AMIA Annu Symp Proc - Enabling cross-platform clinical decision support through Web-based decision support in commercial electronic health record systems: proposal and evaluation of initial prototype implementations.

Tópicos

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{ ehr(2073) health(1662) electron(1139) }
{ medic(1828) order(1363) alert(1069) }
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{ design(1359) user(1324) use(1319) }
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{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Enabling clinical decision support (CDS) across multiple electronic health record (EHR) systems has been a desired but largely unattained aim of clinical informatics, especially in commercial EHR systems. A potential opportunity for enabling such scalable CDS is to leverage vendor-supported, Web-based CDS development platforms along with vendor-supported application programming interfaces (APIs). Here, we propose a potential staged approach for enabling such scalable CDS, starting with the use of custom EHR APIs and moving towards standardized EHR APIs to facilitate interoperability. We analyzed three commercial EHR systems for their capabilities to support the proposed approach, and we implemented prototypes in all three systems. Based on these analyses and prototype implementations, we conclude that the approach proposed is feasible, already supported by several major commercial EHR vendors, and potentially capable of enabling cross-platform CDS at scale.

Resumo Limpo

enabl clinic decis support cds across multipl electron health record ehr system desir larg unattain aim clinic informat especi commerci ehr system potenti opportun enabl scalabl cds leverag vendorsupport webbas cds develop platform along vendorsupport applic program interfac api propos potenti stage approach enabl scalabl cds start use custom ehr api move toward standard ehr api facilit interoper analyz three commerci ehr system capabl support propos approach implement prototyp three system base analys prototyp implement conclud approach propos feasibl alreadi support sever major commerci ehr vendor potenti capabl enabl crossplatform cds scale

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