title: An HL7-CDA wrapper for facilitating semantic interoperability to rule-based Clinical Decision Support Systems.
abstract: The success of Clinical Decision Support Systems (CDSS) greatly depends on its capability of being integrated in Health Information Systems (HIS). Several proposals have been published up to date to permit CDSS gathering patient data from HIS. Some base the CDSS data input on the HL7 reference model, however, they are tailored to specific CDSS or clinical guidelines technologies, or do not focus on standardizing the CDSS resultant knowledge. We propose a solution for facilitating semantic interoperability to rule-based CDSS focusing on standardized input and output documents conforming an HL7-CDA wrapper. We define the HL7-CDA restrictions in a HL7-CDA implementation guide. Patient data and rule inference results are mapped respectively to and from the CDSS by means of a binding method based on an XML binding file. As an independent clinical document, the results of a CDSS can present clinical and legal validity. The proposed solution is being applied in a CDSS for providing patient-specific recommendations for the care management of outpatients with diabetes mellitus.
authors.affiliation: Grupo de Informática Biomédica (IBIME), Instituto de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones Avanzadas (ITACA), Universitat Politècnica de València, Camino de Vera s/n, 46022 València, Spain. carsaesi@ibime.upv.es
authors.forename: Carlos
authors.initials: C
authors.lastname: Sáez
authors.forename: Adrián
authors.initials: A
authors.lastname: Bresó
authors.forename: Javier
authors.initials: J
authors.lastname: Vicente
authors.forename: Montserrat
authors.initials: M
authors.lastname: Robles
authors.forename: Juan Miguel
authors.initials: JM
authors.lastname: García-Gómez
mesh_terms: D000465:Algorithms; D003195:Computer Communication Networks / Q000592:standards; D020000:Decision Support Systems, Clinical; D003920:Diabetes Mellitus / Q000628:therapy; D057208:Health Level Seven; D006801:Humans; D008498:Medical Record Linkage / Q000592:standards; D016347:Medical Records Systems, Computerized / Q000458:organization & administration / Q000592:standards; D011336:Probability; D011381:Programming Languages; D015203:Reproducibility of Results; D012660:Semantics; D012984:Software; D018511:Systems Integration