Paterno Marilyn D, Maviglia Saverio M, Ramelson Harley Z, Schaeffer Molly, Rocha Beatriz H, Hongsermeier Tonya, Wright Adam, Middleton Blackford, Goldberg Howard S
Partners Health Care System, Boston, MA.
AMIA Annu Symp Proc. 2010 Nov 13;2010:602-6.
Creating shareable decision support services is a complex task requiring effort from multiple interdisciplinary role players with a wide variety of experience and expertise. The CDS Consortium research project has developed such a service, defining a multi-layer representation of knowledge and building upon an architectural service design created at Partners Health Care, and is demonstrating its use in both a local and an external institutional setting. The process was iterative, and we encountered unexpected requirements based on decisions made at various points. We report in this paper on challenges we faced while pursuing this research: knowledge representation and modeling, data interchange and standards adoption, the process of getting agreement on content, logistics of integrating into a system that already has multiple CDS interventions, legal issues around privacy and access, inter-team communication and organization.
创建可共享的决策支持服务是一项复杂的任务，需要多个具有广泛经验和专业知识的跨学科角色参与者付出努力。CDS联盟研究项目开发了这样一项服务，定义了知识的多层表示，并基于合作伙伴医疗保健公司创建的架构服务设计进行构建，同时正在本地和外部机构环境中展示其用途。这个过程是迭代的，我们在不同阶段做出决策时遇到了意想不到的需求。我们在本文中报告了我们在开展这项研究时面临的挑战：知识表示与建模、数据交换与标准采用、就内容达成一致的过程、集成到已经有多个CDS干预措施的系统中的后勤工作、围绕隐私和访问的法律问题、团队间沟通与组织。
