A Domain-Specific Modeling Language for Specification of Clinical Scores in Mobile Health

Abstract

Clinical scores are a widely discussed topic in health as part of modern clinical practice. In general, these tools predict clinical outcomes, perform risk stratification, aid in clinical decision making, assess disease severity or assist diagnosis. However, the problem is that clinical scores data are traditionally obtained manually, which can lead to incorrect data and result. In addition, by collecting biological/health data in real time from humans, the current mobile health (mHealth) solutions that computationally solve that problem are limited because those systems are developed considering the specificities of a single clinical score. This work is part of the MDD4ClinicalScores project that addresses the productivity in developing mHealth solutions for clinical scores through the use of Model Driven Development concepts. This paper focus in describing DSML4ClinicalScore, a high-level domain-specific modeling language that uses the Ecore metamodel to describe a clinical score specification. To propose the DSML4ClinicalScore we analysed 89 clinical scores to define the artifacts of this proposed Metamodel. In the end, a practical case study using this DSML is provided to validate the DSML4ClinicalScore Metamodel, and to show how to use the proposal in a clinical situation scenario.