R: [***SPAM*** Score/Req: 06.60/5.5] Re: Decision Support Providers
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The home organization of the sender of the e-mail reserves the right to monitor the replies of the e-mail in accordance with the general order of the Italian Guarantor of Privacy of the 01.03.2007. -----Original Message----- From: Tony Shannon <tony.shannon@nhs.net> Sender: openehr-clinical-bounces@openehr.org Date: Tue, 20 Jul 2010 13:12:28 To: For openEHR clinical discussions<openehr-clinical@openehr.org> Reply-To: For openEHR clinical discussions <openehr-clinical@openehr.org> Subject: [***SPAM*** Score/Req: 06.60/5.5] 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. 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