Design and implementation of a standards-based interoperable clinical decision support architecture in the context of the Korean EHR

International Journal of Medical Informatics
InSook ChoYoon Kim

Abstract

In 2000 the Korean government initiated efforts to secure healthcare accessibility and efficiency anytime and anywhere via the nationwide healthcare information system by the end of 2010. According to the master plan, electronic health record (EHR) research and development projects were designed in 2005. One subproject was the design and implementation of standards-based interoperable clinical decision support (CDS) capabilities in the context of the EHR system. The purpose of this study was to describe the challenges, process, and outcomes of defining and implementing a national CDS architecture to stimulate and motivate the widespread adoption of CDS services in Korea. CDS requirements and design principles were established by conducting a selective literature review and a survey of clinicians, managers, and hospital and industrial health information technology engineers regarding issues related to CDS architectures. The previous relevant works of the American Medical Informatics Association, the Healthcare Information and Management Systems Society, and Health Level Seven were used to validate the scope and themes of the service architecture. The Arden Syntax, Standards-Based Sharable Active Guideline Environment, First Data...Continue Reading

References

Jun 28, 2002·Journal of the American Medical Informatics Association : JAMIA·Harry C KaradimasEric Lepage
Jun 9, 2004·Artificial Intelligence in Medicine·Paul A de ClercqArie Hasman
Apr 2, 2005·Journal of the American Medical Informatics Association : JAMIA·Richard M ReichleyThomas C Bailey
Jan 11, 2007·Journal of the American Medical Informatics Association : JAMIA·Jerome A OsheroffDon E Detmer
Jun 30, 2007·Journal of the American Medical Informatics Association : JAMIA·Samson W TuRobert M Abarbanel
Apr 25, 2009·Journal of the American Medical Informatics Association : JAMIA·Li ZhouSteven R Simon

Citations

Jun 7, 2013·SpringerPlus·Siriwan SuebnukarnPanu Pakdeesan
Dec 5, 2014·Journal of Medical Systems·Isabel de la Torre-DíezMiguel Maldonado López
May 3, 2018·Journal of Medical Internet Research·Conceição GranjaMonika Alise Johansen
Jan 1, 2015·Health Information Management : Journal of the Health Information Management Association of Australia·Hyun-Young KimJaeHoon Lee

Related Concepts

Urgent Care
Diffusion of Innovation
Hypertensive Disease
Outcome and Process Assessment (Health Care)
Electronic Health Records
American Medical Association
Hospitals
Hypertensive Disease
Research
Standardization

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Systemic Juvenile Idiopathic Arthritis

Systemic juvenile idiopathic arthritis is a rare rheumatic disease that affects children. Symptoms include joint pain, but also fevers and skin rashes. Here is the latest on this disease.

Chromatin Regulation and Circadian Clocks

The circadian clock plays an important role in regulating transcriptional dynamics through changes in chromatin folding and remodelling. Discover the latest research on Chromatin Regulation and Circadian Clocks here.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Pontocerebellar Hypoplasia

Pontocerebellar hypoplasias are a group of neurodegenerative autosomal recessive disorders with prenatal onset, atrophy or hypoplasia of the cerebellum, hypoplasia of the ventral pons, microcephaly, variable neocortical atrophy and severe mental and motor impairments. Here is the latest research on pontocerebellar hypoplasia.

Cell Atlas Along the Gut-Brain Axis

Profiling cells along the gut-brain axis at the single cell level will provide unique information for each cell type, a three-dimensional map of how cell types work together to form tissues, and insights into how changes in the map underlie health and disease of the GI system and its crosstalk with the brain. Disocver the latest research on single cell analysis of the gut-brain axis here.

Chronic Traumatic Encephalopathy

Chronic Traumatic Encephalopathy (CTE) is a progressive degenerative disease that occurs in individuals that suffer repetitive brain trauma. Discover the latest research on traumatic encephalopathy here.