So what's the point of representing knowledge in the first place? Well to help make decisions, of course!
One of the low-hanging fruit is drug prescribing decision support. This 2008 systematic review found, surprisingly, there is not a lot of evidence to support it, but nevertheless the review does provides a useful check list of prescribing decision support dimensions:
One of the low-hanging fruit is drug prescribing decision support. This 2008 systematic review found, surprisingly, there is not a lot of evidence to support it, but nevertheless the review does provides a useful check list of prescribing decision support dimensions:
- Drug-allergy
- Dosing
- Formulary decision
- Duplicate therapy
- Drug–drug interaction
- Dosing support for renal insufficiency and geriatric patients
- Guidance for medication-related laboratory testing
- Drug-disease contraindication
DSS needs to be made available close or at the clinician-patient point of care. Ideally they will be more than a eBook! This is possible with the use of available standards. Metadata for DSS artefacts are up for discussion in the virtual medical record working group of HL7.
ReplyDeleteGreat - I've been looking for the current HL7 standards - but it mostly seems to be happening behind closed doors. Do you have any links or docs to share?
ReplyDelete