论文标题
声明性指南一致性检查临床治疗：案例研究
Declarative Guideline Conformance Checking of Clinical Treatments: A Case Study
论文作者
论文摘要
一致性检查是一种过程挖掘技术，允许验证过程实例与给定模型的一致性。因此，该技术被预定在医学环境中用于将治疗案例与临床指南进行比较。但是，医学过程是高度可变，高度动态和复杂的。这使得在医疗领域中使用了命令式一致性检查方法。研究表明，声明性方法可以更好地解决这些特征。但是，这些方法尚未获得实际接受。另一个挑战是对齐方式，通常不会从医学角度增加任何价值。因此，我们在案例研究中调查了HL7标准Arden语法对于宣言性，基于规则的符合度检查和使用手动建模的对齐方式的可用性。使用该方法，可以检查治疗案例的符合性并为医疗指南的大部分地区创建具有意义的医学对齐方式。
Conformance checking is a process mining technique that allows verifying the conformance of process instances to a given model. Thus, this technique is predestined to be used in the medical context for the comparison of treatment cases with clinical guidelines. However, medical processes are highly variable, highly dynamic, and complex. This makes the use of imperative conformance checking approaches in the medical domain difficult. Studies show that declarative approaches can better address these characteristics. However, none of the approaches has yet gained practical acceptance. Another challenge are alignments, which usually do not add any value from a medical point of view. For this reason, we investigate in a case study the usability of the HL7 standard Arden Syntax for declarative, rule-based conformance checking and the use of manually modeled alignments. Using the approach, it was possible to check the conformance of treatment cases and create medically meaningful alignments for large parts of a medical guideline.
