Clinicians could benefit from decision support systems in- corporating the knowledge contained in clinical practice guidelines. How- ever, the unstructured formof these guidelinesmakes 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 knowl- edge engineer assessed that a suitably extended version of ACE can ac- curately 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.
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