Adaptable Clinical Pathways and Protocols

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Adaptable Clinical Pathways and Protocols

• HCLS F2F Meeting
• Amsterdam, The Netherlands
• Oct. 3-4, 2006

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Charters

• A descriptive mechanism that expresses the tasks
  involved in protocol and process definition.
• A collection of core vocabulary that express
  pre-defined logical connections between steps,
  including conditionality, sequence, process
  branching and synchronization
• A set of generic mechanisms that govern the
  selection of clinical pathways and protocols in
  any given contexts
• A mechanism for specifying clinical indications
  and contra-indications for inferred pathway
  steps, sufficiently generic enough portable
  across different pathway invocations
• A mechanism that discerns and documents the
  possible adverse effects when merging clinical
  pathways or detecting inter process collisions.
• A mechanism that records and handles execution
  variances from clinical pathways

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Use Cases 1 ER Stroke Management
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Use Case 2 CABG

• ACC/AHA Guidelines and Indications for Coronary
  Artery Bypass Graft Surgery
• Details

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ACPP Main Constructs

• Patient States
• Tasks
• Precondition
• Postcondition
• Goals
• Preferences

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Key Issues Facing ACPP

• Temporal Concepts
• Weighted Conditions
• Exclusion and Scoped Negation
• Pre-position (context) of a knowledge body
  (evidence)