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. 2007 Mar-Apr;14(2):146–155. doi: 10.1197/jamia.M2298

Table 4.

Table 4 How CDS Framework Facilitates Achievement of Roadmap Report’s Strategic Objectives

Strategic Objective How Proposed CDS Implementation Framework Facilitates Achievement of Objective
Represent clinical knowledge and CDS interventions in standardized formats (both human and machine-interpretable), so that a variety of knowledge developers can produce this information in a way that knowledge users can readily understand, access, and apply it.
  • Knowledge represented as DSS knowledge module (KM)

  • Profiles can be defined for different types of knowledge

  • Knowledge available in human-readable form as KM trait

  • Knowledge developers able to contribute to KM pool using preferred

  • knowledge representation formalism

  • KMs can be easily understood, accessed, and applied

  • CDS interventions easily accessed as KM output

Collect, organize, and distribute clinical knowledge and CDS interventions in one or more services from which users can readily find the specific material they need and incorporate it into their own information systems and processes.
  • Knowledge collected, organized, and distributed as KMs

  • CDS interventions collected, organized, and distributed as KM outputs Relevant KMs can be readily identified and leveraged

  • Relevant CDS interventions can be readily identified and used

Address policy/legal/financial barriers and create additional support and enablers for widespread CDS adoption and deployment.
  • Availability of standard services meeting core CDS needs facilitates CDS implementation and maintenance

  • SOA approach to CDS reduces implementation costs

Improve clinical adoption and usage of CDS interventions by helping clinical knowledge and information system producers and implementers design CDS systems that are easy to deploy and use, and by identifying and disseminating best practices for CDS deployment.
  • Proposed CDS implementation framework simplifies and facilitates CDS deployment

  • Proposed CDS implementation framework can be adapted for use in a variety of clinical and technical settings

  • Best practices for CDS deployment can be described in a straightforward manner in terms of service orchestration

Assess and refine the national experience with CDS by systematically capturing, organizing, and examining existing deployments. CDS deployment architectures can be described in a straightforward manner in terms of the services used and how services were orchestrated
Advance care-guiding knowledge by leveraging data in interoperable EHRs. Data for clinical research can be obtained using RLUSs deployed as part of CDS implementation framework