Expression of Clinical Logic with Positive and Negative Explainability

摘要

Methods, systems, and computer-storage media are provided for providing explainability to an end-user on why a particular patient failed to qualify for a health-related measure. High-level clinical logic explainability rules are generated on top of high-level clinical logic used to identify members of a population who qualify and who do not qualify for the health-related measure. The explainability rules are designed to identify which components in the high-level clinical logic are not satisfied by the patient's health data, and, more specifically, which of the components' sub-criteria disqualified the patient from the health-related measure. The output of the explainability rules is structured into an easy-to-understand format that is presented on a user interface associated with an end-user such as a clinician.

主权项

1. One or more computer-storage media having computer-executable instructions embodied thereon that, when executed by a computing device, facilitate a method of determining and presenting information on why members of a population do not qualify for a health-related measure, the method comprising:
receiving one or more sets of patient population health data; executing a set of high-level clinical logic against the one or more sets of patient population health data to identify at least a first member of the population who does not qualify for the health-related measure, the high-level clinical logic comprising at least a component that is defined by one or more sub-criteria; for the at least the first member of the population, identifying which of the component's one or more sub-criteria disqualified the first member from the health-related measure; and presenting on a user interface associated with an end-user an indication that the first member did not qualify for the health-related measure, the indication including information regarding the component and the component's sub-criteria that disqualified the first member from the health-related measure.