1.Department of Biomedical Engineering, Zhejiang University, Hangzhou 310027, China; 2.China National Center for Biotechnology Development, Beijing 100039, China; 3. Children's Hospital of Zhejiang University, Hangzhou 310003, China; . Institute of Translational Medicine, Zhejiang University, Hangzhou 310029, China
An extensible framework with clinical decision support (CDS) applications integration and management system was developed. Invocation and data interoperation are the two levels for CDS applications integration specification. Applications such as clinical evaluator, calculator and CDS system are integrated into clinical information system (CIS), providing a complete mechanism of applications registration, management and delivery. CDS applications that are different in types and functions can be targeted delivered. This framework was implemented and evaluated in a real clinical information environment. It is proved to be effective in solving the basic interoperability problems of CDS applications and CIS, and it also integrates CDS applications into clinical workflow.
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