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Automated Injection of Curated Knowledge Into Real-Time Clinical Systems: CDS Architecture for the 21st Century


Abstract Clinical Decision Support (CDS) is primarily associated with alerts, reminders, order entry, rule-based invocation, diagnostic aids, and on-demand information retrieval. While valuable, these foci have been in production use for decades, and do not provide a broader, interoperable means of plugging structured clinical knowledge into live electronic health record (EHR) ecosystems for purposes of orchestrating the user experiences of patients and clinicians. To date, the gap between knowledge representation and user-facing EHR integration has been considered an “implementation concern” requiring unscalable manual human efforts and governance coordination. Drafting a questionnaire engineered to meet the specifications of the HL7 CDS Knowledge ... (more)
Created Date 2018
Contributor Lee, Preston Victor (Author) / Dinu, Valentin (Advisor) / Sottara, Davide (Committee member) / Greenes, Robert (Committee member) / Arizona State University (Publisher)
Subject Health sciences / Biomedical engineering / Computer science / clinical decision support / complex event processing / context events / health information technology / knowledge engineering / real time
Type Doctoral Dissertation
Extent 140 pages
Language English
Copyright
Note Doctoral Dissertation Biomedical Informatics 2018
Collaborating Institutions Graduate College / ASU Library
Additional Formats MODS / OAI Dublin Core / RIS


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Description Dissertation/Thesis