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CDS Functions


CDS Function

Description

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Alerts or Reminders

One of the more common types of decision support is computerized alerts (or reminders). These are triggered by rules and designed to interrupt clinicians or patients at the appropriate time. These alerts are also referred to as “best practice advisories” and can be implemented as pop-ups on a users screen or in monitoring tools such as a dashboard. Alerts can also be used to trigger other communication mechanisms such as paging or faxing. Examples of alerts include drug to drug interactions, or drug allergy warnings triggered when medications are prescribed.

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Clinical Guidelines and Reference Information

These CDS functions are often implemented as links to external references which are published by third party, knowledge experts. Guidelines may be represented in a standardized format to facilitate interoperability - for example, the HL7 Infobutton

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http://www.hl7.org/implement/standards/product_brief.cfm?product_id=208

. References can be based on relevant, context-dependent data captured in a patient health record or another electronic artifact such as an order or clinical document. 

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Diagnostic Support Tools

These tools use a combination of patient data, context-based suggestions and clinical knowledge links to aid the clinician in making a diagnosis. An example would be a tool that prompts a physician for additional findings and suggests additional tests or procedures to help differentiate the diagnosis.

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Automatically Triggered Smart Forms

These documentation tools, which include reports and summaries, are aimed at high quality records, the reduction of errors, and more complete information. These tools can be triggered when a specific patient condition is detected or when a finding is deemed reportable to a jurisdictional health body. These can be represented as focused patient data reports or summaries and are often utilized at the point of care (POC) in real time.

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Conditional Order Sets and Pathway Support

These are typically designed for complex ordering scenarios. They may be comprised of a proposed set of orders or a treatment regimen which is based on an explicit situation or medical condition. These interventions can ensure compliance with established protocols. They can also be utilized to guide clinicians though complex care pathways.

 


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