Clinical Decision Support offers improved patient care and safety, leveraging existing records and clinician workflows. Major barriers exist in interoperability with new and harmonised standards required before they can be overcome.
There is wide readiness and partial uptake of CDS in Australia. Important support around medication management at the point of prescribing is implemented but in non-standardised ways. Third party add-ons are offered by vendors and the RACGP but with inadequate guarantees of persistence and breadth of applicability across vendors. Currently CDS systems in Australia are not sufficiently interoperable. There is no national agreed governance or contractual responsibility to offer, or indeed maintain, information exposure, event notification, and integration capability. Australian Standards are needed for all of these areas. Current implementable CDS standards are principally those of HL7 International which have not generally been developed in response to Australian requirements.