The document discusses clinical knowledge management and clinical decision support. It recommends extracting clinical pearls from guidelines, order sets, and dosing guidance to build clinical alerts and decision support. It also recommends characterizing clinical decision support using standards to facilitate interoperability and choosing solutions that allow externalizing logic for easier updating independently from the production system.

1. Clinical Knowledge Mangement:
Getting Pearls from GEMs

2. Order
sets
Dosing
Guidance
Clinical
alerts
How do you characterize
and present your Clincal
Decision Support?

4. Shiffman RN, Karras BT, Agrawal A, Chen R, Marenco L, Nath S. GEM: A proposal for a more
comprehensive guideline document model using XML. J Am Med Informatics Assoc 2000;7:488-98.

5. Shiffman RN, Karras BT, Agrawal A, Chen R, Marenco L, Nath S. GEM: A proposal for a more
comprehensive guideline document model using XML. J Am Med Informatics Assoc 2000;7:488-98.

6. Shiffman RN, Karras BT, Agrawal A, Chen R, Marenco L, Nath S. GEM: A proposal for a more
comprehensive guideline document model using XML. J Am Med Informatics Assoc 2000;7:488-98.

10. Single webpage template
Uses JavaScript to pull
XML elements of interest
Code deprecates
elegantly across multiple
browsers
Automatically looks for a
screenshot in .png format
Only need to edit 1 line of
code:

11. Query
Manual
Automatic

12.  Recognize the need to catalog clinical decision support (CDS)
interventions
 It is generally a good idea to externalize CDS logic
 When it comes to categorizing CDS rules and logic, the earlier
the better
 Choosing a well documented standard facilitates
interoperability
 When CDS logic is externalized, it becomes asynchronous with
the production system
 There is more than one way to solve the problem