Adaptable Clinical Pathways and Protocols

HCLS F2F MeetingAmsterdam, The Netherlands

Oct. 3-4, 2006

2

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

3

Use Cases 1 ER Stroke Management

4

Use Case 2 CABG

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

• Details

5

ACPP Main Constructs

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

6

Key Issues Facing ACPP

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