Building chronic kidney disease clinical practice guidelines using the openEHR guideline definition language

Ching Heng Lin, Ying Chih Lo, Pei Yuan Hung, Der Ming Liou

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: As a result of the disease’s high prevalence, chronic kidney disease (CKD) has become a global public health problem. A clinical decision support system that integrates with computer-interpretable guidelines (CIGs) should improve clinical outcomes and help to ensure patient safety. Objectives: The openEHR guideline definition language (GDL) is a formal language used to represent CIGs. This study explores the feasibility of using a GDL approach for CKD; it also attempts to identify any potential gaps between the ideal concept and reality. Methods: Using the Kidney Disease Improving Global Outcomes (KDIGO) anemia guideline as material, we designed a development workflow in order to establish a series of GDL guidelines. Focus group discussions were conducted in order to identify important issues related to GDL implementation. Results: Ten GDL guidelines and 37 archetypes were established using the KDIGO guideline document. For the focus group discussions, 16 clinicians and 22 IT experts were recruited and their perceptions, opinions and attitudes towards the GDL approach were explored. Both groups provided positive feedback regarding the GDL approach, but raised various concerns about GDL implementation. Conclusions: Based on the findings of this study, we identified some potential gaps that might exist during implementation between the GDL concept and reality. Three directions remain to be investigated in the future. Two of them are related to the openEHR GDL approach. Firstly, there is a need for the editing tool to be made more sophisticated. Secondly, there needs to be integration of the present approach into non openEHR-based hospital information systems. The last direction focuses on the applicability of guidelines and involves developing a method to resolve any conflicts that occur with insurance payment regulations.

Original languageEnglish
Pages (from-to)495-505
Number of pages11
JournalMethods of Information in Medicine
Volume55
Issue number6
DOIs
Publication statusPublished - Jan 1 2016
Externally publishedYes

Fingerprint

Chronic Renal Insufficiency
Practice Guidelines
Language
Guidelines
Kidney Diseases
Focus Groups
Clinical Decision Support Systems
Hospital Information Systems
Workflow
Feasibility Studies
Patient Safety
Insurance
Anemia

Keywords

  • Chronic kidney disease
  • Computer-interpretable guideline
  • OpenEHR guideline definition language

ASJC Scopus subject areas

  • Health Informatics
  • Advanced and Specialised Nursing
  • Health Information Management

Cite this

Building chronic kidney disease clinical practice guidelines using the openEHR guideline definition language. / Lin, Ching Heng; Lo, Ying Chih; Hung, Pei Yuan; Liou, Der Ming.

In: Methods of Information in Medicine, Vol. 55, No. 6, 01.01.2016, p. 495-505.

Research output: Contribution to journalArticle

@article{db4a241e5bbc49e184936114f075f980,
title = "Building chronic kidney disease clinical practice guidelines using the openEHR guideline definition language",
abstract = "Background: As a result of the disease’s high prevalence, chronic kidney disease (CKD) has become a global public health problem. A clinical decision support system that integrates with computer-interpretable guidelines (CIGs) should improve clinical outcomes and help to ensure patient safety. Objectives: The openEHR guideline definition language (GDL) is a formal language used to represent CIGs. This study explores the feasibility of using a GDL approach for CKD; it also attempts to identify any potential gaps between the ideal concept and reality. Methods: Using the Kidney Disease Improving Global Outcomes (KDIGO) anemia guideline as material, we designed a development workflow in order to establish a series of GDL guidelines. Focus group discussions were conducted in order to identify important issues related to GDL implementation. Results: Ten GDL guidelines and 37 archetypes were established using the KDIGO guideline document. For the focus group discussions, 16 clinicians and 22 IT experts were recruited and their perceptions, opinions and attitudes towards the GDL approach were explored. Both groups provided positive feedback regarding the GDL approach, but raised various concerns about GDL implementation. Conclusions: Based on the findings of this study, we identified some potential gaps that might exist during implementation between the GDL concept and reality. Three directions remain to be investigated in the future. Two of them are related to the openEHR GDL approach. Firstly, there is a need for the editing tool to be made more sophisticated. Secondly, there needs to be integration of the present approach into non openEHR-based hospital information systems. The last direction focuses on the applicability of guidelines and involves developing a method to resolve any conflicts that occur with insurance payment regulations.",
keywords = "Chronic kidney disease, Computer-interpretable guideline, OpenEHR guideline definition language",
author = "Lin, {Ching Heng} and Lo, {Ying Chih} and Hung, {Pei Yuan} and Liou, {Der Ming}",
year = "2016",
month = "1",
day = "1",
doi = "10.3414/ME16-01-0005",
language = "English",
volume = "55",
pages = "495--505",
journal = "Methods of Information in Medicine",
issn = "0026-1270",
publisher = "Schattauer GmbH",
number = "6",

