Successful Deployment of EHR helps to improve patient safety and quality of care, but it has the prerequisite of interoperability between health information exchange at different hospital. The clinical document architecture developed HL7 is core document standard to ensure such interoperability and propagation of this document. Unfortunately, hospitals are reluctant to adopt interoperable HIS due to its deployment cost except for in a handful countries. A problem arises even when more hospital s start using the CDA document format because the data scattered in different documents are hard to manage. CDA document generation and integration Open API service based on cloud computing through which hospitals are enabled to conveniently generate CDA document per patient into a single CDA document and physician and patients can browse the clinical data in chronological order. CDA system of CDA document generation and integration is based on cloud computing and the service is offered in Open API. A clinical decision support system (CDSS) is a health information technology system that is designed to provide physicians and other health professionals with clinical decision support (CDS), that is assistance with clinical decision –making tasks. A working definition has been proposed by Robert Hayward of the Centre for Health Evidence: “Clinical decision support systems link health observations with health knowledge to influence health choices by clinicians for improved health. Our system will implement CDSS clinical decision support system it the system looking towards the clinical decision support from existing CDA system provided information. CDSS will help the doctor’s do the diagnosis of the patient from the existing CDA system. So that the time will be saved of the patient or if the patient is unable to bring or collect the health record the doctor’s will be able to detect the particular disease.
Health information exchange, HL7, CDA, cloud computing, software as a service, CDSS
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