CURRENT PROJECTS

ICARE

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Intelligent Clinical-decision-support based on an Adaptable, Rule-based and Extensible Platform 

The project  is a collaboration between CHIP and Optum Labs to generate a standard protocol for automating the extraction, mark-up, and interoperability of computable clinical guidelines with decision workflow support in the electronic health record (EHR). There are 3 arms to the project:

• Computable Clinical Practice Guidelines – The guidelines are currently available in a human-readable, pdf format. They need to be translated to a computer-readable format to enable interfacing with any clinical algorithm. The process of translating CPGs to a computable form, we will be working closely with our oncologists to ensure that at each stage no errors are made. The guidelines will be broken down based on decision points and identifying the input conditions for decisions and the resulting actions. 

• Extraction of data from EMR – In this arm, the key patient data elements are extracted from the EMR and grouped based on action groups or decision groups. For e.g., in a standard neoadjuvant therapy called TCHP, multiple medications are administered in a single encounter, along with procedures such as venipuncture. 

• Matching Algorithm – Finally, in the matching stage, we first associate the action groups, decision groups from the EMR to the CPG actions and decision inputs respectively. We can then track the patient’s treatment pathway as compared to the computable CPG, adding additional decision and action points as required. The clinician notes may be used to verify that the pathway identifies from EMR entries is accurate.