Clinical Knowledge Platform (CKP): A Collaborative Ecosystem to Share Interoperable Clinical Forms, Viewers, and...

Area of Science:

• Health Informatics
• Clinical Decision Support
• Medical Knowledge Management

Background:

• Electronic Medical Records (EMR) systems lack robust support for dynamic clinical knowledge integration.
• Existing frameworks struggle to adapt clinical guidelines to specific contexts and local practices.
• Automating clinical guideline application at the point of care remains a challenge.

Purpose of the Study:

• To develop a collaborative, interoperable environment for creating, using, and sharing context-specific clinical knowledge.
• To address the limitations of current EMRs in dynamically applying medical knowledge.
• To facilitate the local adaptation of international clinical recommendations.

Main Methods:

• Development of the Clinical Knowledge Platform (CKP).
• Creation of Clinical Use Contexts (CUCs) comprising medical forms, dashboards, and order sets.
• Establishment of an interoperable concept dictionary based on standard terminologies.
• Implementation of context definition capabilities and a collaborative content production interface.
• Community-driven creation and modification of CUCs for diverse clinical settings.

Main Results:

• The CKP supports the creation and sharing of CUCs adaptable to various EMRs and local practices.
• CUCs are specific to clinical contexts yet flexible for local adaptation.
• A collaborative environment enables professional communities to develop and refine clinical knowledge resources.
• Interoperability is achieved through a standardized concept dictionary and context definition.

Conclusions:

• The Clinical Knowledge Platform enhances the dynamic application of medical knowledge within EMRs.
• CUCs provide a flexible mechanism for tailoring clinical guidelines to specific contexts and local needs.
• This collaborative approach fosters the sharing and adaptation of clinical knowledge, improving point-of-care decision-making.