Title

Free and open source enabling technologies for patient-centric, guideline-based clinical decision support: a survey.

Publication Type

Book Chapter

Publication Date

12-2007

Abstract

Guideline-based clinical decision support is an emerging paradigm to help reduce error, lower cost, and improve quality in evidence-based medicine. The free and open source (FOS) approach is a promising alternative for delivering cost-effective information technology (IT) solutions in health care. In this paper, we survey the current FOS enabling technologies for patient-centric, guideline-based care, and discuss the current trends and future directions of their role in clinical decision support. We searched PubMed, major biomedical informatics websites, and the web in general for papers and links related to FOS health care IT systems. We also relied on our background and knowledge for specific subtopics. We focused on the functionalities of guideline modeling tools, and briefly examined the supporting technologies for terminology, data exchange and electronic health record (EHR) standards. To effectively support patient-centric, guideline-based care, the computerized guidelines and protocols need to be integrated with existing clinical information systems or EHRs. Technologies that enable such integration should be accessible, interoperable, and scalable. A plethora of FOS tools and techniques for supporting different knowledge management and quality assurance tasks involved are available. Many challenges, however, remain in their implementation. There are active and growing trends of deploying FOS enabling technologies for integrating clinical guidelines, protocols, and pathways into the main care processes. The continuing development and maturation of such technologies are likely to make increasingly significant contributions to patient-centric, guideline-based clinical decision support.

Keywords

Decision support system, Electronic medical record, Information processing, Medical informatics, Patient care, Practice guideline

Discipline

Databases and Information Systems

Research Areas

Data Management and Analytics

Publication

Yearbook of medical informatics 07: Biomedical Informatics for Sustainable Health Systems

Volume

2007

Editor

Geissbuhler A,Haux R, Kulikowski C (eds)

First Page

74

Last Page

86

ISBN

9783794526086

Publisher

Schattauer Verlagsgesellschaft mbH

City or Country

Stuttgart

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