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Utilizing patient data from the veterans administration electronic health record to support web-based clinical decision support: informatics challenges and issues from three clinical domains.

Nallakkandi RajeevanKristina M NiehoffPeter CharpentierForrest L LevinAmy JusticeCynthia A BrandtTerri R FriedPerry L Miller
Published in: BMC medical informatics and decision making (2017)
Informatics issues and challenges relating to data access and data availability arose because of the particular architecture of the national VA infrastructure and the need to link to that infrastructure from local Web-based CDS systems. Idiosyncrasies of VA patient data, especially the medication data, also posed challenges. Other issues related to specific functional needs of individual CDS systems. The goal of this paper is to describe these issues so that our experience may serve as a useful foundation to assist others who wish to build such systems in the future.
Keyphrases
  • electronic health record
  • clinical decision support
  • big data
  • adverse drug
  • quantum dots
  • healthcare
  • case report
  • machine learning
  • emergency department
  • deep learning
  • current status
  • drug induced