}

TY - JOUR

T1 - Building chronic kidney disease clinical practice guidelines using the openEHR guideline definition language

AU - Lin, Ching Heng

AU - Lo, Ying Chih

AU - Hung, Pei Yuan

AU - Liou, Der Ming

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background: As a result of the disease’s high prevalence, chronic kidney disease (CKD) has become a global public health problem. A clinical decision support system that integrates with computer-interpretable guidelines (CIGs) should improve clinical outcomes and help to ensure patient safety. Objectives: The openEHR guideline definition language (GDL) is a formal language used to represent CIGs. This study explores the feasibility of using a GDL approach for CKD; it also attempts to identify any potential gaps between the ideal concept and reality. Methods: Using the Kidney Disease Improving Global Outcomes (KDIGO) anemia guideline as material, we designed a development workflow in order to establish a series of GDL guidelines. Focus group discussions were conducted in order to identify important issues related to GDL implementation. Results: Ten GDL guidelines and 37 archetypes were established using the KDIGO guideline document. For the focus group discussions, 16 clinicians and 22 IT experts were recruited and their perceptions, opinions and attitudes towards the GDL approach were explored. Both groups provided positive feedback regarding the GDL approach, but raised various concerns about GDL implementation. Conclusions: Based on the findings of this study, we identified some potential gaps that might exist during implementation between the GDL concept and reality. Three directions remain to be investigated in the future. Two of them are related to the openEHR GDL approach. Firstly, there is a need for the editing tool to be made more sophisticated. Secondly, there needs to be integration of the present approach into non openEHR-based hospital information systems. The last direction focuses on the applicability of guidelines and involves developing a method to resolve any conflicts that occur with insurance payment regulations.

AB - Background: As a result of the disease’s high prevalence, chronic kidney disease (CKD) has become a global public health problem. A clinical decision support system that integrates with computer-interpretable guidelines (CIGs) should improve clinical outcomes and help to ensure patient safety. Objectives: The openEHR guideline definition language (GDL) is a formal language used to represent CIGs. This study explores the feasibility of using a GDL approach for CKD; it also attempts to identify any potential gaps between the ideal concept and reality. Methods: Using the Kidney Disease Improving Global Outcomes (KDIGO) anemia guideline as material, we designed a development workflow in order to establish a series of GDL guidelines. Focus group discussions were conducted in order to identify important issues related to GDL implementation. Results: Ten GDL guidelines and 37 archetypes were established using the KDIGO guideline document. For the focus group discussions, 16 clinicians and 22 IT experts were recruited and their perceptions, opinions and attitudes towards the GDL approach were explored. Both groups provided positive feedback regarding the GDL approach, but raised various concerns about GDL implementation. Conclusions: Based on the findings of this study, we identified some potential gaps that might exist during implementation between the GDL concept and reality. Three directions remain to be investigated in the future. Two of them are related to the openEHR GDL approach. Firstly, there is a need for the editing tool to be made more sophisticated. Secondly, there needs to be integration of the present approach into non openEHR-based hospital information systems. The last direction focuses on the applicability of guidelines and involves developing a method to resolve any conflicts that occur with insurance payment regulations.

KW - Chronic kidney disease

KW - Computer-interpretable guideline

KW - OpenEHR guideline definition language

UR - http://www.scopus.com/inward/record.url?scp=85005949918&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85005949918&partnerID=8YFLogxK

U2 - 10.3414/ME16-01-0005

DO - 10.3414/ME16-01-0005

M3 - Article

C2 - 27588321

AN - SCOPUS:85005949918

VL - 55

SP - 495

EP - 505

JO - Methods of Information in Medicine

JF - Methods of Information in Medicine

SN - 0026-1270

IS - 6

ER -