Imagine ...

... a healthcare organisation such as the National Institute for health and Care Excellence in the UK or the American Association of Clinical Endocrinologists publishes a standard of best practice as a specialist clinical guideline or care pathway. However the guideline team is a member of the OpenClinical collaboration and goes on to prepare a machine executable version of the guideline using open logic standards supported by

Countless organisations publish clinical guidelines, quality standards and other material on open access repositories for anyone to use. However general guidance can also be enhanced in many ways by linking it to patient-specific and point of care services. Using the OpenClinical tools and methods the guideline development team introduces clinical data recording and patient-specific safety and quality reminders, decision making, workflow management and other functions. Finally the team publishes its machine executable clinical guideline on Repertoire, the OpenClinical open access repository.

OpenClinical guidelines can be downloaded by members of the OpenClinical community for research and trials, to update them in the light of new research, or to challenge the current consensus about "best practice". Clinicians and researchers can download them from anywhere in the world and adapt them to meet their local demography and case-mix, operational policies and constraints and, if appropriate, republish a new variant on Repertoire for others to adopt, or modify further.  

 “Imagine the stimulus that a well-researched, evidence-based repository of standardized medical knowledge, with tools for delivering patient-specific advice at the time of need, would have on the ability to deliver computerised decision support services" Robert A Greenes (Ed) Clinical Decision Support: The Road Ahead, New York: Academic Press, 2007.

OpenClinical's Repertoire uses notations for describing clinical guidelines, care pathways, evidence and so forth using computer interpretable notations that are analogous to other formal languages, see "Think of it as like music!" on the left.