Component 9; Unit 7: Supporting Standards for EHR Applications
Description:
This unit presents a set of standards that support the application layer of the OSI and extend EHR Functionality.
Objectives:
- Understand the clinical decision support standard Arden Syntax
- Understand standards for clinical guidelines
- Understand object-oriented expression language for clinical decision support – GELLO
- Understand the clinical decision support standard Info button
- Understand disease management
- Understand other clinical decision support applications
- Understand other standards that help to support networking and reporting requirements as well as functionality to optimize the connectivity among heterogeneous systems deployed within a single enterprise
- Understand single sign-on standards and the HL7 Clinical Context Object Workgroup (CCOW) standard
- Understand regulatory standards
- Understand issues relating to person identifiers, master patient indices, and record locator services
Component 9; Unit 7; Lecture 7a comp9_unit7a_lecture_slides
Arden Syntax
Component 9; Unit 7; Lecture 7b comp9_unit7b_lecture_slides
HL7 GLIF and GELLO
Component 9; Unit 7; Lecture 7c comp9_unit7c_lecture_slides
Infobutton and Disease Management
Component 9; Unit 7; Lecture 7d comp9_unit7d_lecture_slides
Workflow Standards
Suggested Readings
Using Features of Arden Syntax with Object-Oriented Medical Data Models for Guideline Modelin. This article contains information about many of the clinical decision support standards. http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.24.5737
Arden Syntax. A table showing information about Arden syntax. http://www.openclinical.org/gmm_ardensyntax.html
GELLO: An Object-Oriented Query and Expression Language for Clinical Decision Support. This is a paper that discusses the format of GELLO and its use. http://www.openclinical.org/docs/int/docs/gello.pdf
HL7 Infobutton Product Information. This link provides HL7’s product brief about Infobuttons. http://wiki.hl7.org/index.php?title=Product_Infobutton” MACROBUTTON HtmlResAnchor
Infobuttons at Intermountain Healthcare: Utilization and Infrastructure. This article “describes the infobuttons infrastructure at Intermountain Healthcare and assesses their use after 4 years of their initial release.” http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839474/” MACROBUTTON HtmlResAnchor http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839474/
Getting Patients to Meaningful Use: Using the HL7 Infobutton Standard for Information Prescriptions. This article explains the usefulness of Infobuttons and a particular company’s implementation. http://hwinfo.healthwise.org/docs/DOCUMENT/8325.pdf” MACROBUTTON HtmlResAnchor http://hwinfo.healthwise.org/docs/DOCUMENT/8325.pdf
HL7 CCOW standard. This page is HL7’s CCOW standard page providing information about CCOW. http://www.hl7.org.au/CCOW.htm” MACROBUTTON HtmlResAnchor http://www.hl7.org.au/CCOW.htm
CCOW Information for the Healthcare Industry. This site provides information about CCOW including what it is, how it works and its benefits. http://www.cryptlib.orion.co.nz/” MACROBUTTON HtmlResAnchor http://www.cryptlib.orion.co.nz/
Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. This article discusses the effects of clinical guidelines of medical practices. Registration is required to read the article but is free. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T1B-49KC744-F0&_user=5961205&_coverDate=11%2F27%2F1993&_rdoc=1&_fmt=high&_orig=search&_origin=search&_sort=d&_docanchor=&view=c&_acct=C000068954&_version=1&_urlVersion=0&_userid=5961205&md5=f6a8456e396d21342396879a39f4cfbd&searchtype=a
National Guideline Clearinghouse. NGC is a public resource for evidence-based clinical practice guidelines. “http://www.guideline.gov/” MACROBUTTON HtmlResAnchor http://www.guideline.gov/