Re: Decision Support Providers
Thanks, Tony! I failed to find any mentioned CDS standards (or in fact design specifications since it's probably not a SDO ;-) published by Anvita. Perhaps others have better luck. What's interesting here is this is perhaps yet another example of creating a new 'standard' for the purpose of CDS. In the chemotherapy guideline paper, we studied half-dozen well-known guideline representation formats and concluded that to overcome the interoperability problem between EHRs and CDSS, guidelines can be expressed with EHR models directly together with rules and process definitions. Since both the CDS rule triggering conditions and recommendations (order sets, dose adjustments, lab requests etc) are in fact either based on data from EHR or candidate EHR entries, it seems reasonable to express guidelines with EHR models. Rules are needed to express guideline logic. The fact that openEHR has no its own rule language or an ambition to develop one is a very good thing. This means external rule language can be plugged into openEHR framework when necessary. Well-established rule engines like CLIPS, Jess or JBoss Drools are good candidates here. What we need to do in the openEHR community is to develop a good mechanism allowing rule plug-ins, e.g. necessary syntax in template/archetype for attachment of rules. I will try to document some of our experiences on the wiki in the coming months. Cheers, Rong On 29 June 2010 14:57, Tony Shannon <tony.shannon@nhs.net> wrote: > Many thanks Rong, > > The approach you outline which reuses archetypes and templates from > EHR > models resonates as a logical way to tackle this. > > John Halamka mentions in his blog... > "Thus, Anvita has defined clinical decision support (CDS) standards to > transmit decision support recommendations from the service provider > back > to the EHR. I am unaware any widely implemented standards that do this > today. " > > Can you comment on his quote/article? > > Also can you say some more about the rules element of your work.. > > Many thanks, > > Tony > > Dr. Tony Shannon > Consultant in Emergency Medicine, Leeds Teaching Hospitals > Clinical Lead for Informatics, Leeds Teaching Hospitals > Chair, Clinical Review Board, openEHR Foundation > +44.789.988 5068 tony.shannon@nhs.net > _______________________________________________ openEHR-clinical mailing list openEHR-clinical@openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical