SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.
In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture....
| Publicado en: | Journal of Biomedical Informatics Vol. 41; no. 6; pp. 962 - 982 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Academic Press Inc.
Dec2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105574714&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105574714 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15320464 OMB jtl: Journal of Biomedical Informatics issn: 15320464 maglogo: N pubinfo: dt: Dec2008 vid: 41 iid: 6 pid: 735 pub: Academic Press Inc. place: Burlington, Massachusetts artinfo: ui: 105574714 NLM18434256 2010100989 10.1016/j.jbi.2008.03.001 NLM18434256 PMC2676864 105574714 ppf: 962 ppct: 20 formats: tig: atl: SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network. aug: au: Wright A Sittig DF Wright, Adam Sittig, Dean F affil: Clinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA sug: subj: Decision Support Systems, Clinical Information Services Administration Patient Record Systems United States ab: In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture. The architecture allows disparate clinical information systems and clinical decision support systems to be seamlessly integrated over a network according to a set of interfaces and protocols described in this paper. The architecture described is fully defined and developed, and six use cases have been developed and tested using a prototype electronic health record which links to one of the existing prototype National Health Information Networks (NHIN): drug interaction checking, syndromic surveillance, diagnostic decision support, inappropriate prescribing in older adults, information at the point of care and a simple personal health record. Some of these use cases utilize existing decision support systems, which are either commercially or freely available at present, and developed outside of the SANDS project, while other use cases are based on decision support systems developed specifically for the project. Open source code for many of these components is available, and an open source reference parser is also available for comparison and testing of other clinical information systems and clinical decision support systems that wish to implement the SANDS architecture. The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are: pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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