Japan Journal of Medical Informatics
Online ISSN : 2188-8469
Print ISSN : 0289-8055
ISSN-L : 0289-8055
Proceedings of the Spring Meeting on Medical Informatics
Development of Clinical Decision Support System DSL following Arden Syntax and FHIR
E KimuraK Ishihara
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2015 Volume 35 Issue 6 Pages 283-296

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Abstract
 The Arden Syntax (AS) was developed to standardize the representation of medical logic for clinical decision support. However, the AS adoption had been a problem because of two issues. First, it is difficult to supply skilled developers. Second, there is no standardization of data access methods in AS, and every healthcare has to implement specific queries for their data source. There is no unified method to manage bulk messages from a variety of data sources. In this study, we developed a novel scheme to overcome these issues. [Methods] We implemented internal DSL on Ruby that closely conformed to the AS specification. Mapping between standardized DWH schema and Fast Healthcare Interoperability Resources (FHIR) was developed to absorb various database structures. [Results] We were able to translate the clinical decision support rule written in AS into our developed DSL with equivalence and expressivity. This significantly reduced the amount of data query code and made simple rules. [Discussion] Compared to a pure AS DSL, our approach has the advantage of availability of a modern development environment; for example, test-driven development may contribute to build solid rules representing complex clinical guidelines.
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© 2015 Japan Association for Medical Informatics
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