology Subjects/Areas/Topics: Biomedical Engineering ; Clinical Problems and Applications ; Data Engineering ; Decision Support Systems ; Electronic Health Records and Standards ; Enterprise Information Systems ; Health Information Systems ; Information Systems Analysis and Specification ; Knowledge Management ; Ontologies and the Semantic Web ; Society, e-Business and e-Government ; Web Information Systems and Technologies

Abstract: Introduction. Due to the increasing use of Electronic Health Records there is a tendency to implement clinical decision support system (CDSS) based on existing clinical guidelines. The Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) is well known and widely used worldwide guideline. Transforming published guidelines into CDSS is a process that still needs to be improved. Aim. To describe the difficulties in understanding the guideline, to recommend better suited descriptions for the contents. Methods. Systematic reading of the guideline for the extraction of the main patient variables, processes and evaluation suggested. The issues were evaluated considering the Domain 4 of the Appraisal of Guidelines for Research & Evaluation II Instrument. Results. Several problems were identified considering whether the recommendations are specific and unambiguous, the different options for management of the condi tion or health issue are clearly presented and key recommendations are easily identifiable. Discussion. Some initiatives have been made, as the Guideline Elements Models and the development of guideline model representations. This attempt to formalise the JNC 7 guideline allowed to discover many ambiguities, concepts related to prior knowledge and issues related to the distribution of the content presentation. (More)

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Paper citation in several formats:
Bacelar-Silva G., Chen R. and Cruz-Correia R. (2012). TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding.In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012) ISBN 978-989-8425-88-1, pages 405-408. DOI: 10.5220/0003787804050408

@conference{healthinf12,
author={Gustavo Marísio Bacelar-Silva and Rong Chen and Ricardo Cruz-Correia},
title={TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)},
year={2012},
pages={405-408},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003787804050408},
isbn={978-989-8425-88-1},
}

TY - CONF

JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)
TI - TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding
SN - 978-989-8425-88-1
AU - Bacelar-Silva G.
AU - Chen R.
AU - Cruz-Correia R.
PY - 2012
SP - 405
EP - 408
DO - 10.5220/0003787804050408

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