J Biomed Inform - The Arden Syntax standard for clinical decision support: experiences and directions.

Tópicos

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Resumo

Arden Syntax is a widely recognized standard for representing clinical and scientific knowledge in an executable format. It has a history that reaches back until 1989 and is currently maintained by the Health Level 7 (HL7) organization. We created a production-ready development environment, compiler, rule engine and application server for Arden Syntax. Over the course of several years, we have applied this Arden - Syntax - based CDS system in a wide variety of clinical problem domains, such as hepatitis serology interpretation, monitoring of nosocomial infections or the prediction of metastatic events in melanoma patients. We found the Arden Syntax standard to be very suitable for the practical implementation of CDS systems. Among the advantages of Arden Syntax are its status as an actively developed HL7 standard, the readability of the syntax, and various syntactic features such as flexible list handling. A major challenge we encountered was the technical integration of our CDS systems in existing, heterogeneous health information systems. To address this issue, we are currently working on incorporating the HL7 standard GELLO, which provides a standardized interface and query language for accessing data in health information systems. We hope that these planned extensions of the Arden Syntax might eventually help in realizing the vision of a global, interoperable and shared library of clinical decision support knowledge.

Resumo Limpo

arden syntax wide recogn standard repres clinic scientif knowledg execut format histori reach back current maintain health level hl organ creat productionreadi develop environ compil rule engin applic server arden syntax cours sever year appli arden syntax base cds system wide varieti clinic problem domain hepat serolog interpret monitor nosocomi infect predict metastat event melanoma patient found arden syntax standard suitabl practic implement cds system among advantag arden syntax status activ develop hl standard readabl syntax various syntact featur flexibl list handl major challeng encount technic integr cds system exist heterogen health inform system address issu current work incorpor hl standard gello provid standard interfac queri languag access data health inform system hope plan extens arden syntax might eventu help realiz vision global interoper share librari clinic decis support knowledg

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