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OBJECTIVE To allow exchange of clinical practice guidelines among institutions and computer-based applications. DESIGN The GuideLine Interchange Format (GLIF) specification consists of GLIF model and the GLIF syntax. The GLIF model is an object-oriented representation that consists of a set of classes for guideline entities, attributes for those classes,(More)
There is need for encoded data for computerized clinical decision support, but most such data are unavailable as they are in free-text reports. Natural language processing offers one alternative for encoding such data. MedLEE is a natural language processing system which is in routine use for encoding chest radiograph and mammogram reports. In this paper,(More)
OBJECTIVE To measure the accuracy of automated tuberculosis case detection. SETTING An inner-city medical center. INTERVENTION An electronic medical record and a clinical event monitor with a natural language processor were used to detect tuberculosis cases according to Centers for Disease Control criteria. MEASUREMENT Cases identified by the(More)
The purpose of this study was to use a health information network and innovative technology to coordinate tuberculosis care. An innercity medical center, a local health department, and a home care nurse service in northern Manhattan were used. The organizations were linked with computer networks. An automated decision support system with a natural language(More)
Guidelines for care are growing rapidly in significance for all health care practitioners. The greater the number and complexity of these guidelines, the greater is the need for computer applications to manage, organize and disseminate them. To avoid duplication of the effort required to specify guidelines for computer use, we need a sharable representation(More)
The evaluation of radiation treatment plans involves making trade-offs among doses delivered to the tumor volumes and nearby normal tissues. Evaluating state-of-the-art three-dimensional (3D) plans is a difficult task because of the huge amount of planning data that needs to be deciphered. Multiattribute utility theory provides a methodology for specifying(More)
Radiotherapy treatment optimization is done by generating a set of tentative treatment plans, evaluating them and selecting the plan closest to achieving a set of conflicting treatment objectives. The evaluation of potential plans involves making tradeoffs among competing possible outcomes. Multiattribute decision theory provides a framework for specifying(More)
PRODIGY is a prescribing decision-support tool that encourages evidence-based cost-effective prescribing and supports information for patients with patient information leaflets. Following two successful pilot phases, the Department of Health has announced plans for a nation-wide rollout to all general practitioners in the UK. This paper describes the(More)
The TextBase project is a laboratory experiment to assess the feasibility of a common exchange format for sending a transcription of the contents of the Electronic Patient Record (EPR) between different general practices, when patients move from one practice to another in the NHS in England. The project was managed using a partnership arrangement between(More)