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  • Title: With good intentions.
    Author: Latoszek-Berendsen A, Talmon J, de Clercq P, Hasman A.
    Journal: Int J Med Inform; 2007 Dec; 76 Suppl 3():S440-6. PubMed ID: 17613271.
    Abstract:
    OBJECTIVE: To develop a framework for clinical practice guidelines that not only allows the representation of best practices, but also facilitates reasoning about acceptable alternatives for those best practices. METHOD: Design of an explicit representation formalism of intentions of guidelines and guideline steps. Implementation of this representation and reasoning mechanisms in GASTON, a tool for representing and executing computerized clinical guidelines. RESULTS: The developed formalism is used to represent a heart failure clinical guideline. It is demonstrated that the representation of intentions provides the needed flexibility to avoid unnecessary errors and warnings. CONCLUSION: By using an explicit representation of the intentions of guidelines and guideline steps, a flexible decision support system can be built that does not check only the adherence to the formal guideline but evaluates clinical activities in light of the intention of the guidelines.
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