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01-05-2016 | Transactional Processing Systems

Design and Development of a Sharable Clinical Decision Support System Based on a Semantic Web Service Framework

Authors: Yi-Fan Zhang, Ling Gou, Yu Tian, Tian-Chang Li, Mao Zhang, Jing-Song Li

Published in: Journal of Medical Systems | Issue 5/2016

Abstract

Clinical decision support (CDS) systems provide clinicians and other health care stakeholders with patient-specific assessments or recommendations to aid in the clinical decision-making process. Despite their demonstrated potential for improving health care quality, the widespread availability of CDS systems has been limited mainly by the difficulty and cost of sharing CDS knowledge among heterogeneous healthcare information systems. The purpose of this study was to design and develop a sharable clinical decision support (S-CDS) system that meets this challenge. The fundamental knowledge base consists of independent and reusable knowledge modules (KMs) to meet core CDS needs, wherein each KM is semantically well defined based on the standard information model, terminologies, and representation formalisms. A semantic web service framework was developed to identify, access, and leverage these KMs across diverse CDS applications and care settings. The S-CDS system has been validated in two distinct client CDS applications. Model-level evaluation results confirmed coherent knowledge representation. Application-level evaluation results reached an overall accuracy of 98.66 % and a completeness of 96.98 %. The evaluation results demonstrated the technical feasibility and application prospect of our approach. Compared with other CDS engineering efforts, our approach facilitates system development and implementation and improves system maintainability, scalability and efficiency, which contribute to the widespread adoption of effective CDS within the healthcare domain.

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Title: Design and Development of a Sharable Clinical Decision Support System Based on a Semantic Web Service Framework
Authors: Yi-Fan Zhang
Ling Gou
Yu Tian
Tian-Chang Li
Mao Zhang
Jing-Song Li
Publication date: 01-05-2016
Publisher: Springer US
Published in: Journal of Medical Systems / Issue 5/2016
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI: https://doi.org/10.1007/s10916-016-0472-y

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Design and Development of a Sharable Clinical Decision Support System Based on a Semantic Web Service Framework

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