Executing medical guidelines on the web: Towards next generation healthcare

Authors:
Mercedes Argüello Casteleiro;Julio Des;Maria Jesus Fernandez Prieto;Rogelio Perez;Hilary Paniagua
Affiliations:
University of Manchester, Faculty of Humanities, 2nd Floor, Arthur Lewis Building, Oxford Road, Manchester M13 9PL, United Kingdom;Complexo Hospitalario de Ourense, Rúa Ramón Puga 54, Ourense 32005, Spain;University of Salford, School of Languages, Maxwell Building, Salford M5 4WT, United Kingdom;Universidade de Santiago de Compostela, Departamento de Fisiología, Rúa de San Francisco s/n, Santiago de Compostela 15782, Spain;University of Wolverhampton, School of Health, Mary Seacole Building, Wolverhampton WV1 1AD, United Kingdom
Venue:
Knowledge-Based Systems
Year:
2009

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Abstract

There is still a lack of full integration between current Electronic Health Records (EHRs) and medical guidelines that encapsulate evidence-based medicine. Thus, general practitioners (GPs) and specialised physicians still have to read document-based medical guidelines and decide among various options for managing common non-life-threatening conditions where the selection of the most appropriate therapeutic option for each individual patient can be a difficult task. This paper presents a simulation framework and computational test-bed, called V.A.F. Framework, for supporting simulations of clinical situations that boosted the integration between Health Level Seven (HL7) and Semantic Web technologies (OWL, SWRL, and OWL-S) to achieve content layer interoperability between online clinical cases and medical guidelines, and therefore, it proves that higher integration between EHRs and evidence-based medicine can be accomplished which could lead to a next generation of healthcare systems that provide more support to physicians and increase patients' safety.