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

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DSS KM – Sample InferencesSample Evaluation InputPatient age, gender, pasthealth maintenanceproceduresMedication identifier, age,gender, weight, serumcreatinine levelAge, gender, comorbidities,chief complaintInsurance provider, datarelevant to prescriptionSample Evaluation OutputList of health maintenanceprocedures due or almost dueRecommended maximum andminimum doses formedication given patient'sestimated renal functionAdmission order set in HL7formatPrior authorization toprescribe medication© 2009,KensakuKawamoto
DSS – Primary Service Operations1. Evaluate PatientModules to use, required dataPatient-specific evaluation results2. Find Knowledge ModulesSearch criteriaDecisionSupportServiceModules meeting criteria3. Describe Knowledge ModuleModule of interestDescription of moduleService Client4. Get Data RequirementsModules of interestData requirements© 2009,KensakuKawamoto
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 and 32:
MLM Format• Three categories and
Page 33 and 34:
knowledge:MLM p. 2type: data-driven
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: DSS Knowledge Module (KM) - Compone
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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