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. 2012:2012:446-55.
Epub 2012 Nov 3.

Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group

Kensaku Kawamoto  1 , Jason Jacobs, Brandon M Welch, Vojtech Huser, Marilyn D Paterno, Guilherme Del Fiol, David Shields, Howard R Strasberg, Peter J Haug, Zhijing Liu, Robert A Jenders, David W Rowed, Daryl Chertcoff, Karsten Fehre, Klaus-Peter Adlassnig, A Clayton Curtis
Affiliations

Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group

Kensaku Kawamoto et al. AMIA Annu Symp Proc. 2012.

Abstract

A standards-based, service-oriented architecture for clinical decision support (CDS) has the potential to significantly enhance CDS scalability and robustness. To enable such a CDS architecture, the Health Level 7 CDS Work Group reviewed the literature, hosted multi-stakeholder discussions, and consulted domain experts to identify and prioritize the services and capabilities required from clinical information systems (CISs) to enable service-oriented CDS. In addition, relevant available standards were identified. Through this process, ten CIS services and eight CIS capabilities were identified as being important for enabling scalable, service-oriented CDS. In particular, through a survey of 46 domain experts, five services and capabilities were identified as being especially critical: 1) the use of standard information models and terminologies; 2) the ability to leverage a Decision Support Service (DSS); 3) support for a clinical data query service; 4) support for an event subscription and notification service; and 5) support for a user communication service.

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Figures

Figure 1.
Figure 1.
CIS-centric SOA for implementing CDS. DSS = Decision Support Service.
Figure 2.
Figure 2.
Sample instantiation of a CIS-centric SOA for CDS.
Figure 3.
Figure 3.
CIS-consuming SOA for CDS. DSS = Decision Support Service.
Figure 4.
Figure 4.
Example of a CIS-consuming SOA for CDS.
See this image and copyright information in PMC

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