Skip to main content

Clinical Guidelines as Executable and Interactive Workflows with FHIR-Compliant Health Data Input Using GLEAN

  • Conference paper
  • First Online:
Artificial Intelligence in Medicine (AIME 2022)

Abstract

By computerizing paper-based clinical guidelines on diagnosing and treating illnesses, knowledge-driven Clinical Decision Support (CDS) can issue salient and timely recommendations in line with the latest evidence. To access up-to-date patient health data, such CDS require interoperability with Electronic Health Records (EHR). The GLEAN model supports knowledge-based CDS by (a) encoding the guideline decision logic using Task Network Models (TNM) based on an extensible Finite State Machine (FSM); and (b) associating clinical tasks with HL7 FHIR resources that offer interoperability with FHIR-compliant EHR. In this demo, we show an online visualization tool that explains GLEAN CIG as visual and interactive workflows. Clinicians can dynamically submit HL7 FHIR patient data using the tool to drive the traversal of the workflow.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Peleg, M.: Computer-interpretable clinical guidelines: a methodological review. J. Biomed. Inform. 46, 744–763 (2013)

    Article  Google Scholar 

  2. Sutton, D.R., Fox, J.: The syntax and semantics of the PROforma guideline modeling language. J. Am. Med. Inform. Assoc. 10, 433–443 (2003). https://doi.org/10.1197/jamia.M1264

    Article  Google Scholar 

  3. Boxwala, A.A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q., Wang, D.: GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines. J. Biomed. Inform. 37, 147–161 (2004)

    Article  Google Scholar 

  4. HL7 International: HL7 Fast Health Interop Resources (FHIR). https://www.hl7.org/index.cfm

  5. Van Woensel, W., Abidi, S.R., Abidi, S.S.R.: Towards model-driven semantic interfaces for electronic health records on multiple platforms using notation3. In: 4th International Workshop on Semantic Web Meets Health Data Management (SWH 2021), New York, NY, USA (2021)

    Google Scholar 

  6. Arndt, D., Van Woensel, W., Tomaszuk, D.: Notation3: draft community group report. https://w3c.github.io/N3/spec/. Accessed 08 Jan 2022

  7. De Roo, J.: Euler yet another proof engine - EYE. https://josd.github.io/eye/

  8. Van Woensel, W.: jen3. https://github.com/william-vw/jen3

  9. Van Woensel, W.: GLEAN. https://github.com/william-vw/glean

  10. Van Woensel, W., Abidi, S., Tennankore, K., Worthen, G., Abidi, S.S.R.: Explainable decision support using task network models in notation3: computerizing lipid management clinical guidelines as interactive task networks. In: 20th International Conference on Artificial Intelligence in Medicine (AIME 2022). Springer, Halifax (2022). (to appear)

    Google Scholar 

  11. D3: data-driven documents. https://d3js.org/. Accessed 11 Dec 2021

  12. Lightning fast, asynchronous, streaming RDF for JavaScript, https://github.com/rdfjs/N3.js/. Accessed 04 Apr 2022

  13. RDFa Streaming Parser

    Google Scholar 

  14. fhir.js. https://github.com/FHIR/fhir.js/. Accessed 31 Mar 2022

  15. HAPI FHIR. https://hapifhir.io/. Accessed 31 Mar 2022

  16. Apache: Apache Jena. https://jena.apache.org/

  17. KDIGO: clinical practice guideline for lipid management in chronic kidney disease. https://kdigo.org/wp-content/uploads/2017/02/KDIGO-2013-Lipids-Guideline-English.pdf

  18. Girard, J.-Y.: Linear logic: its syntax and semantics. In: Girard, J.-Y., Lafont, Y., Regnier, L. (eds.) Advances in Linear Logic, pp. 1–42 (1995)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to William Van Woensel .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Van Woensel, W., Abidi, S., Tennankore, K., Worthen, G., Abidi, S.S.R. (2022). Clinical Guidelines as Executable and Interactive Workflows with FHIR-Compliant Health Data Input Using GLEAN. In: Michalowski, M., Abidi, S.S.R., Abidi, S. (eds) Artificial Intelligence in Medicine. AIME 2022. Lecture Notes in Computer Science(), vol 13263. Springer, Cham. https://doi.org/10.1007/978-3-031-09342-5_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-09342-5_43

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09341-8

  • Online ISBN: 978-3-031-09342-5

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics