Child health improvement through computer automation: The CHICA system

Vibha Anand, Paul Biondich, Gilbert Liu, Marc Rosenman, Stephen Downs

Research output: Chapter in Book/Report/Conference proceedingChapter

45 Scopus citations


Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
Number of pages5
StatePublished - 2004



  • Alerts and reminders
  • computer decision support
  • guidelines
  • pediatric
  • prevention
  • Rule based systems

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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