Literature DB >> 12463846

Challenges in implementing a knowledge editor for the Arden Syntax: knowledge base maintenance and standardization of database linkages.

Robert A Jenders1, Balendu Dasgupta.   

Abstract

CONTEXT: Incorporation of research findings into clinical practice lags behind their dissemination in the medical literature. Arden Syntax is a standard that could be used to encode evidence in a clinical decision support system (CDSS). However, dissemination of knowledge is hampered by lack of standard linkages to clinical databases.
OBJECTIVE: To create a knowledge editor that facilitates transfer of knowledge from the medical literature to clinical practice via a CDSS.
METHODS: Using a Web browser-based application, we implemented linkages to MEDLINE to permit queries on demand and registration of queries to be executed periodically, with results copied into Arden Medical Logic Modules (MLMs). To facilitate standardization of MLMs, database linkages are encoded using emerging HL7 standards such as a data model (virtual medical record).
CONCLUSIONS: A Web-based application can facilitate transfer of knowledge into clinical practice and knowledge base maintenance through periodic queries and deployment of standards for knowledge representation.

Mesh:

Year:  2002        PMID: 12463846      PMCID: PMC2244416     

Source DB:  PubMed          Journal:  Proc AMIA Symp        ISSN: 1531-605X


  14 in total

Review 1.  Computer-based guideline implementation systems: a systematic review of functionality and effectiveness.

Authors:  R N Shiffman; Y Liaw; C A Brandt; G J Corb
Journal:  J Am Med Inform Assoc       Date:  1999 Mar-Apr       Impact factor: 4.497

2.  A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts. Treatments for myocardial infarction.

Authors:  E M Antman; J Lau; B Kupelnick; F Mosteller; T C Chalmers
Journal:  JAMA       Date:  1992-07-08       Impact factor: 56.272

3.  Evolution of a knowledge base for a clinical decision support system encoded in the Arden Syntax.

Authors:  R A Jenders; H Huang; G Hripcsak; P D Clayton
Journal:  Proc AMIA Symp       Date:  1998

4.  Towards improved knowledge sharing: assessment of the HL7 Reference Information Model to support medical logic module queries.

Authors:  R A Jenders; W Sujansky; C A Broverman; M Chadwick
Journal:  Proc AMIA Annu Fall Symp       Date:  1997

5.  Development of the Logical Observation Identifier Names and Codes (LOINC) vocabulary.

Authors:  S M Huff; R A Rocha; C J McDonald; G J De Moor; T Fiers; W D Bidgood; A W Forrey; W G Francis; W R Tracy; D Leavelle; F Stalling; B Griffin; P Maloney; D Leland; L Charles; K Hutchins; J Baenziger
Journal:  J Am Med Inform Assoc       Date:  1998 May-Jun       Impact factor: 4.497

6.  Assessment of a knowledge-acquisition tool for writing Medical Logic Modules in the Arden Syntax.

Authors:  R A Jenders; B Dasgupta
Journal:  Proc AMIA Annu Fall Symp       Date:  1996

7.  Reducing the frequency of errors in medicine using information technology.

Authors:  D W Bates; M Cohen; L L Leape; J M Overhage; M M Shabot; T Sheridan
Journal:  J Am Med Inform Assoc       Date:  2001 Jul-Aug       Impact factor: 4.497

8.  Medical decision support: experience with implementing the Arden Syntax at the Columbia-Presbyterian Medical Center.

Authors:  R A Jenders; G Hripcsak; R V Sideli; W DuMouchel; H Zhang; J J Cimino; S B Johnson; E H Sherman; P D Clayton
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

9.  Contraindicated use of cisapride: impact of food and drug administration regulatory action.

Authors:  W Smalley; D Shatin; D K Wysowski; J Gurwitz; S E Andrade; M Goodman; K A Chan; R Platt; S D Schech; W A Ray
Journal:  JAMA       Date:  2000-12-20       Impact factor: 56.272

10.  Use of reperfusion therapy for acute myocardial infarction in the United States: data from the National Registry of Myocardial Infarction 2.

Authors:  H V Barron; L J Bowlby; T Breen; W J Rogers; J G Canto; Y Zhang; A J Tiefenbrunn; W D Weaver
Journal:  Circulation       Date:  1998-03-31       Impact factor: 29.690

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  7 in total

1.  Making the standard more standard: a data and query model for knowledge representation in the Arden syntax.

Authors:  Robert A Jenders; Roger Corman; Balendu Dasgupta
Journal:  AMIA Annu Symp Proc       Date:  2003

2.  Executing medical logic modules expressed in ArdenML using Drools.

Authors:  Chai Young Jung; Katherine A Sward; Peter J Haug
Journal:  J Am Med Inform Assoc       Date:  2011-12-16       Impact factor: 4.497

3.  A clinical rule editor in an electronic medical record setting: development, design, and implementation.

Authors:  Rachel Regier; Rupali Gurjar; Roberto A Rocha
Journal:  AMIA Annu Symp Proc       Date:  2009-11-14

4.  Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard.

Authors:  Kensaku Kawamoto; Guilherme Del Fiol; Howard R Strasberg; Nathan Hulse; Clayton Curtis; James J Cimino; Beatriz H Rocha; Saverio Maviglia; Emory Fry; Harm J Scherpbier; Vojtech Huser; Patrick K Redington; David K Vawdrey; Jean-Charles Dufour; Morgan Price; Jens H Weber; Thomas White; Kevin S Hughes; James C McClay; Carla Wood; Karen Eckert; Scott Bolte; David Shields; Peter R Tattam; Peter Scott; Zhijing Liu; Andrew K McIntyre
Journal:  AMIA Annu Symp Proc       Date:  2010-11-13

5.  Using Arden Syntax to identify registry-eligible very low birth weight neonates from the Electronic Health Record.

Authors:  Indra Neil Sarkar; Elizabeth S Chen; Paul T Rosenau; Matthew B Storer; Beth Anderson; Jeffrey D Horbar
Journal:  AMIA Annu Symp Proc       Date:  2014-11-14

6.  KAT: a flexible XML-based knowledge authoring environment.

Authors:  Nathan C Hulse; Roberto A Rocha; Guilherme Del Fiol; Richard L Bradshaw; Timothy P Hanna; Lorrie K Roemer
Journal:  J Am Med Inform Assoc       Date:  2005-03-31       Impact factor: 4.497

7.  Evolution of the Arden Syntax: Key Technical Issues from the Standards Development Organization Perspective.

Authors:  Robert A Jenders; Klaus-Peter Adlassnig; Karsten Fehre; Peter Haug
Journal:  Artif Intell Med       Date:  2016-08-11       Impact factor: 5.326

  7 in total

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