{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T23:51:43Z","timestamp":1762041103879,"version":"build-2065373602"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The American College of Obstetricians and Gynecologists (ACOG) provides numerous narrative documents containing formal recommendations and additional narrative guidance within the text. These guidelines are not intended to provide a complete \u201ccare pathway\u201d for patient management, but these elements of guidance can be useful for clinical decision support (CDS) in obstetrical and gynecologic care and could be exposed within electronic health records (EHRs). Unfortunately, narrative guidelines do not easily translate into computable CDS guidance.<\/jats:p><jats:p>\n          Objective\u2003This study aimed to describe a method of translating ACOG clinical guidance into clear, implementable items associated with specific obstetrical problems for integration into the EHR.<\/jats:p><jats:p>\n          Methods\u2003To translate ACOG clinical guidance in Obstetrics into implementable CDS, we followed a set of steps including selection of documents, establishing a problem list, extraction and classification of recommendations, and assigning tasks to those recommendations.<\/jats:p><jats:p>\n          Results\u2003Our search through ACOG clinical guidelines produced over 500 unique documents. After exclusions, and counting only sources relevant to obstetrics, we used 245 documents: 38 practice bulletins, 113 committee opinions, 16 endorsed publications, 1 practice advisory, 2 task force and work group reports, 2 patient education, 2 obstetric care consensus, 60 frequently asked questions (FAQ), 1 women's health care guidelines, 1 Prolog series, and 9 others (non-ACOG). Recommendations were classified as actionable (n\u2009=\u2009576), informational (n\u2009=\u2009493), for in-house summary (n\u2009=\u2009124), education\/counseling (n\u2009=\u2009170), policy\/advocacy (n\u2009=\u200933), perioperative care (n\u2009=\u20094), delivery recommendations (n\u2009=\u200950), peripartum care (n\u2009=\u200913), and non-ACOG (n\u2009=\u200925).<\/jats:p><jats:p>\n          Conclusion\u2003We described a methodology of translating ACOG narrative into a semi-structured format that can be more easily applied as CDS in the EHR. We believe this work can contribute to developing a library of information within ACOG that can be continually updated and disseminated to EHR systems for the most optimal decision support. We will continue documenting our process in developing executable code for decision support.<\/jats:p>","DOI":"10.1055\/s-0041-1733933","type":"journal-article","created":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T22:57:57Z","timestamp":1630537077000},"page":"800-807","source":"Crossref","is-referenced-by-count":1,"title":["Leveraging American College of Obstetricians and Gynecologists Guidelines for Point-of-Care Decision Support in Obstetrics"],"prefix":"10.1055","volume":"12","author":[{"given":"Brittany H.","family":"Sanford","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine\/Montefiore Medical Center, Bronx, New York, United States"}]},{"given":"Gabriel","family":"Labbad","sequence":"additional","affiliation":[{"name":"The Center for Clinical Informatics Research and Education and Department of Obstetrics and Gynecology, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio, United States"}]},{"given":"Alyssa R.","family":"Hersh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon, United States"}]},{"given":"Aya","family":"Heshmat","sequence":"additional","affiliation":[{"name":"Department of Health IT and Clinical Informatics, American College of Obstetricians & Gynecologists, Washington, District of Columbia, United States"}]},{"given":"Steve","family":"Hasley","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States"}]}],"member":"194","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.4324\/9781498757461","volume-title":"Improving Outcomes with Clinical Decision Support: An Implementer's Guide","author":"J A Osheroff","year":"2012"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"29","DOI":"10.7326\/0003-4819-157-1-201207030-00450","article-title":"Effect of clinical decision-support systems: a systematic review","volume":"157","author":"T J Bright","year":"2012","journal-title":"Ann Intern Med"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1197\/jamia.M1868","article-title":"Improving acceptance of computerized prescribing alerts in ambulatory care","volume":"13","author":"N R Shah","year":"2006","journal-title":"J Am Med Inform Assoc"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1136\/amiajnl-2010-000033","article-title":"Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems","volume":"18","author":"P Gooch","year":"2011","journal-title":"J Am Med Inform Assoc"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1197\/jamia.M1444","article-title":"Bridging the guideline implementation gap: a systematic, document-centered approach to guideline implementation","volume":"11","author":"R N Shiffman","year":"2004","journal-title":"J Am Med Inform Assoc"},{"key":"ref6","first-page":"520","article-title":"GEM at 10: a decade's experience with the Guideline Elements Model","volume":"2011","author":"N Hajizadeh","year":"2011","journal-title":"AMIA. 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