Evidence map›Paper›PMID 35731571›Full record

ArticleJMIR formative research2022

System for Context-Specific Visualization of Clinical Practice Guidelines (GuLiNav): Concept and Software Implementation.

Jonas Fortmann, Marlene Lutz, Cord Spreckelsen

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Jonas FortmannInstitute of Medical Informatics, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0003-1757-525X
Marlene LutzInstitute of Medical Informatics, Medical Faculty, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0002-8265-2410
Cord SpreckelsenSmart Medical Technology for Healthcare Consortium of the German Medical Informatics Initiative, Leipzig, Germany.ORCID https://orcid.org/0000-0002-7301-1566
Jena University Hospital · DESiemens Healthineers (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical decision support systems often adopt and operationalize existing clinical practice guidelines leading to higher guideline availability, increased guideline adherence, and data integration. Most of these systems use an internal state-based model of a clinical practice guideline to derive recommendations but do not provide the user with comprehensive insight into the model.

objectiveHere we present a novel approach based on dynamic guideline visualization that incorporates the individual patient's current treatment context.

methodsWe derived multiple requirements to be fulfilled by such an enhanced guideline visualization. Using business process and model notation as the representation format for computer-interpretable guidelines, a combination of graph-based representation and logical inferences is adopted for guideline processing. A context-specific guideline visualization is inferred using a business rules engine.

resultsWe implemented and piloted an algorithmic approach for guideline interpretation and processing. As a result of this interpretation, a context-specific guideline is derived and visualized. Our implementation can be used as a software library but also provides a representational state transfer interface. Spring, Camunda, and Drools served as the main frameworks for implementation. A formative usability evaluation of a demonstrator tool that uses the visualization yielded high acceptance among clinicians.

conclusionsThe novel guideline processing and visualization concept proved to be technically feasible. The approach addresses known problems of guideline-based clinical decision support systems. Further research is necessary to evaluate the applicability of the approach in specific medical use cases.

Indexed as

clinicalclinical decision support systemclinical practice guidelinecomputer-assisted decision makingdecision makingdecision support techniqueseHealthelectronic healthguideline representationsoftwaresupport systemsworkflowworkflow control patterns

Identifiers

PMID35731571
PMCPMC9260532
OpenAlexW4230101726

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.