Protocol for Creating a Single, Holistic and Digitally Implementable Consensus Clinical Guideline for Multiple Multi-morbid Conditions

Kyrou, Ioannis; Zamora, Elisa Belén Cortés

doi:10.1145/3563137.3563182

Cited by 1 publication

(2 citation statements)

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“…The selection of best practice guidelines and the creation of consensus clinical guidelines are pre-requisites of this approach. They have already been presented in (20), hence their detailed description is out of the scope of this paper. The list of the selected best practice guidelines in CAREPATH is provided in .…”

Section: Methodsmentioning

confidence: 99%

“…To address this challenge, Robbins et al (20) presented clinical requirements addressing the needs of this patient group in the form of a reference, consensus clinical guideline to be used for the CAREPATH project. The development of the guideline was undertaken by a Clinical Reference Group (CRG) formed by CAREPATH project clinical partners based in Germany, Spain, Romania, and the UK.…”

Section: Introductionmentioning

confidence: 99%

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Transforming evidence-based clinical guidelines into implementable clinical decision support services: the CAREPATH study for multimorbidity management

Gencturk,

Laleci Erturkmen,

Akpinar

et al. 2024

Front. Med.

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IntroductionThe CAREPATH Project aims to develop a patient-centered integrated care platform tailored to older adults with multimorbidity, including mild cognitive impairment (MCI) or mild dementia. Our goal is to empower multidisciplinary care teams to craft personalized holistic care plans while adhering to evidence-based guidelines. This necessitates the creation of clear specifications for clinical decision support (CDS) services, consolidating guidance from multiple evidence-based clinical guidelines. Thus, a co-creation approach involving both clinical and technical experts is essential.MethodsThis paper outlines a robust methodology for generating implementable specifications for CDS services to automate clinical guidelines. We have established a co-creation framework to facilitate collaborative exploration of clinical guidelines between clinical experts and software engineers. We have proposed an open, repeatable, and traceable method for translating evidence-based guideline narratives into implementable specifications of CDS services. Our approach, based on international standards such as CDS-Hooks and HL7 FHIR, enhances interoperability and potential adoption of CDS services across diverse healthcare systems.ResultsThis methodology has been followed to create implementable specifications for 65 CDS services, automating CAREPATH consensus guideline consolidating guidance from 25 selected evidence-based guidelines. A total of 296 CDS rules have been formally defined, with input parameters defined as clinical concepts bound to FHIR resources and international code systems. Outputs include 346 well-defined CDS Cards, offering clear guidance for care plan activities and goal suggestions. These specifications have led to the implementation of 65 CDS services integrated into the CAREPATH Adaptive Integrated Care Platform.DiscussionOur methodology offers a systematic, replicable process for generating CDS specifications, ensuring consistency and reliability across implementation. By fostering collaboration between clinical expertise and technical proficiency, we enhance the quality and relevance of generated specifications. Clear traceability enables stakeholders to track the development process and ensure adherence to guideline recommendations.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%