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Origins of the Arden Syntax
George Hripcsak1, Ove B Wigertz2, Paul D Clayton3
1Department of Biomedical Informatics, Columbia University, 622 W 168th Street, PH20, New York, NY 10032, USA; Medical Informatics Services, NewYork-Presbyterian Hospital, 622 W 168th Street, PH20, New York, NY 10032, USA.
Artificial Intelligence in Medicine
|August 10, 2015
Summary
The Arden Syntax, developed in the 1980s, standardizes medical logic rules for knowledge-based systems. This enables sharing clinical decision support, like alerts, across institutions.
Area of Science:
- Medical Informatics
- Computer Science
Background:
- The Arden Syntax emerged in the 1980s to address the challenge of replicating knowledge-based systems.
- It draws from Health Evaluation through Logical Processing (HELP) and Regenstrief Medical Record System (RMRS).
Observation:
- The syntax was designed for clinician readability and powerful array processing, inspired by the APL programming language.
- It was first vetted at a 1989 informatics retreat at Arden Homestead.
Findings:
- Arden Syntax allows medical logic to be encoded as independent rules, facilitating a public library of clinical decision support tools.
- The syntax underwent improvements and implementations by researchers and vendors in the early 1990s.
Implications:
- Initial adoption by the American Society for Testing and Materials signifies its role as a consensus standard.
- The Arden Syntax promotes interoperability and the widespread application of clinical decision support rules.
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