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12/14/2011
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Neil Versel
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10 Innovative Clinical Decision Support Programs

What provides the smarts behind an advanced implementation of electronic health records? Clinical decision support systems. It may be time to revisit your CDS vendor options.
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Developed at the Laboratory of Computer Science at Massachusetts General Hospital in Boston, DXplain has been in use since 1986 and marketed nationally since 1987. Over the years, the knowledge base has grown from about 500 diseases in the first release to more than 2,400 diseases, 5,000 clinical findings, and 230,000 data points, according to Mass General, which still holds the distribution rights.

Users enter clinical information into a text box, then the diagnostic decision support system looks for appropriate medical evidence in its knowledge base, looking for synonyms and correcting misspellings to account for the wide variations that free-text entry presents. DXplain offers a list of possible diagnoses based on symptoms, physician observations, test results, and other factors. Physicians can click a "Focus" button to emphasize some findings over others in reaching a diagnosis.

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PeterO785
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PeterO785,
User Rank: Apprentice
1/4/2014 | 8:24:17 AM
re: 10 Innovative Clinical Decision Support Programs
Good article but more decision support tools should be considered: VisualDx, GIDEON, IBM Watson, DxMate, SimulConsult, Symcat or a couple of others.
TRICHARDSON000
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TRICHARDSON000,
User Rank: Apprentice
5/8/2012 | 7:55:32 PM
re: 10 Innovative Clinical Decision Support Programs
Larry Weed has been doing Clinical Decision Support longer than many of us has been alive. Some of his ideas are so integral now that we forget how revolutionary they were back in 1968 when he first publicized SOAP notes in the the Problem Oriented Medical Record.

He is a giant. If we can see further it is by standing on his shoulders.

Tim Richardson, PT
www.PhysicalTherapyDiagnosis.c...
Lisa Henderson
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Lisa Henderson,
User Rank: Apprentice
12/19/2011 | 7:48:35 PM
re: 10 Innovative Clinical Decision Support Programs
Some really good apps, but I love the background story on this one. Probably wouldn't happen in the U.S. though, money before innovation.

Lisa Henderson, InformationWeek Healthcare, contributing editor
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