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Clinical Decision Support can mean a myriad of different things depending on the perspective, role, and experience of the person whose opinion is being solicited. The following domain scenarios serve to illustrate possible applications for a knowledge management platform such as CCA within a healthcare delivery system. Several of the scenarios below borrow heavily from those described in the HL7 Decision Support Service (DSS) Service Functional Model Version 1.0. These are centered on a provider named David - we We have both embellished and simplified these scenarios to clarify context . We remain deeply indebted and  remain  indebted to this ground-breaking effort; attribution effort. Attribution is provided for the entire scenario in lieu of quoting text that we have repurposed verbatim.David is dual boarded as an internist and a pulmonologist. He is the informatics domain expert at Healthcare Plan “A” (HP A) and is responsible for creating clinical guidelines for his institution’s decision support system (DSS A). 


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