Faculty, Staff and Student Publications

Language

English

Publication Date

1-1-2025

Journal

AMIA Summits on Translational Science Proceedings

PMID

40502239

PMCID

PMC12150700

PubMedCentral® Posted Date

6-10-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Clinical decision support systems (CDSS) are routinely employed in clinical settings to improve quality of care, ensure patient safety, and deliver consistent medical care. However, rule-based CDSS, currently available, do not feature reusable rules. In this study, we present CDSS with reusable rules. Our solution includes a common CDSS module, electronic medical record (EMR) specific adapters, CDSS rules written in the clinical quality language (CQL) (derived from CDC immunization recommendations), and patient records in fast healthcare interoperability resources (FHIR) format. The proposed CDSS is entirely browser-based and reachable within the user's EMR interface at the client-side. This helps to avoid the transmission ofpatient data and privacy breaches. Additionally, we propose to provide means of managing and maintaining CDSS rules to allow the end users to modify them independently. Successful implementation and deployment were achieved in OpenMRS and OpenEMR during initial testing.

Keywords

Clinical Decision Support System, Interoperability, Clinical Quality Language, Fast Healthcare Interoperability Resources, Standards, Data Sharing

Published Open-Access

yes

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