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Advanced Tutorial Chapters
6

Chapter 6 - Complete the Authoring of Guideline

Complete the guideline by introducing KCs in the guideline as per the table below. Refer to the abbreviation keys below.

If you are impatient and want to experiment with this guideline fully created, you can access it by clicking on the [Pick] button of Protean, while keeping the Shift key of your keyboard pressed. The Guideline Selection Dialog will now show the Menorrhagia guideline as the last in the list, from where you can open it.

Key

Meaning

AbIT

Abstraction Inference tool

AcIT

Action Inference tool

GL

Guideline

AKC

Atomic KC

PKC

Process KC

Bool

Boolean

Str

String

UIT

User Inference tool

BSP

BeanShell for Proteus Inference tool (BeanShellProteus)

Empty cells in the table mean that a value is not appropriate for that cell. The empty cells are because an AKC cannot have an AbIT, a DE can have neither AbIT nor AcIT, and only String datatype PPCs can have permissible values, therefore no other types have any permissible value. In brief, all the PPCs are of the Boolean type except the Data Element “Uterine size”, which is of the string type. “Uterine size” is therefore also the only PPC that has permissible values. The guideline itself and Process KC “Anemia management” are the only KC that have action inference tools. The former has BeanShell for Proteus and the latter has User Inference tool. All the KCs that have no contents have User Inference tool as their abstraction inference tools.

Type

Name

Data Type

Values

AbIT

AcIT

GL

Clinical Evaluation Of The Complaint Of Menorrhagia

Bool

 

None

BSP

PKC

 

History (Symptoms suggestive of other Pathology?)

Bool

 

BSP

None

AKC

 

 

History of menorrhagia?

Bool

 

UIT

 

AKC

 

 

Symptoms of other pathology?

Bool

 

BSP

 

DE

 

 

 

Irregular bleeding?

Bool

 

 

 

DE

 

 

 

Sudden change in blood loss?

Bool

 

 

 

DE

 

 

 

Intermenstrual bleeding?

Bool

 

 

 

DE

 

 

 

Post coital bleeding?

Bool

 

 

 

DE

 

 

 

Dyspareunia?

Bool

 

 

 

DE

 

 

 

Premenstrual pain

Bool

 

 

 

AKC

 

 

Risk factors for endometrial ca?

Bool

 

BSP

 

DE

 

 

 

Tamoxifen?

Bool

 

 

 

DE

 

 

 

Unopposed estrogen rx?

Bool

 

 

 

DE

 

 

 

Polycystic ovarian syndrome?

Bool

 

 

 

DE

 

 

 

Obesity

Bool

 

 

 

PKC

 

Pelvic abnormality?

Bool

 

BSP

None

AKC

 

 

Significant uterine enlargement?

Bool

 

BSP

 

DE

 

 

 

Uterine size

Str

- Normal
- 8-10 wks
- 6-8 wks
- 10 wks or more
- Bulky

 

 

AKC

 

 

Other pelvic abnormality?

Bool

 

BSP

 

DE

 

 

 

Pelvic mass

Bool

 

 

 

DE

 

 

 

Pelvic tenderness?

Bool

 

 

 

AKC

 

Referred?

Bool

 

UIT

 

PKC

 

Treatment required?

Bool

 

BSP

None

PKC

 

 

Anemia?

Bool

 

BSP

None

AKC

 

 

 

Blood Count (anemia?)

Bool

 

UIT

 

AKC

 

 

Treatment requested

Bool

 

UIT

 

PKC

 

Anemia management

Bool

 

UIT

UIT

PKC

 

 

Anemia?

Bool

 

BSP

None

AKC

 

 

 

Blood Count (anemia?)

Bool

 

BSP

 

PKC

 

 

Anemia treatment

Bool

 

UIT

None

PKC

 

Treatment

Bool

 

BSP

None

AKC

 

Reassured?

Bool

 

UIT

 

The guideline, when completed should look something like the following figure.

Figure 6.

 
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