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Making Guidelines Computable Panel Presentation

GIN 2025- Joanne Dehnbostel

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I work at Computable Publishing LLC

I am on the Board of the Scientific Knowledge Accelerator Foundation (SKAF)

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Our Company has developed the FEvIR Platform at https://fevir.net

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High-level features of the FEvIR Platform

  • View
  • Create
  • Edit
  • Search
  • Notification
  • Change Tracking (update or adapt)
  • Comment/Rate

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VIEW

– show Group Resource for the StudyGroup example (pre-made with eligibility criteria)

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Create a FHIR Resource – show selecting the ComparativeEvidence Profile

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Create a FHIR Resource

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Choose to Create a Comparative Evidence Report

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We have created a FHIR Composition Resource with Comparative Evidence Profile

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Create an Evidence Resource reference the StudyGroup from population/observed

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To represent the population, we can reuse the resource for uncomplicated malaria

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We can create a FHIR Evidence resource and reference the existing StudyGroup from population/observed

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And here is the Resource after the change we made

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Change tracking - create Change Report

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We have a Medline Converter Tool

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When a PubMedID is entered

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It creates an HL7 FHIR Citation Resource

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You can also do a Medline Search, converts to citation resources

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This results in a FHIR Library resource with a list of Citations that match your query

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Let’s search for the Composition Resource that we created earlier

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Here is the search function

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And here is the result

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…and we are back to our Composition resource

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You can click on this little bell icon to be notified if there are any changes to the Resource

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Click on the star icon to add the Resource to your favorites

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You can comment on a Resource

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This creates an ArtifactAssessment Resource

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Many of you probably use MAGICapp, We have a MAGICapp converter

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MAGICapp already contains structured data, and we can convert that to FHIR Format

This ID number happens to be the WHO Guideline for Malaria

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The data from MAGICapp becomes 3064 FHIR Resources

We can Click on Guideline from MAGICapp: WHO guidelines for malaria to see it in a Guideline Viewing Tool

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We can expand sections, like case management

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We can expand Treating Malaria

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And from there, we can expand Treating Uncomplicated Malaria

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We can expand Artemisinin-based combination therapy

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Here it is

We can then click on an individual recommendation

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We can then view the individual Recommendation on the FEvIR Platform

These recommendation sections can also be expanded

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So here we have a strong recommendation for patients with uncomplicated malaria

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This was all going to become very important

When we met some people from an organization called ebase Africa and were asked to convert a Malaria Guideline from Cameroon to Computable Form, I’d like you to meet Noella Awah

https://docs.google.com/presentation/d/1d9njm8rh90zX_JD72UaimNft_gFas82F/edit?slide=id.p1#slide=id.p1

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In Summary, the problem

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Using the Guideline Authoring Tool on the FEvIR Platform

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As Noella Described, we were able to create the Malaria Guideline for Cameroon in Computable Form

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A downloadable PDF Format is also available, which can be used on a mobile phone

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Thank you!

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Patrick Okwen for Tetamiyaka Kinlabel

  • Patrick Okwen will report on the experience in Cameroon in 2025 related to dissemination of the computable guideline.
    • Present the dissemination plan and the current state of progress

  • From Paper to Practice-how to use the Malaria guideline

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  • Brian Alper will introduce the origin and current state of EBMonFHIR activities. In 2017 GINTech decided to explore interoperability solutions for the evidence ecosystem. In 2018, Health Level 7 International (HL7) approved a project to extend the HL7 FHIR standard to EBM knowledge. The EBMonFHIR project has developed a comprehensive Implementation Guide and resulted in an open collaboration (Health Evidence Knowledge Accelerator).
  • Check the PPT for intro to GIN Accelerated Guidelines WG or GINTech or GIN North America (10 minutes)

  • Joanne Dehnbostel will introduce the Fast Evidence Interoperability Resources (FEvIR) Platform with emphasis on relevant tools for guideline developers, including demonstration of adapting guidelines from MAGICapp and GRADEpro.
    • Introduce the FEvIR Platform
      • Purpose of the FEvIR Platform
      • High-level features of the FEvIR Platform – view, create, edit, convert, search, notification, change tracking (update or adapt), comment/rate
        • View – show Group Resource for the StudyGroup example (pre-made with eligibility criteria)
        • Create – show selecting the ComparativeEvidence Profile
        • Edit – create the evidence and reference the StudyGroup from population/observed
        • Convert - show MEDLINE Converter for single PMID
        • Convert - show MEDLINE Converter for MEDLINE search
        • Search - search for Composition that you created
        • Change tracking - create Change Report
        • Notifications – show My Notifications
        • Comment – add Comment for a Resource
    • Introduce MAGICapp-to-FEvIR Converter - 7099 - The MAGICapp record was converted to 3064 FHIR Resources.
    • Introduce Guideline Viewing Tool
    • Introduce Recommendation Viewing Tool - expand sections
    • Khalid Shahin will report on developments to address the realities of digital access in Cameroon, mainly to support offline viewing of the guideline on mobile devices.
      • Introduce PDF view of a Guideline or Recommendation
      • Introduce view or download PDF function
      • Introduce Guideline Authoring Tool
      • Introduce Recommendation Authoring Tool
      • Introduce GRADEpro-to-FEvIR Converter