Explanation services provide definitions, examples, costs, and measures of quality for recommended actions. Calculation services determine temporal intervals, suggest medication dosages, and perform other complex calculations. Communication services must provide rapid, accurate, and widely accessible electronic message transfer among clinicians. In an ideal guideline application, recommended actions would automatically be translated into medication or nursing orders, or even a return appointment request. Presentation services promote better understanding of complex data by doing such things as clarifying trends and formatting written materials for patients.
Aggregation services help researchers associate outcomes with specific guideline interventions.
Such functionality assists them in understanding the outcomes expected from recommended care processes. Availability of the services identified in this paper would go a long way toward insuring clinician compliance. A design model for computer-based guideline implementation based on information management services. Dean F. Sittig Informatics-Review Vol.