Open, interoperable, and configurable clinical decision support modules for OpenMRS, OpenEMR, and beyond

适用于 OpenMRS、OpenEMR 等的开放、可互操作且可配置的临床决策支持模块

• 批准号: 10609206
• 负责人: Xia Jing
• 金额: $ 23.4万
• 依托单位: CLEMSON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10609206
• 关键词: Academic Medical Centers; Administrative Supplement; Adoption; Back; Centers for Disease Control and Prevention (U.S.); Clinical; Clinical Decision Support Systems; Code; Communities; Computer software; Computerized Medical Record; Data; Documentation; Drug Interactions; Educational Materials; Educational process of instructing; Ensure; Environment; Extensible Markup Language; FAIR principles; Future; Goals; Health; Healthcare; Immunization Schedule; Industry; Instruction; International; Knowledge; Language; Learning Module; Life Cycle Stages; Light; Link; Longevity; Maintenance; Medical; Modeling; Monitor; Ontology; Parents; Patients; Pharmaceutical Preparations; Population; Preventive; Preventive service; Research; Research Personnel; Resource-limited setting; Resources; Services; Site; Students; System; Technology; Testing; Training; United States Agency for Healthcare Research and Quality; Universities; Update; Work; base; care providers; care systems; clinical care; clinical decision support; clinical decision-making; clinical practice; computer based Semantic Analysis; computer science; design; experience; graduate student; improved; information technology workforce; interoperability; lectures; open data; open source; operation; parent project; patient population; population health; portability; software development; syntax; tool

Project summary Although a clinical decision support system (CDSS) can be an effective tool in clinical settings, such systems can be irrelevant to current clinical practice without up-to-date CDSS rules. Managing and maintaining CDSS rules can be resource-intensive, even for large academic medical centers, which typically have more resources than small medical practices. Our parent R01 project (1R01GM138589) aims to leverage Semantic Web technology to enable reusable and portable CDSS rules and enable clinicians to independently manage and maintain CDSS rules. The goal of the parent R01 project is to use the OpenMRS and OpenEMR as examples to demonstrate feasibility. The administrative supplement project proposes transforming internal codes into ready-to-distribute modules of OpenMRS and OpenEMR. The administrative supplement project will benefit existing OpenMRS and OpenEMR communities, i.e., clinicians and patient populations. The major deliverables of the administrative supplement include ready-to-distribute CDSS modules with comprehensive functionalities, higher-quality documentation, instructions, and CDSS educational modules. In the parent R01 project, the necessary CDSS functionalities were planned to be developed and tested as internal codes without documentation or user instructions, nor was the educational component planned. Meanwhile, we continue to explore a more generic solution to the issues that can benefit clinicians and patients by enhancing clinical care services. We anticipate that the newly added CDSS modules will facilitate more consistent preventive services to the populations served by both systems. Due to our efforts, the modules’ clinician users can provide services in a self-sustainable manner. The two new modules can be used as CDSS teaching platforms to educate students and trainees about the life cycle and technical mechanisms of CDSS regarding its operation, configuration, management, maintenance, and monitoring. For medical and health students without access to operational electronic medical records (EMR) systems or CDSS, students can obtain CDSS experience via hands-on sessions using these modules. For computer science students, these modules can facilitate understanding of basic terms of clinical care within EMR contexts. We anticipate that the educational modules will (1) prepare future CDSS users and designers more comprehensively, (2) empower them to optimize the CDSS and maximize the full potential of CDSS, and (3) better prepare the future workforce for healthcare IT. In practical terms, our newly proposed project will benefit existing and future OpenMRS and OpenEMR users and their patients. This work will help us achieve our goal for the parent R01 project. The experience obtained through the work of the CDSS modules will help us understand the interoperability of CDSS rules conceptually, pinpoint the underlying issues of interoperability, and shed light on future directions in tackling interoperability on a larger scale.

项目概要 尽管临床决策支持系统 (CDSS) 可以成为临床环境中的有效工具，但此类系统 如果没有最新的 CDSS 规则管理和维护，可能与当前的临床实践无关。 即使对于通常拥有更多资源的大型学术医疗中心来说，规则也可能是资源密集型的 我们的父 R01 项目 (1R01GM138589) 旨在利用语义网。 技术支持可重复使用和便携式 CDSS 规则，并使主管能够独立管理和 维护 CDSS 规则 父 R01 项目的目标是使用 OpenMRS 和 OpenEMR 作为示例。 论证行政补充项目建议将内部规范转化为可行性。 OpenMRS 和 OpenEMR 的现成分发模块将受益于管理补充项目。 现有的 OpenMRS 和 OpenEMR 社区，即前沿和患者群体 主要交付成果。 行政补充包括具有全面功能的现成 CDSS 模块， 更高质量的文档、说明和 CDSS 教育模块 在父 R01 项目中， 计划将必要的 CDSS 功能作为内部代码进行开发和测试，而无需 文档或用户说明，也没有计划教育部分。 与此同时，我们继续探索更通用的解决方案来解决可以受益的问题 我们预计新添加的 CDSS 模块将有助于改善患者的临床护理服务。 通过我们的努力，为两个系统所服务的人群提供更加一致的预防服务。 模块的临床医生用户可以以自我可持续的方式提供服务。 这两个新模块可以作为CDSS教学平台，向学生和学员传授有关 CDSS 的生命周期和技术机制，涉及其运行、配置、管理、 适用于无法使用操作电子设备的医学和健康学生。 医疗记录 (EMR) 系统或 CDSS，学生可以通过使用以下方法的实践课程获得 CDSS 经验 对于计算机科学专业的学生来说，这些模块可以帮助理解基本术语。 我们预计教育模块将 (1) 为未来的 CDSS 做好准备。 更全面地帮助用户和设计人员，(2) 使他们能够优化 CDSS 并最大化 CDSS 的潜力，以及 (3) 更好地为未来的医疗保健 IT 劳动力做好准备。 拟议的项目将使现有和未来的 OpenMRS 和 OpenEMR 用户及其患者受益。 通过工作获得的经验将帮助我们实现母 R01 项目的目标。 CDSS 模块将帮助我们从概念上理解 CDSS 规则的互操作性，查明底层 互操作性问题，并阐明了更大规模谈判互操作性的未来方向。