CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM

Satoshi Nishimura, Genma Nishijima, Yoshinobu Kitamura, Munehiko Sasajima, Toshihiro Takeda, Yasushi Matsumura, Riichiro Mizoguchi

2014

Abstract

Much procedural knowledge in the medical domain, such as clinical practice guidelines, nursing manuals, and clinical pathways (abbreviated to CPs), is documented and shared. This paper concentrates on the CP, which represents a standard time-sequence of actions carried out by clinical staff for each disease. With the aim not of replacing the conventional form of CPs in a clinical setting but of facilitating description and revision of knowledge by knowledge managers, we have proposed CHARM, which is a goal-oriented, tree-structured model based on an ontology of actions. The aim of the work described in this paper is to confirm the practical ability of CHARM to represent medical actions in CPs in a computer-interpretable way, using eight real CPs in Osaka University Hospital. CHARM trees in terms of actions defined clearly in the ontology explicitly represent goals of actions, i.e., why the actions should be needed, and so on, which are implicit in the conventional CPs. We also confirmed the benefits of CHARM for describing/revising CPs by the knowledge mangers in a comparison of the actions in CPs, such as finding commonality among CPs, easy comparison of CPs from a goal-oriented perspective, and explanation of the reasons for differences.

Paper Citation

in Harvard Style

Nishimura S., Nishijima G., Kitamura Y., Sasajima M., Takeda T., Matsumura Y. and Mizoguchi R. (2014). CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014) ISBN 978-989-758-010-9, pages 211-221. DOI: 10.5220/0004747002110221

in Bibtex Style

@conference{healthinf14,
author={Satoshi Nishimura and Genma Nishijima and Yoshinobu Kitamura and Munehiko Sasajima and Toshihiro Takeda and Yasushi Matsumura and Riichiro Mizoguchi},
title={CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014)},
year={2014},
pages={211-221},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004747002110221},
isbn={978-989-758-010-9},
}

in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2014)
TI - CHARMing Clinical Pathways - Modeling of Clinical Pathways based on the Goal-Oriented Ontological Framework CHARM
SN - 978-989-758-010-9
AU - Nishimura S.
AU - Nishijima G.
AU - Kitamura Y.
AU - Sasajima M.
AU - Takeda T.
AU - Matsumura Y.
AU - Mizoguchi R.
PY - 2014
SP - 211
EP - 221
DO - 10.5220/0004747002110221