title: SANDS: an architecture for clinical decision support in a National Health Information Network.
abstract: A new architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support) is introduced and its performance evaluated. The architecture provides a method for performing clinical decision support across a network, as in a health information exchange. Using the prototype we demonstrated that, first, a number of useful types of decision support can be carried out using our architecture; and, second, that the architecture exhibits desirable reliability and performance characteristics.
authors.affiliation: Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
mesh_terms: D003628:Database Management Systems; D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical; D007255:Information Services / Q000458:organization & administration*; D007256:Information Systems / Q000458:organization & administration; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D018511:Systems Integration; D014481:United States