Re: AQL for Decision Support
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Dear Chunclan, We've developped a decision (support) system to assess if somebody with a common complaint should visit his GP or can take care for it himself ( http://vivici.wordpress.com/2007/10/26/digital-triage-to-discriminate-medical-complaints-for-which-a-general-practitioner-gp-should-be-consulted-from-complaints-for-which-a-self-care-advice-can-be-given/). This system also can be used to support a nurse in making this decision. The system has several components - Assesment of the current situation: knowledge that need to be gathered before a (full) conclusion can be made. Only if all the relevant questions are anserwed a conclusion such as 'self-care advice' can be drawn. These questions are about the current situation: which complaint, how long, severity etc. Typically such an assesment takes place at the start of a new episode: the client/patient wonders if he/she should visit the GP. -History: knowlegde that can/ has to be derived from the EHR such as actual medication status and disease status/ history before a full conclusion can be made. A question could be: are A, B or C within the actual medication. Same for actual episodes: are episode C,D or E within the actual episodes. More complex questions could be: did episode F took place and was it closed less than 5 years ago (f.i. suspicion of recurrent cancer) or in case of suspicion of a diagnose G ('running nose'): did an episode of G occur more than once in the past 2 years. In that case the work hypothesis running nose could change to hay fever. - decission rules (The whole system is based on 'telephone triage guidelines' provided by the Dutch council of GP's) - assesment of the current situation - conclusion/advice Cheers, Stef Op 24-sep-2008, om 2:50 heeft Chunlan Ma het volgende geschreven:
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