Standards in Clinical Decision Support - Duke Center for Health ...

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MLM Examplemaintenance:title: Admission Screen for Acute Coronary Artery Disease;;filename: ACUTE_CAD_1;;version: 1.09;;institution: Columbia-Presbyterian Medical Center;;author: Robert Jenders, MD, MS (jenders@cucis.cis.columbia.edu);;specialist: Alan Simon, MD (ads5@columbia.edu);;date: 1996-01-24;;validation: research;;library:purpose: To notify investigators of the admission of a patientwhose admission diagnosis suggests acute coronary arterydisease. IRB number 7205;;explanation: ;;keywords: ;;citations: ;;
knowledge:MLM p. 2type: data-driven;;data:admission := event {'32511','32467'; '32511','32472'};inpatient_case := read last {'evoking','dam'="GYDAPMP",'constraints'=" I***";"HCASE";"K"}; /* note blank as first constraint char */email_dest := destination {'email','name'= "rra2@columbia.edu"};diagnosis_text := read {'evoking','dam'="GYDAPMP"; "HDIAGNOS"; "HDIAGTXT"};target_diagnoses := ("MI","R/O MI","MYOCARDIAL INFARCTION","CARDIOGENIC SHOCK","CHEST PAIN","CP","ANGINA","CHEST PAIN NOS","INTERMED CORONARY SYND","UNSTABLE ANGINA","CAD","ANGINA PECTORIS NOS","CHR ISCHEMIC HRT DIS NEC","RULE OUT MI","R/O MYOCARDIAL INFARCTION","ACUTE MI","SUBENDO INFARCT","UNSTABLE ANGINA/MI","ANGINA PECTORIS","CORONARY ARTERY DISEASE");mrn := read last {'pcodes'="now mrn "};patient_name := read last {'dam'="GYDAPMP"; "HPBASIC"; "HNAME"};location := read last {'dam'="GYDAPMP"; "HLOC"; "HLOCNURS"};;;
Page 1 and 2: Welcome to Workshop 4Standards in C
Page 3 and 4: Discussants• Robert A. Jenders, M
Page 5 and 6: Overview of Workshop• Part 1: Ove
Page 7 and 8: HL7 Structure: Clinical Decision Su
Page 9 and 10: HL7 CDS: External Relationships•
Page 17 and 18: Aspects of Standardization• Struc
Page 19 and 20: Work Product:Proposed Order Set Sta
Page 21 and 22: Order Sets: Layers• I - Publish,
Page 23 and 24: Order Sets: Status• September, 20
Page 25 and 26: Quality Indicators: Sample ACOVE QI
Page 27 and 28: HQMF
Page 29 and 30: Extant Standards• Arden Syntax•
Page 31: MLM Format• Three categories and
Page 35 and 36: System Vendors• Eclipsys• McKes
Page 37 and 38: Arden Syntax v2.8• Timeline: Norm
Page 39 and 40: Arden Syntax v3.0• Potential ingr
Page 41 and 42: GELLO = Common Expression Language
Page 43 and 44: GELLO: Status• 2006- Tool release
Page 45 and 46: GELLO: Status• 2008: Two work pro
Page 47 and 48: Discussion Questions• Overall- Ho
Page 49 and 50: The Endjenders@ucla.eduguilherme.de
Page 51 and 52: Point-of-care information needs2 qu
Page 53 and 54: ElectronicHealthRecordiAzithromycin
Page 55 and 56: No standard in placehttp://resource
Page 57 and 58: Infobutton - Current statusInfobutt
Page 59 and 60: Example• The user is looking at a
Page 61 and 62: URL-based Implementation• More co
Page 63 and 64: age.v=94age.u=aadministrativeGender
Page 65 and 66: Current Status• Infobutton knowle
Page 67 and 68: Infobutton SOAInfobuttonKnowledge R
Page 69 and 70: Requested Knowledge Module‹#›
Page 71 and 72: Data Requirements‹#›
Page 73 and 74: Infobutton DSS Response‹#›
Page 75 and 76: Response Payload‹#›
Page 77 and 78: • Make it simpleLessons Learned
Page 79 and 80: HL7-OMG Healthcare Services Specifi
Page 81 and 82: Agenda• Healthcare Services Speci
Page 83 and 84:
HSSP ProcessIdentify standardizatio
Page 85 and 86:
HSSP - Future Directions• Continu
Page 87 and 88:
Decision Support Service (DSS) - Ov
Page 89 and 90:
DSS Knowledge Module (KM) - Compone
Page 91 and 92:
DSS - Primary Service Operations1.
Page 93 and 94:
Sample Care Recommendation Screen (
Page 95 and 96:
Underlying Interaction (Overview)©
Page 97 and 98:
DSS - Current Status• DSS SFM app
Page 99 and 100:
DSS - Future Directions• Complete
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