background: back pain is a common patients’ complaint, and its etiology is important because of different potential treatment approaches (based on causes). for a better diagnosis, magnetic resonance imaging (mri) is widely used in clinical settings that may result in inappropriate requests. this study aims to evaluate the appropriateness of the lumbosacral mri requests in patients with back pai...

Background Integrating guideline knowledge with clinical workflow plays a critical role in effective guideline implementation strategies. Eight information management services promote integration of computerized systems into clinical workflow—recommendation, documentation, explanation, presentation, registration, communication, calculation and aggregation. The Guideline Elements Model (GEM) use...

Background & Aims: An abstract is the best source of information within a content. The structured abstract is the best representation of the main source. Writing an appropriate abstract requires adherence to standards of abstracting. The aim of this study wasto investigate the compliance of Persian abstracts of research papers in medical journals of universities of medical sciences (type 1) wit...

background: back pain is a common patients' complaint, and its etiology is important because of different potential treatment approaches (based on causes). for a better diagnosis, magnetic resonance imaging (mri) is widely used in clinical settings that may result in inappropriate requests. this study aims to evaluate the appropriateness of the lumbosacral mri requests in patients with back pai...

We report the first successful test of an interoperable guideline execution engine that interprets encoded clinical guideline content and executes that content via functions of a target clinical information system (CIS). For this test, an exemplar immunization guideline was encoded in the SAGE guideline model using standards-based information models and terminologies. This guideline content was...

We developed the Guideline Execution by Semantic Decomposition of Representation (GESDOR) model to share guidelines encoded in different formats at the execution level. For this purpose, we extracted a set of generalized guideline execution tasks from the existing guideline representation models. We then created the mappings between specific guideline representation models and the set of the co...

In recent years, there has been an increasing emphasis in health systems on the provision of ambulatory care services. Payers have created incentives to decrease hospitalization rates and length of stay, making way for a new shift toward pay-for-performance, outcomes-based reimbursement, and accountable care. There is also an increasing focus in medicine on preventive health, patient education,...