Re: Decision Support Providers
Hi Tony, I take the challenge to comment ;-) We start to see this kind of CDS services emerging now in Sweden. Web-services based drug interaction check is a good example of this. The difference is that the content (drug database) is available to the users. So it's not really a black-box. I doubt that a black-box CDS implementation will be very popular among the clinicians. I also think remote-service based CDS for raising single alerts/reminders can be useful in some limited scope but will not scale up to provide more comprehensive CDS functions. I am more in favour of developing CDS content based on standardised EHR models so CDS applications can be implemented directly within EHRs. We start to exploring representing clinical guidelines using openEHR archetypes/templates and rules. Using EHR models to represent guidelines could give several potential benefits: 1) reuse of existing EHR content models as building blocks of guidelines; 2) increase interoperability between CDS applications and EHRs; 3) facilitate guideline compliance checking. More details can be found in our MIE2009 paper: http://www.imt.liu.se/~ronch/MIE2009_Representing_Lymphoma_Guideline_5page_v3.pdf Cheers, Rong On 25 June 2010 17:24, Shannon Tony (Leeds Teaching Hospitals NHS Trust) <tony.shannon@nhs.net> wrote: > FYI.. > > A thought provoking post from John Halamka on decision support > providers as service. > http://geekdoctor.blogspot.com/2010/06/decision-support-service-providers.html > Some of you might have complementary/alternative views as to how this > might work within an openEHR enabled landscape... > > Rong > Would you like to comment? > Your recent work covered some of this key territory.. > > Regards, > > Tony _______________________________________________ openEHR-clinical mailing list openEHR-clinical@openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical