Evidence map›Paper›PMID 18434256›Full record

ArticleJournal of biomedical informatics2008

SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.

Adam Wright, Dean F Sittig

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Health 4.0: On the Way to Realizing the Healthcare of the Future.IEEE access : practical innovations, open solutions · 2020
    Article
  4. Review
  5. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  6. Article
  7. Review
  8. A Framework for Global Collaborative Data Management for Malaria Research.The American journal of tropical medicine and hygiene · 2015
    Article
  9. Review
  10. Article
  11. A highly scalable, interoperable clinical decision support service.Journal of the American Medical Informatics Association : JAMIA · 2014
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Grand challenges in clinical decision support.Journal of biomedical informatics · 2008
    Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Adam WrightClinical Informatics Research and Development, Partners HealthCare, Boston, MA, USA. awright5@partners.org
Dean F Sittig

Funding

TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
NLM NIH HHS 1T15LM009461NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture. The architecture allows disparate clinical information systems and clinical decision support systems to be seamlessly integrated over a network according to a set of interfaces and protocols described in this paper. The architecture described is fully defined and developed, and six use cases have been developed and tested using a prototype electronic health record which links to one of the existing prototype National Health Information Networks (NHIN): drug interaction checking, syndromic surveillance, diagnostic decision support, inappropriate prescribing in older adults, information at the point of care and a simple personal health record. Some of these use cases utilize existing decision support systems, which are either commercially or freely available at present, and developed outside of the SANDS project, while other use cases are based on decision support systems developed specifically for the project. Open source code for many of these components is available, and an open source reference parser is also available for comparison and testing of other clinical information systems and clinical decision support systems that wish to implement the SANDS architecture. The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are:

Indexed as

Decision Support Systems, ClinicalInformation ServicesMedical Records Systems, ComputerizedUnited States

Identifiers

PMID18434256
PMCPMC2676864

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.