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Clinical Decision Support System

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Clinical Decision Support System

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Clinical Decision Support System

  1. 1. http://info.isabelhealthcare.com CLINICAL DECISION SUPPORT SYSTEM Mary Grace A. Villareal, RN
  2. 2. Assignment: CHITS is an electronic medical record currently being used by many regional health units nationwide. Think of a clinical scenario and suggest a clinical decision support system embedded within CHITS to address this.
  3. 3. Clinical Scenario 䡦 Patient X, 4 y/o male experiences reduced appetite, sore throat, chills and low grade fever for 3 days. Recorded temperature ranging from 37.8 peaking to 38. Rashes appeared in hands, feet and mouth of the child, followed by blisters on the same areas. Patient Y, 2 y/o female, sibling of patient X experiences body malaise and sore throat since yesterday.
  4. 4. Case Analysis 䡦 Case Findings - Findings that match the search will appear in the Findings Window, Common Diseases are shown on another section that are associated with some or all of the case findings. This area is refreshed dynamically overtime a new case finding is entered. 䡦 Refine Disease List - Contains other related clinical findings that can narrow down the search to possible diagnosis. A tick box can be shown to tell the system if a findings is present (Y), absent (N) or unknown (U). 䡦 Disease Selection - When a user clicks on a disease, it will bring up evidences for the disease selcted. It will update the current case findings window.
  5. 5. Clinical Decision Support System ▪ Recording of patient information - Patient visits are more efficient having reduced minutes of finding paper records to just seconds proving faster patient record retrieval system. It also minimizes waiting time for services spent by each patient and relative. Physician suspects a case of Hand, Foot and Mouth Disease (HFMD). ▪ Case Analysis - Provide a patient’s age and gender together with a rough estimate of the duration of the symptom or disease condition. Clinical manifestations are entered by typing the first few letters, the system will display the terms that contain the characters typed. Once you see the choice, you can click and select it. To indicate the absence of findings click the (-) sign prior to selecting the finding.
  6. 6. Clinical Decision Support System Evidence of Disease - interface where Disease Information, Disease Differential, External Sites Link, Google Search. http://www.bilbomatica-idi.es
  7. 7. Evidence of Disease 䡦 Clinical Manifestation (that Support Disease selection) - will list clinical manifestations congruent with the Disease selected. You will be prompted to add finding to the Case Investigated. 䡦 Disease Information - gives the definition, list the ICD10 codes, other names and etiology of the disease, provides the symptoms in order of the frequency with which they occur. It also proved links to external references. 䡦 Disease Differential - shows the differential diagnosis for the selected disease, it provides a list of diseases associated with the selection.
  8. 8. Clinical Decision Support System Treatment - Shows the laboratory test, diagnostic test (and results), medication course available for the disease. A warning message for dose and frequency errors that gives the reason for the warning (Note that the figure shows a translated mockup) Image Source: http://www.jmir.org
  9. 9. Treatment 䡦 Laboratory Test - Abnormal Lab Findings (Increased and Decreased), Microbiology and Serology Findings. 䡦 Diagnostic Test - Imaging and scans. 䡦 Drugs - Shows medication contraindication/s, medication dosage and routes.
  10. 10. Clinical Decision Support System Consultation Scheduling - mark scheduled consultation for the patient, referral, and follow up. Image Source: http://www.cdssai.somee.com

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