Coupling clinical decision support system with computerized prescriber order entry and their dynamic plugging in the medical workflow system

Abstract

Abstract. This work deals with coupling Clinical Decision Support System (CDSS) with Computerized PrescriberOrder Entry (CPOE) and their dynamic plugging in the medical Workflow Management System (WfMS). First, in this paper we argue some existing CDSS representative of the state of the art in order to emphasize their inability to deal with coupling with CPOE and medical WfMS. The multi-agent technology is at the basis of our proposition since (i) it provides natural abstractions to deal with distribution, heterogeneity and autonomy which are inherent to the previous systems (CDSS, CPOE and medical WfMS), and (ii) it introduces powerful concepts such as organizations, goals and roles useful to describe in details the coordination of the different components involved in these systems. In this paper, we also propose a Multi-Agent System (MAS) to support the coupling CDSS with CPOE. Finally, we show how we integrate the proposed MAS in the medical workflow management system which is also based on collaborating agents.

Design of a RESTful Web Information System for Drug Prescription and Administration

“…An agent-based approach is proposed in [25] to face the problem of integrating CDSS and CPOE systems in the clinical workflow management system. The proposed system is at a preliminary stage of design.…”

“…By pursuing these three objectives, we also aim at addressing the main limitations of related work. As mentioned above, Bouzguenda and Turki [25] provide only preliminary design details; other systems [21] [22] do not clearly address issues of interoperability with external systems; the work in [23] offers limited support to cooperation since it is addressed to the nurse staff, but not to physicians.…”