Integrating clinical pathways into CDSS using context and rules: a case study in heart disease

  • Authors:

  • Wen Yao;Akhil Kumar

  • Affiliations:

  • The Pennsylvania State University, University Park, PA, USA;The Pennsylvania State University, University Park, PA, USA

  • Venue:
  • Proceedings of the 2nd ACM SIGHIT International Health Informatics Symposium
  • Year:
  • 2012

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Abstract

In this paper, we propose an ontology-based approach for integrating clinical pathways into Clinical Decision Support Systems (CDSS) recognizing that flexible pathways are critical for the success of CDSS. Our approach is based on a better understanding of clinical context through ontologies, and bringing them to bear in deciding the right rules for a certain activity. We also describe an approach for integrating and instantiating context specific subprocess fragment into a clinical pathway on the fly based on the needs of a specific case. To illustrate the feasibility of our approach, we present a system architecture and prototype implementation, along with a case study for handling patients with heart disease. The role of semantic web technologies in integrating clinical pathways into CDSS is highlighted.