The Development of Standardized and Sharable Computer Interpretable Guidelines for Diabetic Retinopathy

The deployment of computer-interpretable guidelines (CIGs) is of significance for diabetic retinopathy (DR) clinical decision making (CDS) since the traditional management relied on amount of trained health care professionals. The propriety-based CDS models are not interoperable among different EHR vendors, limiting the implementation efficiency of such CDS models. This study aims to develop standardized and sharable CIGs for DR prevention. In this study, DR specific virtual medical record (vMR) was designed and data mapping was conducted from patient's continual care document (CCD). Several published guidelines on DR screening, diagnosis and treatment have been referred for DR CIG modeling via Gello, GLIF, OpenCDS editors. The CIGs were developed and testified in each editor and the results were compared. In conclusion, the developed CIG for DR is actionable and shareable, which is favorable to the management and prevention of DR.