Partnerships in Innovation: How We Accomplished the Objectives of the SAGE Project

摘要

The SAGE (>Sharable >Active >Guideline >Environment) Project is multi-site, interdisciplinary, research and development effort to enable encoding and broad dissemination of medical knowledge in the form of computable clinical practice guidelines. The vision of the SAGE Project is that, once encoded, guideline content could be deployed to, and used to provide clinical decision support via the native functions of many, heterogeneous clinical information system platforms. During the five-year project, IDX (now part of GE Healthcare) worked in partnership with Apelon Inc., Intermountain Health Care, Mayo Clinic, Stanford Medical Informatics, and the University Of Nebraska Medical Center to achieve all major project objectives. In this session, we identify key innovations in each of the main project focus areas: The SAGE Guideline Representation Model, the Protégé-based guideline encoding workbench, the SAGE Guideline Execution Engine, and the standards-based interfaces with host clinical information systems. In each area we also describe how our consortium worked collaboratively to define requirements, resolve technical and informatics challenges, and validate prototypes in end-to-end testing.