| What to know/do (and why) Overview | For people using or consuming guidance: For people producing guidance: - make sure that recommendations include the most specific information possible on who/what/when/where/how (and why); bring guideline consumer stakeholders to the table very early in the process of developing guidelines to ensure that the recommendations will be helpful in meeting clinical needs - and be consumable in a computable fashion. (e.g., - have a knowledge engineer in the loop - see 'make guidance computable section below for details.)
- Coding is important to support downstream computability efforts - (Need to lay out exactly what guidance producers need to know and do to make this - integrate guidance development with efforts to make computable)
- For maintenance, i.e., 'living guidance' -
- Monitor literature (studies and systematic reviews) that relate to the focus of the guideline. Grade material is it becomes available. Don't start from scratch- leverage other efforts to process the upstream evidence. (include links in this guidance section back to pertinent tools in the 'upstream' supply chain tables above)
- Modify the guideline according.
- GIN Library to register guidelines in process
- PICO(TTS) paradigm
- GRADEpro GDT
- WHO-INTEGRATE evidence to decision framework
- EtD Framework
- mDelphi surveys to achieve consensus
- GRADE for grading recs
- GIN-McMaster Guideline Development Checklist
- WHO Handbook for Guideline Development
- Many medical professional societies develop guidelines and each has their own manual, available on the society’s website and/or published in their journal
-------------------- Regarding Value Sets recommend the following process (applies to anticoagulation, testing/triage, vaccines, steroids, and any other topic): - Take inventory of what value sets you’ll need (be specific)
- Check Alliance website or Value Set Authority Center (VSAC), we might have already published some of them among the 600+ value sets
- If certain value sets are not present or you are unsure, contact Victor Lee (Victor_Lee@ClinicalArchitecture.com) to inquire or to request development
Clinical Architecture and other Alliance collaborators are donating our efforts, and Clinical Architecture is leveraging its software tooling, hosting infrastructure, and manual labor to donate all of the COVID-19-related value set content to the public domain (i.e., completely free, no strings attached). That being said, we all have day jobs, so we appreciate having as much lead time as possible to fulfill requests. Happy to take questions. |
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