Child health improvement through computer automation: The CHICA system

Vibha Anand*, Paul G. Biondich, Gilbert Liu, Marc Rosenman, Stephen M. Downs

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


Clinical guidelines are prevalent but frequently not used. Computer reminder systems can improve adherence to guidelines but have not been widely adopted. We present a computer-based decision support system that combines these elements: 1) pediatric preventive care guidelines encoded in Arden Syntax; 2) a dynamic, scannable paper user interface; and 3) a HL7-compliant interface to existing electronic medical record systems. The result is a system that both delivers 'just in time' patient-relevant guidelines to physicians during the clinical encounter and accurately captures structured data from all who interact with the system. The system performs these tasks while remaining sensitive to the workflow constraints of a busy outpatient pediatric practice.

Original languageEnglish (US)
Pages (from-to)187-191
Number of pages5
JournalStudies in Health Technology and Informatics
StatePublished - Jan 1 2004


  • Alerts and reminders
  • Rule based systems
  • computer decision support
  • guidelines
  • pediatric
  • prevention

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management


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