title: Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group.
abstract: A standards-based, service-oriented architecture for clinical decision support (CDS) has the potential to significantly enhance CDS scalability and robustness. To enable such a CDS architecture, the Health Level 7 CDS Work Group reviewed the literature, hosted multi-stakeholder discussions, and consulted domain experts to identify and prioritize the services and capabilities required from clinical information systems (CISs) to enable service-oriented CDS. In addition, relevant available standards were identified. Through this process, ten CIS services and eight CIS capabilities were identified as being important for enabling scalable, service-oriented CDS. In particular, through a survey of 46 domain experts, five services and capabilities were identified as being especially critical: 1) the use of standard information models and terminologies; 2) the ability to leverage a Decision Support Service (DSS); 3) support for a clinical data query service; 4) support for an event subscription and notification service; and 5) support for a user communication service.
authors.affiliation: University of Utah, Salt Lake City, UT, USA.
authors.forename: Kensaku
authors.initials: K
authors.lastname: Kawamoto
authors.forename: Jason
authors.initials: J
authors.lastname: Jacobs
authors.forename: Brandon M
authors.initials: BM
authors.lastname: Welch
authors.forename: Vojtech
authors.initials: V
authors.lastname: Huser
authors.forename: Marilyn D
authors.initials: MD
authors.lastname: Paterno
authors.forename: Guilherme
authors.initials: G
authors.lastname: Del Fiol
authors.forename: David
authors.initials: D
authors.lastname: Shields
authors.forename: Howard R
authors.initials: HR
authors.lastname: Strasberg
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Haug
authors.forename: Zhijing
authors.initials: Z
authors.lastname: Liu
authors.forename: Robert A
authors.initials: RA
authors.lastname: Jenders
authors.forename: David W
authors.initials: DW
authors.lastname: Rowed
authors.forename: Daryl
authors.initials: D
authors.lastname: Chertcoff
authors.forename: Karsten
authors.initials: K
authors.lastname: Fehre
authors.forename: Klaus-Peter
authors.initials: KP
authors.lastname: Adlassnig
authors.forename: A Clayton
authors.initials: AC
authors.lastname: Curtis
mesh_terms: D020000:Decision Support Systems, Clinical / Q000592:standards*; D063025:Health Information Management; D057208:Health Level Seven; D007256:Information Systems / Q000592:standards*; D016239:MEDLINE; D016347:Medical Records Systems, Computerized; D012984:Software