title: A legal framework to enable sharing of Clinical Decision Support knowledge and services across institutional boundaries.
abstract: The goal of the CDS Consortium (CDSC) is to assess, define, demonstrate, and evaluate best practices for knowledge management and clinical decision support in healthcare information technology at scale - across multiple ambulatory care settings and Electronic Health Record technology platforms. In the course of the CDSC research effort, it became evident that a sound legal foundation was required for knowledge sharing and clinical decision support services in order to address data sharing, intellectual property, accountability, and liability concerns. This paper outlines the framework utilized for developing agreements in support of sharing, accessing, and publishing content via the CDSC Knowledge Management Portal as well as an agreement in support of deployment and consumption of CDSC developed web services in the context of a research project under IRB oversight.
authors.affiliation: Clinical Informatics R&D, Partners HealthCare System, Wellesley, MA, USA.
authors.forename: Tonya
authors.initials: T
authors.lastname: Hongsermeier
authors.forename: Saverio
authors.initials: S
authors.lastname: Maviglia
authors.forename: Lana
authors.initials: L
authors.lastname: Tsurikova
authors.forename: Dan
authors.initials: D
authors.lastname: Bogaty
authors.forename: Roberto A
authors.initials: RA
authors.lastname: Rocha
authors.forename: Howard
authors.initials: H
authors.lastname: Goldberg
authors.forename: Seth
authors.initials: S
authors.lastname: Meltzer
authors.forename: Blackford
authors.initials: B
authors.lastname: Middleton
mesh_terms: D016494:Computer Security; D003219:Confidentiality; D003299:Cooperative Behavior; D020000:Decision Support Systems, Clinical; D018973:Intellectual Property; D007373:Interinstitutional Relations; D058436:Knowledge Management; D008004:Licensure / Q000331:legislation & jurisprudence; D018511:Systems Integration; D014481:United States