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Chapter 7 - Creation of Rules for the Completed GuidelineNow, complete the rules for the guidelines using the techniques you learnt previously. The rules are presented below. Note that the names of the rules (the first column) will be created automatically. Also, remember that the order of the rules is important as is also the order of items within a rule. If you want to change the order or rules or items in the rules, click on the little golden arrows in the respective panels. Rules for the Guideline “Clinical Evaluation Of The Complaint Of Menorrhagia”Abstraction RulesNot applicable as has no Inference tool Action Rules1. Trigger Process KC “History (Symptoms suggestive of other Pathology?)”
2. Trigger Process KC “History (Symptoms suggestive of other Pathology?)”
3. Trigger Process KC “Pelvic abnormality?”
4. Trigger Process KC “Pelvic abnormality?”
5. Trigger Process KC “Treatment required?”
6. Trigger Process KC “Treatment required?”
Rules for the Process KC “History (Symptoms suggestive of other Pathology?)”Abstraction Rules1.
2.
Action RulesNot applicable as has no inferential PALs Rules for the Atomic KC “History of menorrhagia?”Abstraction RulesNot applicable as User is the abstraction inference tool Action RulesNot applicable as AKCs do not have actions Rules for the Atomic KC “Symptoms of other pathology?”Abstraction Rules1.
2.
Action RulesNot applicable as AKCs do not have actions Rules for the Atomic KC “Risk factors for endometrial ca?”Abstraction Rules1.
2.
Action RulesNot applicable as AKCs do not have actions Rules for the Process KC “Pelvic abnormality?”Abstraction Rules1.
2.
Action RulesNot applicable as has no inferential PALs Rules for the Atomic KC “Significant uterine enlargement?”Abstraction Rule1.
2.
Action RulesNot applicable as AKCs do not have actions Rules for the Atomic KC “Other pelvic abnormality?”Abstraction Rules1.
2.
Action RulesNot applicable as AKCs do not have actions Rules for the Atomic KC “Referred?”Abstraction RulesNot applicable as User is the Inference tool Action RulesNot applicable as AKCs do not have actions Rules for the Process KC “Treatment required?”Abstraction Rules1.
2.
Action RulesNot applicable as has no Inference tool Rules for the Process KC “Anemia?”Abstraction Rules1.
2.
Action RulesNot applicable as has no inferential PALs Rules for the Atomic KC “Blood Count (anemia?)”Abstraction RulesNot applicable as User is the Inference tool Action RulesNot applicable as AKCs do not have actions Rules for the Atomic KC “Treatment requested”Abstraction RulesNot applicable as User is the Inference tool Action RulesNot applicable as AKCs do not have actions Rules for the Process KC “Treatment”Abstraction RulesNot applicable as User is the Inference tool Action RulesNot applicable as has no inferential PALs Rules for the Atomic KC “Reassured?”Abstraction RulesNot applicable as AKCs do not have actions Action RulesNot applicable as AKCs do not have actions Rules for the Process KC “Anemia management”Abstraction RulesNot applicable as AKCs do not have actions Action RulesNot applicable as AKCs do not have actions Rules for the Process KC “Anemia treatment”Abstraction RulesNot applicable as User is the Inference tool Action RulesNot applicable as has no inferential PALs This completes the first Proteus guideline you created with combination of automated and human decision making features. You can now run the guideline and experiment with it by entering different values in AKC dialogs or when user abstraction dialog is shown. You can also modify the guideline or rules in different ways and see how it changes the guideline’s behavior. For example, try including a diabetes diagnosis PKC in one of the PKCs and running it and seeing what happens (may be you want to rule out diabetes if the patient is found to have obesity in AKC “Risk factors for endometrial ca?”). An experienced Protean user with clear understanding of what needs to be done in a guideline of this size and complexity can create a Proteus version in about an hour’s time. More time is required in analysis and understanding of guidelines created elsewhere to allow them to be translated into Proteus guidelines. |
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