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Conversion of STOPP/START version 2 into coded algorithms for software implementation: A multidisciplinary consensus

Corlina J A Huibers1, Bastiaan T G M Sallevelt2, Dominique A de Groot3

  • 1Department of Geriatric Medicine, University Medical Center Utrecht, Utrecht, the Netherlands.

International Journal of Medical Informatics
|March 28, 2019
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This summary is machine-generated.

This study developed coded algorithms for the Screening Tool of Older Person

Keywords:
AlgorithmComputer decision support systemExplicit screening toolInappropriate prescribingInternational classification of medication and diseaseSTART STOPP criteria

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Area of Science:

  • Health Informatics
  • Clinical Pharmacy
  • Geriatric Medicine

Background:

  • Digitalization in healthcare increases demand for clinical guideline software.
  • Screening tools like STOPP/START criteria identify potentially inappropriate prescribing.
  • Version 2 of STOPP/START criteria requires unambiguous algorithms for software development.

Purpose of the Study:

  • To develop logically unambiguous algorithms for STOPP/START criteria version 2.
  • To encode these algorithms with international disease and medication classification codes.
  • To facilitate the creation of software applications for multiple clinical purposes.

Main Methods:

  • A four-round multidisciplinary consensus and validation procedure.
  • Development of coded algorithms based on ICD, ICPC, LOINC, and ATC classification databases.
  • Modeling algorithms as inference rules in decision tables.

Main Results:

  • Consensus achieved for all 34 START criteria and 76 of 80 STOPP criteria.
  • 110 implementable algorithms were developed.
  • Algorithms are provided as supplementary data.

Conclusions:

  • This is the first study to provide validated, implementable algorithms for STOPP/START version 2 software.
  • These algorithms can serve as a template for various software applications.
  • Adaptations for local guidelines and clinical expertise are possible.