Writing Clinical Practice Guidelines in Controlled Natural Language

  • Richard N. Shiffman
  • George Michel
  • Michael Krauthammer
  • Norbert E. Fuchs
  • Kaarel Kaljurand
  • Tobias Kuhn
Part of the Lecture Notes in Computer Science book series (LNCS, volume 5972)


Clinicians could benefit from decision support systems incorporating the knowledge contained in clinical practice guidelines. However, the unstructured form of these guidelines makes them unsuitable for formal representation. To address this challenge we translated a complete set of pediatric guideline recommendations into Attempto Controlled English (ACE). One experienced pediatrician, one physician and a knowledge engineer assessed that a suitably extended version of ACE can accurately and naturally represent the clinical concepts and the proposed actions of the guidelines. Currently, we are developing a systematic and replicable approach to authoring guideline recommendations in ACE.


Clinical Practice Guideline Guideline Recommendation Clinical Decision Support System Recommendation Statement Unexplained Fever 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Richard N. Shiffman
    • 1
  • George Michel
    • 1
  • Michael Krauthammer
    • 1
  • Norbert E. Fuchs
    • 2
  • Kaarel Kaljurand
    • 2
  • Tobias Kuhn
    • 2
  1. 1.School of MedicineYale University 
  2. 2.Department of Informatics and Institute of Computational LinguisticsUniversity of Zurich 

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