title: Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard.
abstract: An important barrier to the widespread dissemination of clinical decision support (CDS) is the heterogeneity of information models and terminologies used across healthcare institutions, health information systems, and CDS resources such as knowledge bases. To address this problem, the Health Level 7 (HL7) Virtual Medical Record project (an open, international standards development effort) is developing community consensus on the clinical information exchanged between CDS engines and clinical information systems. As a part of this effort, the HL7 CDS Work Group embarked on a multinational, collaborative effort to identify a representative set of clinical data elements required for CDS. Based on an analysis of CDS systems from 20 institutions representing 4 nations, 131 data elements were identified as being currently utilized for CDS. These findings will inform the development of the emerging HL7 Virtual Medical Record standard and will facilitate the achievement of scalable, standards-based CDS.
authors.affiliation: Duke University, Durham, NC;
authors.forename: Kensaku
authors.initials: K
authors.lastname: Kawamoto
authors.forename: Guilherme
authors.initials: G
authors.lastname: Del Fiol
authors.forename: Howard R
authors.initials: HR
authors.lastname: Strasberg
authors.forename: Nathan
authors.initials: N
authors.lastname: Hulse
authors.forename: Clayton
authors.initials: C
authors.lastname: Curtis
authors.forename: James J
authors.initials: JJ
authors.lastname: Cimino
authors.forename: Beatriz H
authors.initials: BH
authors.lastname: Rocha
authors.forename: Saverio
authors.initials: S
authors.lastname: Maviglia
authors.forename: Emory
authors.initials: E
authors.lastname: Fry
authors.forename: Harm J
authors.initials: HJ
authors.lastname: Scherpbier
authors.forename: Vojtech
authors.initials: V
authors.lastname: Huser
authors.forename: Patrick K
authors.initials: PK
authors.lastname: Redington
authors.forename: David K
authors.initials: DK
authors.lastname: Vawdrey
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Dufour
authors.forename: Morgan
authors.initials: M
authors.lastname: Price
authors.forename: Jens H
authors.initials: JH
authors.lastname: Weber
authors.forename: Thomas
authors.initials: T
authors.lastname: White
authors.forename: Kevin S
authors.initials: KS
authors.lastname: Hughes
authors.forename: James C
authors.initials: JC
authors.lastname: McClay
authors.forename: Carla
authors.initials: C
authors.lastname: Wood
authors.forename: Karen
authors.initials: K
authors.lastname: Eckert
authors.forename: Scott
authors.initials: S
authors.lastname: Bolte
authors.forename: David
authors.initials: D
authors.lastname: Shields
authors.forename: Peter R
authors.initials: PR
authors.lastname: Tattam
authors.forename: Peter
authors.initials: P
authors.lastname: Scott
authors.forename: Zhijing
authors.initials: Z
authors.lastname: Liu
authors.forename: Andrew K
authors.initials: AK
authors.lastname: McIntyre
mesh_terms: D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D006268:Health Facilities; D057208:Health Level Seven; D006801:Humans; D008498:Medical Record Linkage; D008499:Medical Records; D016347:Medical Records Systems, Computerized