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Related Experiment Video

Updated: Mar 16, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.

B Middleton1, D F Sittig, A Wright

  • 1Blackford Middleton, Cell: +1 617 335 7098,

Yearbook of Medical Informatics
|August 5, 2016
PubMed
Summary

Clinical decision support (CDS) has advanced significantly over the past 25 years, with ongoing evolution expected. Future CDS will offer enhanced cognitive support for clinicians in diagnosis, treatment, and patient care.

Keywords:
Clinical decision supportartificial intelligenceelectronic health recordexpert systemshealth information technology

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Area of Science:

  • Medical Informatics
  • Health Information Technology
  • Artificial Intelligence in Healthcare

Background:

  • Review of clinical decision support (CDS) circa 1990.
  • Analysis of progress in CDS over the subsequent 25 years.
  • Forecasting future developments in CDS by 2040.

Observation:

  • Significant advancements across six key axes: data, knowledge, inference, architecture/technology, implementation/integration, and users.
  • Improved data standardization, knowledge base development, and data analysis methods.
  • Enhanced information technologies and user sophistication have improved CDS effectiveness.

Findings:

  • Substantial progress in structuring data and developing knowledge bases for CDS.
  • Explosion of inference methods for clinical data analysis.
  • Evolution of IT architectures and implementation strategies for broader CDS application.

Implications:

  • CDS has evolved dramatically and will continue to do so.
  • Future clinical encounters will be augmented by sophisticated cognitive aids.
  • Enhanced support for diagnosis, treatment, care coordination, surveillance, and wellness is anticipated.