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A Prototype Knowledge-Sharing Service for Clinical Decision Support Artifacts.

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    Researchers developed clinical decision support (CDS) artifacts using an expanded XML schema. These tools, shared via a knowledge-sharing service, aim to advance evidence-based practice and health information technology adoption.

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    Area of Science:

    • Health Informatics
    • Clinical Decision Support Systems
    • Health Information Technology

    Background:

    • The Advancing Clinical Decision Support (ACDS) project aimed to accelerate the use of computer-based clinical decision support (CDS) interventions.
    • Task 4.8 focused on developing and disseminating CDS artifacts aligned with meaningful use criteria.

    Purpose of the Study:

    • To develop at least 20 CDS artifacts for various intervention types targeting 2011 meaningful use criteria.
    • To establish a national-scale knowledge-sharing service (KSS) for disseminating these CDS tools and content.

    Main Methods:

    • Utilized the Clinical Decision Support Consortium (CDSC) extensible markup language (XML) schema.
    • Expanded the CDSC XML schema to accommodate new intervention types like order sets and infobuttons.
    • Developed 22 CDS artifacts and 16 value sets, publishing them on the CDSC portal as the ACDS KSS.

    Main Results:

    • Successfully developed 22 CDS artifacts and 16 value sets covering five CDS intervention types.
    • Enhanced the CDSC XML schema to support a wider range of clinical decision support interventions.
    • Established a functional knowledge-sharing service (KSS) via the CDSC portal for disseminating CDS artifacts.

    Conclusions:

    • Investment in foundational elements like dictionaries and value sets is crucial for shareable CDS.
    • Continued expansion and maintenance of CDS content on the portal are necessary for its long-term viability.
    • The developed artifacts and expanded schema provide a scalable model for disseminating clinical decision support tools nationwide.