Re: Decision Support Providers
Thanks Rong Tony Rong Chen wrote: > 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 > -- 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 ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSI recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail ******************************************************************************************************************** _______________________________________________ openEHR-clinical mailing list openEHR-clinical@openehr.org http://lists.chime.ucl.ac.uk/mailman/listinfo/openehr-clinical