Using a service oriented architecture approach to clinical decision support: performance results from two CDS Consortium demonstrations.

Marilyn D. Paterno, Howard S. Goldberg, Linas Simonaitis, Brian Dixon, Adam Wright, Beatriz H. Rocha, Harley Z. Ramelson, Blackford Middleton

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The Clinical Decision Support Consortium has completed two demonstration trials involving a web service for the execution of clinical decision support (CDS) rules in one or more electronic health record (EHR) systems. The initial trial ran in a local EHR at Partners HealthCare. A second EHR site, associated with Wishard Memorial Hospital, Indianapolis, IN, was added in the second trial. Data were gathered during each 6 month period and analyzed to assess performance, reliability, and response time in the form of means and standard deviations for all technical components of the service, including assembling and preparation of input data. The mean service call time for each period was just over 2 seconds. In this paper we report on the findings and analysis to date while describing the areas for further analysis and optimization as we continue to expand our use of a Services Oriented Architecture approach for CDS across multiple institutions.

Original languageEnglish (US)
Pages (from-to)690-698
Number of pages9
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2012
StatePublished - 2012
Externally publishedYes

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Clinical Decision Support Systems
Electronic Health Records
Reaction Time
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

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Using a service oriented architecture approach to clinical decision support : performance results from two CDS Consortium demonstrations. / Paterno, Marilyn D.; Goldberg, Howard S.; Simonaitis, Linas; Dixon, Brian; Wright, Adam; Rocha, Beatriz H.; Ramelson, Harley Z.; Middleton, Blackford.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2012, 2012, p. 690-698.

Research output: Contribution to journalArticle

Paterno, Marilyn D. ; Goldberg, Howard S. ; Simonaitis, Linas ; Dixon, Brian ; Wright, Adam ; Rocha, Beatriz H. ; Ramelson, Harley Z. ; Middleton, Blackford. / Using a service oriented architecture approach to clinical decision support : performance results from two CDS Consortium demonstrations. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2012 ; Vol. 2012. pp. 690-698.
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