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SAGE Objectives and Approach SAGE Technology and Progress Clinical Practice Guidelines Useful Links


 

The guideline encoding “workbench”:

  • Allows domain experts and knowledge engineers to efficiently encode guideline logic with standard vocabulary sets, add computable decision models, view, edit, manage, and test the library of computable clinical guidelines
  • Allows clinical users to rapidly capture and depict guideline scenario logic
  • Allows reuse of encoded guideline components stored in accessible libraries
  • Allows linking of encoded guidelines with explanatory resources in different formats
  • Allows local stakeholders to import and adapt shared encoded guidelines and their associated knowledge bases for their local clinical information systems


Protégé 2000

Below is a screen shot of the program, called Protégé-2000, that will be used to endode medical guidelines into the Guideline Model. Currently, the program is still being modified and updated so that one day clinicians may use the program to effectively encode medical guidelines and enroll patients in those guidelines.

 
Protégé-2000 is the latest in a series of completely general-purpose programs that help users build knowledge acquisition systems. Its extensible component-based architecture and configurable GUI facilitate customizing knowledge-aquisition for given domains. Domain experts can use the custom systems to record, browse and maintain domain knowledge in knowledge bases. Currently, Protégé-2000 is used in varied situations from formalizing clinical guidelines to modeling aviation knowledge.

The program itself is frame-based and is made up of the following components:

1. Knowledge base- Consists of frames that represent classes, slots, facets, instances and constraints.
2. Classes are concepts in the domain of discourse. They are abstract conceptual entities in the domain (e.g., the concept of an ACE Inhibitor), or named collections of instances (e.g., sets of Guidelines).
3. Slots- Binary-relationships that describe properties or attributes of classes (e.g., the eligibility criteria in the Guideline class).
4. Facets- Describe properties of slots (e.g., the data type of the eligibility criteria slot).
5. Instances of classes have specific slot values (e.g., in EON, hypertension_guideline is an instance of the Guideline class).
6. Constraints specify additional relationships among instances

A primary feature of Protégé-2000 is its ability to automatically generate a GUI form for each class based on the class definition. Domain experts can use these forms to enter instances of classes. Besides the forms, complex special-purpose user-interface widgets can also be added to the system as plug-ins to simplify knowledge acquisition (e.g., a diagram widget to encode clinical algorithms). There is also a notion of a Project, which contains configuration information and form layout information. Configuration information includes descriptions of all the user-interface widgets that have been added to the project and a list of other projects that have been included by the current project. .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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