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在临床决策支持的演练场中实践:面向所有人的工具与培训。

Playing in the clinical decision support sandbox: tools and training for all.

作者信息

Soares Andrey, Afshar Majid, Moesel Chris, Grasso Michael A, Pan Eric, Solomonides Anthony, Richardson Joshua E, Barone Eleanor, Lomotan Edwin A, Schilling Lisa M

机构信息

Division of General Internal Medicine, Department of Medicine, and the Data Science to Patient Value Initiative, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Department of Medicine, School of Medicine and Public Health, University of Wisconsin Madison, Madison, Wisconsin, USA.

出版信息

JAMIA Open. 2023 Jun 21;6(2):ooad038. doi: 10.1093/jamiaopen/ooad038. eCollection 2023 Jul.

DOI:10.1093/jamiaopen/ooad038
PMID:37351012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10283349/
Abstract

OBJECTIVES

Introduce the CDS-Sandbox, a cloud-based virtual machine created to facilitate Clinical Decision Support (CDS) developers and implementers in the use of FHIR- and CQL-based open-source tools and technologies for building and testing CDS artifacts.

MATERIALS AND METHODS

The CDS-Sandbox includes components that enable workflows for authoring and testing CDS artifacts. Two workshops at the 2020 and 2021 AMIA Annual Symposia were conducted to demonstrate the use of the open-source CDS tools.

RESULTS

The CDS-Sandbox successfully integrated the use of open-source CDS tools. Both workshops were well attended. Participants demonstrated use and understanding of the workshop materials and provided positive feedback after the workshops.

DISCUSSION

The CDS-Sandbox and publicly available tutorial materials facilitated an understanding of the leading-edge open-source CDS infrastructure components.

CONCLUSION

The CDS-Sandbox supports integrated use of the key CDS open-source tools that may be used to introduce CDS concepts and practice to the clinical informatics community.

摘要

目标

介绍CDS沙盒,这是一个基于云的虚拟机,旨在方便临床决策支持(CDS)开发者和实施者使用基于FHIR和CQL的开源工具及技术来构建和测试CDS工件。

材料与方法

CDS沙盒包含支持CDS工件创作和测试工作流程的组件。在2020年和2021年美国医学信息学会(AMIA)年会上举办了两场研讨会,以展示开源CDS工具的使用。

结果

CDS沙盒成功整合了开源CDS工具的使用。两场研讨会都有很多人参加。参与者展示了对研讨会材料的使用和理解,并在会后提供了积极反馈。

讨论

CDS沙盒和公开可用的教程材料有助于理解前沿的开源CDS基础设施组件。

结论

CDS沙盒支持关键CDS开源工具的集成使用,可用于向临床信息学社区介绍CDS概念和实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd3b/10283349/5353d639ada8/ooad038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd3b/10283349/c64f3cfcac07/ooad038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd3b/10283349/5353d639ada8/ooad038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd3b/10283349/c64f3cfcac07/ooad038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd3b/10283349/5353d639ada8/ooad038f2.jpg

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New Standards for Clinical Decision Support: A Survey of The State of Implementation.临床决策支持新规范:实施现状调查。
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Translating an evidence-based clinical pathway into shareable CDS: developing a systematic process using publicly available tools.将循证临床路径转化为可共享的 CDS:使用公共可用工具开发系统流程。
J Am Med Inform Assoc. 2021 Jan 15;28(1):52-61. doi: 10.1093/jamia/ocaa257.
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To Share is Human! Advancing Evidence into Practice through a National Repository of Interoperable Clinical Decision Support.
分享是人类的天性!通过国家可互操作的临床决策支持知识库推进证据转化为实践。
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Yearb Med Inform. 2016 Aug 2;Suppl 1(Suppl 1):S103-16. doi: 10.15265/IYS-2016-s034.
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SMART on FHIR: a standards-based, interoperable apps platform for electronic health records.基于快速医疗互操作性资源的智能医疗:一个用于电子健康记录的基于标准的、可互操作的应用程序平台。
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