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Towards a National Clinical Decision Support Framework for Norway: Expert Assessment and Proposed Architecture

Authors:
Luis Marco-Ruiz
Kristian Malm-Nicolaisen
Alexandra Makhlysheva
Rune Pedersen

Keywords: E-health Services; Clinical Decision Support; Clinical Guidelines; Computerized Clinical Decision Support; Interoperability; Software Architecture; Electronic Health Records

Abstract:
Computerized Clinical Decision Support (CCDS) is an important component for making available latest medical evidence at the point of care. With the aim to gain knowledge on the best approaches for implementing a nation-wide CCDS, we performed a survey by sending an extensive questionnaire about CCDS architectures, use of standards, and use of terminologies to international experts and CCDS vendors. The responses to the questionnaire were analyzed and mapped to the requirements of the Norwegian health IT context. With this correspondence between responses and requirements, we designed a national architecture with the components needed for providing CCDS at a national scale in Norway. The architecture leverages different components aiming to allow supporting several standards and terminologies, performing both national and local governance, reusing CCDS functionality, and adapting CCDS modules to local contexts.

Pages: 119 to 126

Copyright: Copyright (c) IARIA, 2020

Publication date: March 22, 2020

Published in: conference

ISSN: 2308-4359

ISBN: 978-1-61208-763-4

Location: Valencia, Spain

Dates: from November 21, 2020 to November 25, 2020