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A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems

OBJECTIVE: Clinical Knowledge Authoring Tools (CKATs) are integral to the computerized Clinical Decision Support (CDS) development life cycle. CKATs enable authors to generate accurate, complete, and reliable digital knowledge artifacts in a relatively efficient and affordable manner. This scoping r...

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Autores principales: Nair, Sujith Surendran, Li, Chenyu, Doijad, Ritu, Nagy, Paul, Lehmann, Harold, Kharrazi, Hadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677433/
https://www.ncbi.nlm.nih.gov/pubmed/34927003
http://dx.doi.org/10.1093/jamiaopen/ooab106
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author Nair, Sujith Surendran
Li, Chenyu
Doijad, Ritu
Nagy, Paul
Lehmann, Harold
Kharrazi, Hadi
author_facet Nair, Sujith Surendran
Li, Chenyu
Doijad, Ritu
Nagy, Paul
Lehmann, Harold
Kharrazi, Hadi
author_sort Nair, Sujith Surendran
collection PubMed
description OBJECTIVE: Clinical Knowledge Authoring Tools (CKATs) are integral to the computerized Clinical Decision Support (CDS) development life cycle. CKATs enable authors to generate accurate, complete, and reliable digital knowledge artifacts in a relatively efficient and affordable manner. This scoping review aims to compare knowledge authoring tools and derive the common features of CKATs. MATERIALS AND METHODS: We performed a keyword-based literature search, followed by a snowball search, to identify peer-reviewed publications describing the development or use of CKATs. We used PubMed and Embase search engines to perform the initial search (n = 1579). After removing duplicate articles, nonrelevant manuscripts, and not peer-reviewed publication, we identified 47 eligible studies describing 33 unique CKATs. The reviewed CKATs were further assessed, and salient characteristics were extracted and grouped as common CKAT features. RESULTS: Among the identified CKATs, 55% use an open source platform, 70% provide an application programming interface for CDS system integration, and 79% provide features to validate/test the knowledge. The majority of the reviewed CKATs describe the flow of information, offer a graphical user interface for knowledge authors, and provide intellisense coding features (94%, 97%, and 97%, respectively). The composed list of criteria for CKAT included topics such as simulating the clinical setting, validating the knowledge, standardized clinical models and vocabulary, and domain independence. None of the reviewed CKATs met all common criteria. CONCLUSION: Our scoping review highlights the key specifications for a CKAT. The CKAT specification proposed in this review can guide CDS authors in developing more targeted CKATs.
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spelling pubmed-86774332021-12-17 A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems Nair, Sujith Surendran Li, Chenyu Doijad, Ritu Nagy, Paul Lehmann, Harold Kharrazi, Hadi JAMIA Open Review OBJECTIVE: Clinical Knowledge Authoring Tools (CKATs) are integral to the computerized Clinical Decision Support (CDS) development life cycle. CKATs enable authors to generate accurate, complete, and reliable digital knowledge artifacts in a relatively efficient and affordable manner. This scoping review aims to compare knowledge authoring tools and derive the common features of CKATs. MATERIALS AND METHODS: We performed a keyword-based literature search, followed by a snowball search, to identify peer-reviewed publications describing the development or use of CKATs. We used PubMed and Embase search engines to perform the initial search (n = 1579). After removing duplicate articles, nonrelevant manuscripts, and not peer-reviewed publication, we identified 47 eligible studies describing 33 unique CKATs. The reviewed CKATs were further assessed, and salient characteristics were extracted and grouped as common CKAT features. RESULTS: Among the identified CKATs, 55% use an open source platform, 70% provide an application programming interface for CDS system integration, and 79% provide features to validate/test the knowledge. The majority of the reviewed CKATs describe the flow of information, offer a graphical user interface for knowledge authors, and provide intellisense coding features (94%, 97%, and 97%, respectively). The composed list of criteria for CKAT included topics such as simulating the clinical setting, validating the knowledge, standardized clinical models and vocabulary, and domain independence. None of the reviewed CKATs met all common criteria. CONCLUSION: Our scoping review highlights the key specifications for a CKAT. The CKAT specification proposed in this review can guide CDS authors in developing more targeted CKATs. Oxford University Press 2021-12-16 /pmc/articles/PMC8677433/ /pubmed/34927003 http://dx.doi.org/10.1093/jamiaopen/ooab106 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Review
Nair, Sujith Surendran
Li, Chenyu
Doijad, Ritu
Nagy, Paul
Lehmann, Harold
Kharrazi, Hadi
A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title_full A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title_fullStr A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title_full_unstemmed A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title_short A scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
title_sort scoping review of knowledge authoring tools used for developing computerized clinical decision support systems
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677433/
https://www.ncbi.nlm.nih.gov/pubmed/34927003
http://dx.doi.org/10.1093/jamiaopen/ooab106
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