title: Challenges in creating an enterprise clinical rules service.
abstract: At Partners HealthCare, we are engaged in developing and implementing a strategy for our Clinical Decision Support systems and services that will enable CDS to be made available across the enterprise, allow development of consistent standards of care regardless of where a patient presents, and permit migration of current CDS functions to a supportable and scalable model. We report here on progress toward these goals, describe steps taken and proposed, and consider remaining challenges.
authors.affiliation: Clinical Informatics Research & Development, Partners HealthCare System, Inc, Boston, MA, USA.
authors.forename: Marilyn D
authors.initials: MD
authors.lastname: Paterno
authors.forename: Molly
authors.initials: M
authors.lastname: Schaeffer
authors.forename: Cheryl
authors.initials: C
authors.lastname: Van Putten
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Chen
authors.forename: Howard S
authors.initials: HS
authors.lastname: Goldberg
mesh_terms: D001185:Artificial Intelligence; D020000:Decision Support Systems, Clinical; D005568:Forms and Records Control; D016247:Information Storage and Retrieval / Q000379:methods; D008404:Massachusetts; D008487:Medical History Taking / Q000379:methods*; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized; D009323:Natural Language Processing; D010363:Pattern Recognition, Automated / Q000379:methods*; D018511:Systems Integration