Table 1.
Salient features of each domain according to each level of CDS.
| Feature | CDSa level | ||
|
|
Population | Encounter | Precision |
| Alert timing | Asynchronous | Synchronous | Both |
| Data timing | Cumulative | At time of encounter | Preemptive |
| Basis | Evidence-based | Evidence-based | Individualized |
| Strategies | Dashboards, iterative risk scores, work lists | Interruptive alerts, risk scores, care pathways, passive alerts | Either population- or encounter-based |
| Clinical examples | Diabetic foot exam, HIV drug efficacy, annual cholesterol | Heart failure guidelines, QT-prolonging drugs, performance metrics, deterioration index | Telemonitoring and mobile health, CYP2D6/opiate metabolism, polygenic risk scores, BRCA cancer screening |
aCDS: clinical decision support.