Information Technology Reference
In-Depth Information
intelligence (AI) frame-based grammar for representing and processing medical
conditions and recommendations as “Medical Logic Modules (MLMs)” for use in
clinical decision support programs. Clinical decision support is the function of
advanced EMRs to give physicians advice on the best management of their particu-
lar patient. It will likely be a requirement for Stage 3 of Meaningful Use. Arden
syntax is now formally a standard as part of HL7. Three enterprise health system
vendors
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have implemented Arden-compliant decision support modules. It is also
used by the Indiana Health Information Exchange to deliver clinical reminders to
physicians but has otherwise not achieved widespread acceptance. That could
change as EHR deployment spreads and the bar for Meaningful Use is raised.
Before moving on, this chapter has covered a lot of material and, on its own,
could easily be expanded into an entire topic. For the non-technical reader who may
feel overwhelmed at this point, what is important is to have a sense of the capabili-
ties and protections these technologies provide so that the systems we will discuss
in the remaining chapters could have been developed and can function in an accept-
able and legal manner.
I would encourage the more technically inclined reader to use the references to
explore further those technologies of interest. There are many more web sites and
publications I could have cited. There are many organizations involved in data and
interoperability standards and in data privacy, security and trust. This is a very rich
field that will amply reward those with the interest and expertise to spend time
further exploring it.
References
1. Licklider JCR (1963) Memorandum for Members and Affiliates of the Intergalactic Computer
Network
http://www.kurzweilai.net/memorandum-for-members-and-af fi liates-of-the-
intergalactic-computer-network
. Accessed 19 July, 2012
2 .
http://www.meddserve.com/
Accessed 19 July, 2012
3 .
http://www.exleaz.com/
Accessed 19 July, 2012
4. McDonald CJ, et al (2005) The Indiana Network For Patient Care: A Working Local Health
Information Infrastructure. Health Aff 24:5 1214-1220
5 .
http://wiki.directproject.org/
Accessed 19 July, 2012
6. Brull R (2012) Six Questions to Consider About Merging a CCD
http://www.hl7standards.
com/blog/2012/01/24/merging-a-ccd/
Accessed 19 July, 2012
7 .
http://www.connectopensource.org/
Accessed 19 July, 2012
8 .
http://www.stanford.edu/group/psylawseminar/HIPAAguide.htm
Accessed 19 July, 2012
Accessed 19 July, 2012
10. Goldstein MM and Rein AL (2010) Data Segmentation in Electronic Health Information
Exchange: Policy Considerations and Analysis
http://healthit.hhs.gov/portal/server.pt?open=
512%26;mode=2%26;cached=true%26;objID=1147
Accessed 19 July, 2012
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Eclypsis, now part of Allscripts, McKesson Provider Technologies and Siemens
